10 Intracranial Pressure ICP NCLEX Style Questions

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Question 1 of 10

A client is in the emergency room for a traumatic brain injury, caused by a fall. The nurse sees an order for mannitol and knows that this medication is used as primarily for as which of the following?


Question 2 of 10

The nurse is caring for a client with a brain tumor. The client has an altered level of consciousness and is experiencing bradycardia, bradypnea, and a widening pulse pressure. Which of the following interventions are appropriate for this client? Select all that apply.


Question 3 of 10

Which of the following is a common cause of increased intracranial pressure (ICP)?


Question 4 of 10

A nurse is caring for an 8-year-old child in the ICU who has suffered a neurological injury. The nurse is monitoring the child’s intracranial pressure through the monitor and notes that it is normally about 17 to 18 mmHg but then jumps to 24 mmHg for several minutes when the nurse suctions the client’s endotracheal tube. Which of the following interventions is most appropriate?


Question 5 of 10

The nurse is caring for a ventilated client with increased intracranial pressure following a motor vehicle accident. The nurse monitors the PaCO2 to ensure it remains between 30-35 mm Hg. Which of the following is an expected outcome at this range of PaCO2? Select all that apply.


Question 6 of 10

A nurse comes on to her shift in the ICU where she is assigned a client with a head injury. The client requires a ventilator and has a monitor in place to check intracranial pressure. As the nurse enters the room, the pressure monitor alarms that the client’s intracranial pressure is rising. In response, the nurse should do which of the following?


Question 7 of 10

A nurse is evaluating a multi-trauma client in the emergency department. The initial trauma survey has been completed and the c-spine has been cleared. The following are the nurse’s assessment findings: A&0x2 (confusion to date and time), pupils are equal at 6mm, blood pressure 182/86mmHg, heart rate 44 beats/minute, respirations 22 breaths/minute. The healthcare provider orders the head of the bed to be elevated to 30 degrees. The nurse understands that which of the following is the reason for this order?


Question 8 of 10

A client with severe depression is undergoing electroconvulsive therapy. The client has a hemodynamic monitor and a monitor of intracranial pressure in place during the procedure. As the client receives the electrical stimulus, the nurse notes that the intracranial pressure increases. Which action is the best response of the nurse?


Question 9 of 10

A client who has suffered a severe brain injury is being prepared for invasive intracranial pressure monitoring. Which of the following is considered a contraindication to this type of monitor? Select all that apply.


Question 10 of 10

A nurse is caring for a client who has experienced a head injury. The nurse calculates his cerebral perfusion pressure and notes that it is 50 mmHg. Which intervention demonstrates the most appropriate response in this situation?