NURS 2400 Exam #2|2024-2025
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(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
✓ A, C and D
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(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:
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
✓ 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
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B. Sneezing
C. Talking
D. Valsalva maneuver
E. Vomiting
F. Keeping the head of the bed between 30- 35 degrees
✓ 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
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D. cause vasodilation and decrease the ICP
✓ 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
✓ B
(Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions)
Which patient below is at MOST risk for increased intracranial pressure?
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