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1. (Registered Nurse RN Increased Intracranial Pres- A, C and D
sure (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
2. (Registered Nurse RN Increased Intracranial Pres- B and D
sure (ICP) NCLEX Questions)
The Monro-Kellie hypothesis explains the compen-
satory 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 pres-
sure 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
3. (Registered Nurse RN Increased Intracranial Pres- A, B, D and E
sure (ICP) NCLEX Questions)
A patient is being treated for increased intracranial
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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 de-
grees
4. (Registered Nurse RN Increased Intracranial Pres- C
sure (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
5. (Registered Nurse RN Increased Intracranial Pres- B
sure (ICP) NCLEX Questions)
You're providing education to a group of nursing stu-
dents about ICP. You explain that when cerebral per-
fusion 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:
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A. 5-15 mmHg
B. 60-100 mmHg
C. 30-45 mmHg
D. >160 mmHg
6. (Registered Nurse RN Increased Intracranial Pres- B
sure (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.
7. (Registered Nurse RN Increased Intracranial Pres- C
sure (ICP) NCLEX Questions)
A patient with increased ICP has the following vi-
tal 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
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D. Perform suctioning
8. (Registered Nurse RN Increased Intracranial Pres- C
sure (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
9. (Registered Nurse RN Increased Intracranial Pres- B
sure (ICP) NCLEX Questions)
External ventricular drains monitor ICP and are in-
serted where?
A. Subarachnoid space
B. Lateral Ventricle
C. Epidural space
D. Right Ventricle
10. (Registered Nurse RN Increased Intracranial Pres- A
sure (ICP) NCLEX Questions)
Which of the following is contraindicated in a patient
with increased ICP?
A. Lumbar puncture
B. Midline position of the head