A nasopharyngeal airway is inserted: which statement is correct about insertion into the right nare?

• A. Bevel downward if inserted into the left nare.
• B. Bevel facing the septum if inserted into the right nare.
• C. In the smaller nostril with the tip following the roof.
• D. In the larger nostril with the tip away from the septum.

Answer: (B)

When placing a nasopharyngeal airway, orientation matters to minimize trauma and help the tube slide smoothly into the nasopharynx. For the right nostril, the bevel should be facing the septum (medially). This positions the beveled edge toward the midline so the tube can glide along the nasal floor with less contact with the lateral nasal wall and turbinates, reducing the chance of bleeding or trauma as you advance.

The passage of the airway follows the floor of the nasal cavity toward the nasopharynx, not along the roof. Using the larger nostril helps ease insertion and reduces resistance, while aiming the tip toward the roof or placing the bevel away from the septum increases the risk of mucosal injury or difficulty advancing the tube.