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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