TEST BANK FOR SAUNDERS COMPREHENSIVE REVIEW FOR
THE NCLEX-RN LATEST UPDATED REAL EXAM 2025 QUESTIONS
AND ANSWERS ALREADY GRADED A+
The nurse is caring for an infant with a
diagnosis of hydrocephalus and is
monitoring the infant for signs of increased
intracranial pressure (ICP). The nurse
suspects increased ICP if which of the
following is noted?
1. Proteinuria
2. Bradycardia
3. A drop in blood pressure
ANSWER-4. A bulging anterior fontanel
, *hydrocephalus :A build-up of fluid in the
cavities deep within the brain.This causes
increased intracranial pressure.
4
Rationale: An elevated or bulging anterior
fontanel indicates an increase in
cerebrospinal fluid collection in the cerebral
ventricle.
The nurse is caring for a child who has
sustained a head injury in an automobile
accident and is monitoring the child for
signs of increased intracranial pressure
(ICP). The nurse monitors for the earliest
sign of increased ICP by assessing for:
1. Apnea
THE NCLEX-RN LATEST UPDATED REAL EXAM 2025 QUESTIONS
AND ANSWERS ALREADY GRADED A+
The nurse is caring for an infant with a
diagnosis of hydrocephalus and is
monitoring the infant for signs of increased
intracranial pressure (ICP). The nurse
suspects increased ICP if which of the
following is noted?
1. Proteinuria
2. Bradycardia
3. A drop in blood pressure
ANSWER-4. A bulging anterior fontanel
, *hydrocephalus :A build-up of fluid in the
cavities deep within the brain.This causes
increased intracranial pressure.
4
Rationale: An elevated or bulging anterior
fontanel indicates an increase in
cerebrospinal fluid collection in the cerebral
ventricle.
The nurse is caring for a child who has
sustained a head injury in an automobile
accident and is monitoring the child for
signs of increased intracranial pressure
(ICP). The nurse monitors for the earliest
sign of increased ICP by assessing for:
1. Apnea
