NCLEX Question for stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg

NCLEX Review Question

Which stage of shock is best described as that stage when the mechanisms that regulate blood pressure fail to sustain a systolic pressure above 90 mm Hg?

a.Progressive
b.Refractory
c.Compensatory
d.Irreversible

Correct Answer: A
Progressive
Rationale: In the progressive stage of shock, the mechanisms that regulate blood pressure can no longer compensate, and the mean arterial pressure falls below normal limits.

Refractory
Rationale: The refractory or irreversible stage of shock represents the point at which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Compensatory
Rationale: In the compensatory state, the patient's blood pressure remains within normal limits due to vasoconstriction, increased heart rate, and increased contractility of the heart.

Irreversible
Rationale: The refractory or irreversible stage of shock represents the point at which organ damage is so severe that the patient does not respond to treatment and cannot survive.

Posted in: MSN NCLEX