ARRT Patient Care Practice Exam

Which of the following blood pressure measurements indicates shock?

1. systolic pressure lower than 60 mmHg

2. systolic pressure higher than 140 mmHg

3. diastolic pressure higher than 140 mmHg

4. diastolic pressure lower than 90 mmHg

The correct answer is: systolic pressure lower than 60 mmHg

In the context of assessing for shock, a systolic blood pressure lower than 60 mmHg is clinically significant and is indicative of hemodynamic instability. When the systolic blood pressure drops to this level, it suggests that the body's tissues and organs may not be receiving adequate blood flow, which is critical for delivering oxygen and nutrients. This condition points to a state of shock, where the body's compensatory mechanisms are overwhelmed, and vital organs are at risk of dysfunction due to insufficient perfusion. Maintaining an adequate systolic blood pressure is essential for ensuring that the body's circulatory system can function effectively. A systolic reading under 60 mmHg can indicate severe blood loss, dehydration, or other critical conditions leading to shock. The other options highlight various ranges of systolic and diastolic pressures that do not typically indicate shock. For instance, a systolic pressure above 140 mmHg may represent hypertension rather than shock, while a diastolic pressure above or below specific values does not alone indicate inadequate perfusion or shock.