ICP practice questions || Verified for Accuracy.
A patient is at risk for increased intracranial pressure. Which finding is the priority for the nurse
to monitor?
decreasing body temperature
tachycardia
unequal pupil size
decreasing systolic blood pressure correct answers unequal pupil size
The nurse is monitoring a patient with increased intracranial pressure. What indicators are the
most critical for the nurse to monitor? (select all that apply)
cerebral perfusion pressure
level of pain
urine output
systolic blood pressure
breath sounds correct answers cerebral perfusion pressure
systolic blood pressure
The nurse is assessing a patient for decerebrate posturing the nurse should assess the patient for
back hunched over and rigid flexion of all four extremities with supination of arms and plantar
flexion of feet
internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
back arched and rigid extension of all four extremities
supination of arms and dorsiflexion of the feet correct answers back arched and rigid extension
of all four extremities
, 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)
Leaking proteins into the brain barrier
Decreasing cerebrospinal fluid production
Vasodilation of cerebral vessels
Shifting cerebrospinal fluid to other areas of the brain and spinal cord correct answers Leaking
proteins into the brain barrier
Vasodilation of cerebral vessels
A patient is being treated for increased intracranial pressure. Which activities below should the
patient avoid performing? (select all that apply)
vomiting
talking
valsalva maneuver
coughing
sneezing
keeping the head of the bed at 30 degrees correct answers vomiting
valsalva maneuver
coughing
sneezing
You're providing education to a group of nursing students about ICP. You explain that when
cerebral perfusion pressure falls too low the brain is not properly perfused and brain tissue dies.
A student asks, "What is a normal cerebral perfusion pressure level?" Your response is:
A patient is at risk for increased intracranial pressure. Which finding is the priority for the nurse
to monitor?
decreasing body temperature
tachycardia
unequal pupil size
decreasing systolic blood pressure correct answers unequal pupil size
The nurse is monitoring a patient with increased intracranial pressure. What indicators are the
most critical for the nurse to monitor? (select all that apply)
cerebral perfusion pressure
level of pain
urine output
systolic blood pressure
breath sounds correct answers cerebral perfusion pressure
systolic blood pressure
The nurse is assessing a patient for decerebrate posturing the nurse should assess the patient for
back hunched over and rigid flexion of all four extremities with supination of arms and plantar
flexion of feet
internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
back arched and rigid extension of all four extremities
supination of arms and dorsiflexion of the feet correct answers back arched and rigid extension
of all four extremities
, 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)
Leaking proteins into the brain barrier
Decreasing cerebrospinal fluid production
Vasodilation of cerebral vessels
Shifting cerebrospinal fluid to other areas of the brain and spinal cord correct answers Leaking
proteins into the brain barrier
Vasodilation of cerebral vessels
A patient is being treated for increased intracranial pressure. Which activities below should the
patient avoid performing? (select all that apply)
vomiting
talking
valsalva maneuver
coughing
sneezing
keeping the head of the bed at 30 degrees correct answers vomiting
valsalva maneuver
coughing
sneezing
You're providing education to a group of nursing students about ICP. You explain that when
cerebral perfusion pressure falls too low the brain is not properly perfused and brain tissue dies.
A student asks, "What is a normal cerebral perfusion pressure level?" Your response is:
