EDAPT Nursing Care: Complex Intracranial & Neurologic
Alterations – Comprehensive Exam (ICP, CPP, GCS, Spinal Cord
Injury & Neuro Nursing Interventions)Complete Questions
Provided with A+ Graded Rationales Latest Updated 2026
A client has a mean arterial pressure of 120 mmHg with an intracranial pressure of 42 mmHg.
What is the calculated cerebral perfusion pressure?
78 mmHg
When intracranial pressure is significantly elevated, what symptoms might the nurse expect?
Select all that apply.
Irregular breathing
Increased systolic blood pressure with decreased diastolic blood pressure.
Bradycardia
The nurse reports that the client is experiencing a reduced level of consciousness. Which tool is
used to measure and record the level of consciousness?
Glasgow coma scale (GCS)
For each category, click to specify the client history information that is pertinent when seeing a
client with altered intracranial regulation.
Past Medical History:
Dyslipidemia
Concussion
Bacterial Meningitis
Past surgical history:
Lumbar laminectomy
Family history:
Cerebral vascular disease
Social history:
Smoking history
, Medications:
Aspirin 81 mg daily
Jesse (he/him/his) is admitted to the emergency department after a fall from a second-story
balcony. He states that he is unable to move both lower extremities. His vital signs are stable,
and he has had no urine output for the past 6 hours. Suddenly, he starts to experience
symptoms of cold clammy skin from mid-chest down.
Which nursing action is most appropriate?
Insert a straight catheter as ordered.
Drag the causes of primary altered intracranial regulation problems into the "primary issues"
box, and secondary issues that can appear in the "secondary issues" box.
Primary:
Altered level of consciousness
Brain perfusion problems
Memory problems
Temperature control problems
Secondary:
Skin breakdown
Reduced nutrition intake
Muscle atrophy
Drag the following nursing diagnoses to match the most appropriate nursing actions.
Decreased intracranial adaptive capacity
Elevate the head of the bed above 30 degrees.
Administer diuretics as prescribed.
Administer corticosteroids as prescribed.
Ineffective thermoregulation
Provide a cooling or warming blanket.
Pain
Administer pain medication as prescribed.
Use the transcutaneous electrical nerve stimulation (TENS) unit as prescribed.
Alterations – Comprehensive Exam (ICP, CPP, GCS, Spinal Cord
Injury & Neuro Nursing Interventions)Complete Questions
Provided with A+ Graded Rationales Latest Updated 2026
A client has a mean arterial pressure of 120 mmHg with an intracranial pressure of 42 mmHg.
What is the calculated cerebral perfusion pressure?
78 mmHg
When intracranial pressure is significantly elevated, what symptoms might the nurse expect?
Select all that apply.
Irregular breathing
Increased systolic blood pressure with decreased diastolic blood pressure.
Bradycardia
The nurse reports that the client is experiencing a reduced level of consciousness. Which tool is
used to measure and record the level of consciousness?
Glasgow coma scale (GCS)
For each category, click to specify the client history information that is pertinent when seeing a
client with altered intracranial regulation.
Past Medical History:
Dyslipidemia
Concussion
Bacterial Meningitis
Past surgical history:
Lumbar laminectomy
Family history:
Cerebral vascular disease
Social history:
Smoking history
, Medications:
Aspirin 81 mg daily
Jesse (he/him/his) is admitted to the emergency department after a fall from a second-story
balcony. He states that he is unable to move both lower extremities. His vital signs are stable,
and he has had no urine output for the past 6 hours. Suddenly, he starts to experience
symptoms of cold clammy skin from mid-chest down.
Which nursing action is most appropriate?
Insert a straight catheter as ordered.
Drag the causes of primary altered intracranial regulation problems into the "primary issues"
box, and secondary issues that can appear in the "secondary issues" box.
Primary:
Altered level of consciousness
Brain perfusion problems
Memory problems
Temperature control problems
Secondary:
Skin breakdown
Reduced nutrition intake
Muscle atrophy
Drag the following nursing diagnoses to match the most appropriate nursing actions.
Decreased intracranial adaptive capacity
Elevate the head of the bed above 30 degrees.
Administer diuretics as prescribed.
Administer corticosteroids as prescribed.
Ineffective thermoregulation
Provide a cooling or warming blanket.
Pain
Administer pain medication as prescribed.
Use the transcutaneous electrical nerve stimulation (TENS) unit as prescribed.
