SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN® -PT 1 QUESTIONS AND ANSWERS 2025/2026 A+ GRADED

SAUNDERS COMPREHENSIVE REVIEW FOR THE NCLEX-RN® -PT 1 QUESTIONS AND ANSWERS 2025/2026 A+ GRADED 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 4. A bulging anterior fontanel *hydrocephalus :A build-up of fluid in the cavities deep within the brain.This causes increased intracranial pressure. - Correct Answer-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 2. Posturing 3. Tachycardia 4. Changes in level of consciousness (LOC)