©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
EDAPT: Nursing Care: Complex
Intracranial and Neurologic Alterations.
Exam Questions And Answers |Latest 2025 |
Guaranteed Pass.
A client has a mean arterial pressure of 120 mmHg with an intracranial pressure of 42 mmHg.
What is the calculated cerebral perfusion pressure? - Answer✔78 mmHg
When intracranial pressure is significantly elevated, what symptoms might the nurse expect?
Select all that apply. - Answer✔Irregular breathing
Increased systolic blood pressure with decreased diastolic blood pressure.
Bradycardia
The nurse reports that the client is experiencing a reduced level of consciousness. Which tool is
used to measure and record the level of consciousness? - Answer✔Glasgow coma scale (GCS)
For each category, click to specify the client history information that is pertinent when seeing a
client with altered intracranial regulation. - Answer✔*Past Medical History:*
Dyslipidemia
Concussion
Bacterial Meningitis
*Past surgical history:*
Lumbar laminectomy
1
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
*Family history:*
Cerebral vascular disease
*Social history:*
Smoking history
*Medications:*
Aspirin 81 mg daily
Jesse (he/him/his) is admitted to the emergency department after a fall from a second-story
balcony. He states that he is unable to move both lower extremities. His vital signs are stable,
and he has had no urine output for the past 6 hours. Suddenly, he starts to experience
symptoms of cold clammy skin from mid-chest down.
Which nursing action is most appropriate? - Answer✔Insert a straight catheter as ordered.
Drag the causes of primary altered intracranial regulation problems into the "primary issues"
box, and secondary issues that can appear in the "secondary issues" box. - Answer✔*Primary:*
Altered level of consciousness
Brain perfusion problems
Memory problems
Temperature control problems
*Secondary:*
Skin breakdown
Reduced nutrition intake
Muscle atrophy
Drag the following nursing diagnoses to match the most appropriate nursing actions. -
Answer✔*Decreased intracranial adaptive capacity*
Elevate the head of the bed above 30 degrees.
2
EDAPT: Nursing Care: Complex
Intracranial and Neurologic Alterations.
Exam Questions And Answers |Latest 2025 |
Guaranteed Pass.
A client has a mean arterial pressure of 120 mmHg with an intracranial pressure of 42 mmHg.
What is the calculated cerebral perfusion pressure? - Answer✔78 mmHg
When intracranial pressure is significantly elevated, what symptoms might the nurse expect?
Select all that apply. - Answer✔Irregular breathing
Increased systolic blood pressure with decreased diastolic blood pressure.
Bradycardia
The nurse reports that the client is experiencing a reduced level of consciousness. Which tool is
used to measure and record the level of consciousness? - Answer✔Glasgow coma scale (GCS)
For each category, click to specify the client history information that is pertinent when seeing a
client with altered intracranial regulation. - Answer✔*Past Medical History:*
Dyslipidemia
Concussion
Bacterial Meningitis
*Past surgical history:*
Lumbar laminectomy
1
, ©THEBRIGHT 2024/2025 ALL RIGHTS RESERVED 10:15AM A+
*Family history:*
Cerebral vascular disease
*Social history:*
Smoking history
*Medications:*
Aspirin 81 mg daily
Jesse (he/him/his) is admitted to the emergency department after a fall from a second-story
balcony. He states that he is unable to move both lower extremities. His vital signs are stable,
and he has had no urine output for the past 6 hours. Suddenly, he starts to experience
symptoms of cold clammy skin from mid-chest down.
Which nursing action is most appropriate? - Answer✔Insert a straight catheter as ordered.
Drag the causes of primary altered intracranial regulation problems into the "primary issues"
box, and secondary issues that can appear in the "secondary issues" box. - Answer✔*Primary:*
Altered level of consciousness
Brain perfusion problems
Memory problems
Temperature control problems
*Secondary:*
Skin breakdown
Reduced nutrition intake
Muscle atrophy
Drag the following nursing diagnoses to match the most appropriate nursing actions. -
Answer✔*Decreased intracranial adaptive capacity*
Elevate the head of the bed above 30 degrees.
2
