Which of the following types of drugs might be given to control increased intracranial pressure

13 Questions  |  By Rnpedia | Last updated: Oct 18, 2022 | Total Attempts: 11028

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Increased Intracranial Pressure (ICP) Practice Exam

• 1. 

  For a male client with suspected increased intracranial pressure (ICP), a most appropriate respiratory goal is to:  

  • A. 

    Prevent respiratory alkalosis.

  • B. 

    Lower arterial pH.

  • C. 

    Promote carbon dioxide elimination.

  • D. 

    Maintain partial pressure of arterial oxygen (PaO2) above 80 mm Hg

• 2. 

  The nurse is positioning the female client with increased intracranial pressure. Which of the following positions would the nurse avoid?  

  • A. 

    Head mildline

  • B. 

    Head turned to the side

  • C. 

    Neck in neutral position

  • D. 

    Head of bed elevated 30 to 45 degrees

• 3. 

  Whether Mr Snyder’s tumor is benign or malignant, it will eventually cause increased intracranial pressure. Signs and symptoms of increasing intracranial pressure may include all of the following except:  

  • A. 

    Headache, nausea, and vomiting

  • B. 

    Papilledema, dizziness, mental status changes

  • C. 

    Obvious motor deficits

  • D. 

    increased pulse rate, drop in blood pressure

• 4. 

  A client with a head injury is being monitored for increased intracranial pressure (ICP). His blood pressure is 90/60 mmHG and the ICP is 18 mmHg; therefore his cerebral perfusion pressure (CPP) is:  

  • A. 

    52 mm Hg

  • B. 

    88 mm Hg

  • C. 

    48 mm Hg

  • D. 

    68 mm Hg

• 5. 

  Which of the following types of drugs might be given to control increased intracranial pressure (ICP)?   

  • A. 

    Barbiturates

  • B. 

    Carbonic anhydrase inhibitors

  • C. 

    Anticholinergics

  • D. 

    Histamine receptor blockers

• 6. 

  The nurse is teaching family members of a patient with a concussion about the early signs of increased intracranial pressure (ICP). Which of the following would she cite as an early sign of increased ICP?   

  • A. 

    Decreased systolic blood pressure

  • B. 

    Headache and vomiting

  • C. 

    Inability to wake the patient with noxious stimuli

  • D. 

    Dilated pupils that don’t react to light

• 7. 

  A female client admitted to an acute care facility after a car accident develops signs and symptoms of increased intracranial pressure (ICP). The client is intubated and placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP caused by suctioning, the nurse anticipates administering which drug endotracheally before suctioning?  

  • A. 

    Phenytoin (Dilantin)

  • B. 

    Mannitol (Osmitrol)

  • C. 

    Lidocaine (Xylocaine)

  • D. 

    Furosemide (Lasix)

• 8. 

  Later signs of increased intracranial pressure (ICP) later include which of the following?

  • A. 

    Projectile vomiting

  • B. 

    Increased pulse rate

  • C. 

    Decreased blood pressure

  • D. 

    Narrowed pulse pressure

• 9. 

  Kate with severe head injury is being monitored by the nurse for increasing intracranial pressure (ICP). Which finding should be most indicative sign of increasing intracranial pressure?

  • A. 

    Intermittent tachycardia

  • B. 

    Polydipsia

  • C. 

    Tachypnea

  • D. 

    Increased restlessness

• 10. 

  Which of the following signs of increased intracranial pressure (ICP) would appear first after head trauma?   

  • A. 

    Bradycardia.

  • B. 

    Large amounts of very dilute urine.

  • C. 

    Restlessness and confusion.

  • D. 

    Widened pulse pressure.

• 11. 

  A female client admitted to an acute care facility after a car accident develops signs and symptoms of increased intracranial pressure (ICP). The client is intubated and placed on mechanical ventilation to help reduce ICP. To prevent a further rise in ICP caused by suctioning, the nurse anticipates administering which drug endotracheally before suctioning?  

  • A. 

    Phenytoin (Dilantin)

  • B. 

    Mannitol (Osmitrol)

  • C. 

    Lidocaine (Xylocaine)

  • D. 

    Furosemide (Lasix)

• 12. 

  A nurse in the emergency department is observing a 4-year-old child for signs of increased intracranial pressure after a fall from a bicycle, resulting in head trauma. Which of the following signs or symptoms would be cause for concern?   

  • A. 

    Bulging anterior fontanel.

  • B. 

    Repeated vomiting.

  • C. 

    Signs of sleepiness at 10 PM.

  • D. 

    Inability to read short words from a distance of 18 inches.

• 13. 

  A male client is brought to the emergency department due to motor vehicle accident. While monitoring the client, the nurse suspects increasing intracranial pressure when:   

  • A. 

    Client is oriented when aroused from sleep, and goes back to sleep immediately.

  • B. 

    Blood pressure is decreased from 160/90 to 110/70.

  • C. 

    Client refuses dinner because of anorexia.

  • D. 

    Pulse is increased from 88-96 with occasional skipped beat.

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