NURS 275 Exam 4 Newest 2026|| QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) ||NEWEST EXAM!!
While positioning a patient in bed with increased ICP, it
important to avoid?
A. Midline positioning of the head
B. Placing the HOB at 30-35 degrees
C. Preventing flexion of the neck
D. Flexion of the hips - ANSWER-D
A patient is receiving Mannitol for increased ICP. Which
statement is INCORRECT about this medication?
A. Mannitol will remove water from the brain and place it in
the blood to be removed from the body.
B. Mannitol will cause water and electrolyte reabsorption
in the renal tubules.
C. When a patient receives Mannitol the nurse must
monitor the patient for both fluid volume overload and
depletion.
D. Mannitol is not for patients who are experiencing
anuria. - ANSWER-B
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What assessment finding requires immediate intervention
if found while a patient is receiving Mannitol?
A. An ICP of 10 mmHg
B. Crackles throughout lung fields
C. BP 110/72
D. Patient complains of dry mouth and thirst - ANSWER-B
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, E
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?
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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
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
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.
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C. A patient who recently experienced a myocardial
infarction.
D. A patient post-op from eye surgery. - ANSWER-B
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
C. Remove extra blankets and give the patient a cool bath
D. Perform suctioning - ANSWER-C
A patient who experienced a cerebral hemorrhage is at
risk for developing increased ICP. Which sign and
symptom below is the EARLIEST indicator the patient is
having this complication?
A. Bradycardia
B. Decerebrate posturing
C. Restlessness
D. Unequal pupil size - ANSWER-C