Increased Intracranial Pressure (Icp) By Rnpedia.Com
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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