MCOLES State Licensing Practice Exam

What is the first step in treating anaphylactic shock?

1. Administer antihistamines immediately

2. Conduct a primary assessment

3. Call for medical assistance

4. Remove any allergens from the vicinity

The correct answer is: Conduct a primary assessment

The first step in treating anaphylactic shock is to conduct a primary assessment. This assessment is crucial as it helps determine the severity of the patient's condition and establishes the urgent need for intervention. In anaphylactic shock, identifying the airway, breathing, and circulation status is vital, as this acute allergic reaction can lead to life-threatening consequences very quickly. By performing a primary assessment, responders can rapidly gauge the patient's level of consciousness, check for signs of respiratory distress, and evaluate circulation to guide further actions, such as the administration of epinephrine if indicated. This step ensures that healthcare providers can respond swiftly to critical findings, such as airway compromise or shock symptoms, which are common in severe allergic reactions. While administering antihistamines, calling for medical assistance, and removing allergens are important components of an overall treatment strategy for anaphylaxis, they usually come after ensuring that the patient is stable and that their immediate needs are met through a primary assessment. This approach prioritizes the patient's safety and response effectiveness during a medical emergency.