Increased Intracranial Pressure (ICP) NCLEX UPDATED ACTUAL Exam Questions and CORRECT Answers
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Increased Intracranial Pressure
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Increased Intracranial Pressure
Increased Intracranial Pressure (ICP)
NCLEX UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. Select the main structures below that play a role with altering intracranial pressure:
A. Brain
B. Neurons
C. Cerebrospinal Fluid
D. Blood
E. Periosteum
F. Dura mater - CORRECT ANSWER- The an...
Increased Intracranial Pressure (ICP)
NCLEX UPDATED ACTUAL Exam
Questions and CORRECT Answers
1. Select the main structures below that play a role with altering intracranial pressure:
A. Brain
B. Neurons
C. Cerebrospinal Fluid
D. Blood
E. Periosteum
F. Dura mater - CORRECT ANSWER- ✔✔The answers are A, C, and D. Inside the skull are
three structures that can alter intracranial pressure. They are the brain, cerebrospinal fluid
(CSF), and blood.
2. 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 - CORRECT ANSWER- ✔✔The answers are B and
D. These are NOT compensatory mechanisms, but actions that will actually increase
intracranial pressure. Vasoconstriction (not dilation) decreases blood flow and helps lower
ICP. Leaking of protein actually leads to more swelling of the brain tissue. Remember water
is attracted to protein (oncotic pressure).
3. 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 - CORRECT ANSWER- ✔✔The
answers are A, B, D, and E. These activities can increase ICP.
4. 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 - CORRECT ANSWER- ✔✔The answer is C. An
elevated carbon dioxide level (52 is high...normal 35-45) in the blood will cause vasodilation
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