2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
CCRN Multisystem Questions and Correct
Answers | Latest Update
What are the 3 stages of shock?
✓ -:- 1. Compensatory
✓ 2. Progressive
✓ 3. Refractory/Irreversible
Compensatory stage of shock
✓ -:- Shock symptoms start to set in, but blood pressure is MAINTAINED
through the sympathetic nervous system response
Symptoms of compensatory shock
✓ -:- Tachycardia
Tachypnea
Pale, cool skin
Anxiety
NORMAL BLOOD PRESSURE
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
How is blood pressure maintained during the compensatory stage of shock?
✓ -:- The sympathetic nervous system is stimulated, causing diffuse
vasoconstriction and increasing heart rate/contractility. This temporarily
keeps blood pressure WDL.
Progressive stage of shock
✓ -:- Hypotension starts to set in as sympathetic stimulation and
compensatory mechanisms are not enough to maintain homeostasis.
Symptoms of the progressive stage of shock
✓ -:- HYPOTENSION
Worsening tachycardia, tachypnea
Decreased PaO2
Changes in LOC
Refractory stage of shock
2|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
✓ -:- Shock that is unresponsive to interventions as multisystem organ
failure starts to kick in
Symptoms of Refractory shock
✓ -:- Organ failure (Kidney failure r/t tubular necrosis, encephalopathy,
liver failure, etc...)
End-stage hypotension
6 types of shock
✓ -:- Hypovolemic
Septic
Anaphylaxis
Neurogenic (not on test)
Obstructive
Cardiogenic
Symptoms of hypovolemic shock
✓ -:- Decreased BP
3|P a g e | G r a d e A + | 2 0 2 0 2 5
CCRN Multisystem Questions and Correct
Answers | Latest Update
What are the 3 stages of shock?
✓ -:- 1. Compensatory
✓ 2. Progressive
✓ 3. Refractory/Irreversible
Compensatory stage of shock
✓ -:- Shock symptoms start to set in, but blood pressure is MAINTAINED
through the sympathetic nervous system response
Symptoms of compensatory shock
✓ -:- Tachycardia
Tachypnea
Pale, cool skin
Anxiety
NORMAL BLOOD PRESSURE
1|P a g e | G r a d e A + | 2 0 2 0 2 5
,2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
How is blood pressure maintained during the compensatory stage of shock?
✓ -:- The sympathetic nervous system is stimulated, causing diffuse
vasoconstriction and increasing heart rate/contractility. This temporarily
keeps blood pressure WDL.
Progressive stage of shock
✓ -:- Hypotension starts to set in as sympathetic stimulation and
compensatory mechanisms are not enough to maintain homeostasis.
Symptoms of the progressive stage of shock
✓ -:- HYPOTENSION
Worsening tachycardia, tachypnea
Decreased PaO2
Changes in LOC
Refractory stage of shock
2|P a g e | G r a d e A + | 2 0 2 0 2 5
, 2024 /2025 | © copyright | This work may not be copied for profit gain Excel!
✓ -:- Shock that is unresponsive to interventions as multisystem organ
failure starts to kick in
Symptoms of Refractory shock
✓ -:- Organ failure (Kidney failure r/t tubular necrosis, encephalopathy,
liver failure, etc...)
End-stage hypotension
6 types of shock
✓ -:- Hypovolemic
Septic
Anaphylaxis
Neurogenic (not on test)
Obstructive
Cardiogenic
Symptoms of hypovolemic shock
✓ -:- Decreased BP
3|P a g e | G r a d e A + | 2 0 2 0 2 5
