NURS 6645 WEEK 11 FINAL EXAM 2026
COMPREHENSIVE STUDY AND ANSWER GUIDE
◉ (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. 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. 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. 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. 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.. 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
COMPREHENSIVE STUDY AND ANSWER GUIDE
◉ (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. 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. 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. 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. 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.. 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
