ICP Actual Questions and Correct Answers
Q1
A pediatric client is admitted to the neuro ICU with a closed-head injury sustained after falling
out of a tree house. The mechanisms of injury this young client most likely sustained would be:
Acceleration Penetrating Rotational Deceleration Deceleration
Answer: Acceleration
Q2
A client who has had a plaster of Paris cast applied to his forearm is receiving pain medication.
To detect early manifestations of compartment syndrome, which of these assessments should
the nurse make? Observe the color of the fingers Palpate the radial pulse under the cast Check
the cast for odor and drainage Evaluate the response to analgesics Evaluate the response to
analgesics A client admitted to the hospital with a subarachnoid hemorrhage has complaints of
severe headache, nuchal rigidity, and projectile
Answer: Observe the color of the fingers
Q3
Intracranial pressure (ICP) is increased The client needs mechanical ventilation
Answer: Intracranial pressure (ICP) is increased The client needs mechanical
ventilation
Q4
A client with a subdural hematoma becomes restless and confused, with dilation of the
ipsilateral pupil. The physician orders mannitol for which of the following reasons? To reduce
intraocular pressure To prevent acute tubular necrosis To promote osmotic diuresis to decrease
ICP To draw water into the vascular system to increase blood pressure To promote osmotic
diuresis to decrease ICP Mannitol promotes osmotic diuresis by increasing the pressure
gradient, drawing fluid from intracellular to intravascular spaces. Although
Answer: To reduce intraocular pressure
Q5
Pupils are 8 mm and nonreactive Systolic blood pressure remains at 150 mm Hg BUN and
creatinine levels return to normal Urine output increases
Answer: Systolic blood pressure remains at 150 mm Hg
Q1
A pediatric client is admitted to the neuro ICU with a closed-head injury sustained after falling
out of a tree house. The mechanisms of injury this young client most likely sustained would be:
Acceleration Penetrating Rotational Deceleration Deceleration
Answer: Acceleration
Q2
A client who has had a plaster of Paris cast applied to his forearm is receiving pain medication.
To detect early manifestations of compartment syndrome, which of these assessments should
the nurse make? Observe the color of the fingers Palpate the radial pulse under the cast Check
the cast for odor and drainage Evaluate the response to analgesics Evaluate the response to
analgesics A client admitted to the hospital with a subarachnoid hemorrhage has complaints of
severe headache, nuchal rigidity, and projectile
Answer: Observe the color of the fingers
Q3
Intracranial pressure (ICP) is increased The client needs mechanical ventilation
Answer: Intracranial pressure (ICP) is increased The client needs mechanical
ventilation
Q4
A client with a subdural hematoma becomes restless and confused, with dilation of the
ipsilateral pupil. The physician orders mannitol for which of the following reasons? To reduce
intraocular pressure To prevent acute tubular necrosis To promote osmotic diuresis to decrease
ICP To draw water into the vascular system to increase blood pressure To promote osmotic
diuresis to decrease ICP Mannitol promotes osmotic diuresis by increasing the pressure
gradient, drawing fluid from intracellular to intravascular spaces. Although
Answer: To reduce intraocular pressure
Q5
Pupils are 8 mm and nonreactive Systolic blood pressure remains at 150 mm Hg BUN and
creatinine levels return to normal Urine output increases
Answer: Systolic blood pressure remains at 150 mm Hg
