NURS 2400 EXAM NCLEX TYPE QUESTIONS UPDATED 2023/2024 ACCURATE 100% GUARANTEED PASS LATEST UPDATE

NURS 2400 EXAM NCLEX TYPE QUESTIONS UPDATED 2023/2024 ACCURATE 100% GUARANTEED PASS LATEST UPDATE (Register ed Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) 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 A, B, D and E (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient is experiencing hyperventilation and has a PaCO2 level of 52. The patient has an ICP of 20 mm Hg. 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 C (Registered Nurse RN In creased Intracranial Pressure (ICP) NCLEX Questions) 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 as ks, "What is a normal cerebral perfusion pressure level?" Your response is: A. 5-15 mmHg B. 60 -100 mmHg C. 30 -45 mmHg D. >160 mmHg B (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) Which patient below is at MOST risk for inc reased intracranial pressure? A. A patient who is experiencing severe hypotension. B. A patient who is admitted with a traumatic brain injury. C. A patient who recently experienced a myocardial infarction. D. A patient post -op from eye surgery. B (Regi stered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient with increased ICP has the following vital signs: blood pressure 99/60, HR 65, Temperature 101.6 'F, respirations 14, oxygen saturation of 95%. ICP reading is 21 mmHg. Based o n these findings you would? A. Administered PRN dose of a vasopressor B. Administer 2 L of oxygen C. Remove extra blankets and give the patient a cool bath D. Perform suctioning C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) A patient has a ventriculostomy. Which finding would you immediately report to the doctor? A. Temperature 98.4 'F B. CPP 70 mmHg C. ICP 24 mmHg D. PaCO2 35 C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) External ventricular drains monitor ICP and are inserted where? A. Subarachnoid space B. Lateral Ventricle C. Epidural space D. Right Ventricle B (Registered Nurse RN Increased Intracranial Pres sure (ICP) NCLEX Questions) Which of the following is contraindicated in a patient with increased ICP? A. Lumbar puncture B. Midline position of the head C. Hyperosmotic diuretics D. Barbiturates medications A (Registered Nurse RN Increased Intracrania l Pressure (ICP) NCLEX Questions) You're collecting vital signs on a patient with ICP. The patient has a Glascoma Scale rating of 4. How will you assess the patient's temperature? A. Rectal B. Oral C. Axillary A (Registered Nurse RN Increased Intracrani al Pressure (ICP) NCLEX Questions) A patient who experienced a cerebral hemorrhage is at risk for developing increased ICP. Which sign and symptom below is the EARLIEST indicator the patient is having this complication? A. Bradycardia B. Decerebrate post uring C. Restlessness D. Unequal pupil size C (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) 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 A, C and D (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) 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 B and D (Registered Nurse RN Increased Intracranial Pressure (ICP) NCLEX Questions) Select all the signs and symptoms that occur with increased ICP: