NURS 2400 Exam #2 Questions with Complete Solutions.

NURS 2400 Exam #2 Questions with Complete Solutions. (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) Select the main structures below that play a role with altering intracranial pressure: A. Brain B. Neurons C. Cerebrospinal Fluid D. Blood E. Periosteum F. Dura mater - CORRECT ANSWER A, C and D (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) The Monro-Kellie hypothesis explains the compensatory relationship among the structures in the skull that play a role with intracranial pressure. Which of the following are NOT compensatory mechanisms performed by the body to decrease intracranial pressure naturally? Select all that apply: NURS 2400 Exam #2 Questions with Complete Solutions A. Shifting cerebrospinal fluid to other areas of the brain and spinal cord B. Vasodilation of cerebral vessels C. Decreasing cerebrospinal fluid production D. Leaking proteins into the brain barrier - CORRECT ANSWER B and D (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient is being treated for increased intracranial pressure. Which activities below should the patient avoid performing? A. Coughing B. Sneezing C. Talking D. Valsalva maneuver E. Vomiting F. Keeping the head of the bed between 30- 35 degrees - CORRECT ANSWER A, B, D and E (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient is experiencing hyperventilation and has a PaCO2 level of 52. The patient has an ICP of 20 mmHg. As the nurse you know that the PaCO2 level will? A. cause vasoconstriction and decrease the ICP B. promote diuresis and decrease the ICP C. cause vasodilation and increase the ICP D. cause vasodilation and decrease the ICP - CORRECT ANSWER C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) You're providing education to a group of nursing students about ICP. You explain that when cerebral perfusion pressure falls too low the brain is not properly perfused and brain tissue dies. A student asks, "What is a normal cerebral perfusion pressure level?" Your response is: A. 5-15 mmHg B. 60-100 mmHg C. 30-45 mmHg D. >160 mmHg - CORRECT ANSWER B (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) Which patient below is at MOST risk for increased intracranial pressure? A. A patient who is experiencing severe hypotension. B. A patient who is admitted with a traumatic brain injury. C. A patient who recently experienced a myocardial infarction. D. A patient post-op from eye surgery. - CORRECT ANSWER B (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient with increased ICP has the following vital signs: blood pressure 99/60, HR 65, Temperature 101.6 'F, respirations 14, oxygen saturation of 95%. ICP reading is 21 mmHg. Based on these findings you would? A. Administered PRN dose of a vasopressor B. Administer 2 L of oxygen C. Remove extra blankets and give the patient a cool bath D. Perform suctioning - CORRECT ANSWER C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient has a ventriculostomy. Which finding would you immediately report to the doctor? A. Temperature 98.4 'F B. CPP 70 mmHg C. ICP 24 mmHg D. PaCO2 35 - CORRECT ANSWER C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) External ventricular drains monitor ICP and are inserted where? A. Subarachnoid space B. Lateral Ventricle C. Epidural space D. Right Ventricle - CORRECT ANSWER B.