Prehospital Trauma Life Support (PHTLS) Practice Test 2026 – All-in-One Resource to Ensure Exam Success!

Immediate actions for a patient exhibiting signs of shock involve prioritizing interventions that will stabilize their condition and address the underlying causes. Providing high-flow oxygen is crucial, as it helps improve oxygen delivery to vital organs and tissues, which is particularly important in shock where perfusion may be compromised. Establishing IV access for fluid resuscitation is another critical step, as intravenous fluids can help restore circulating volume, improve blood pressure, and enhance perfusion to organs. Urgent transport to a medical facility is essential in such scenarios since shock can rapidly progress and lead to life-threatening complications if not addressed promptly.

The other options would not effectively address the urgency of a shock situation. Bed rest and mere observation could allow the patient's condition to deteriorate without appropriate intervention. Administering oral fluids might not be effective or safe in a patient exhibiting signs of shock, especially if they are responsive or at risk of further complications. Applying a cold compress would be inappropriate, as it does not address shock and could potentially exacerbate the patient's condition by causing further vasoconstriction and limiting blood flow. Thus, the comprehensive approach of high-flow oxygen, IV access for fluids, and urgent transport is the most effective and appropriate response for a patient in shock.