Increased Intracranial Pressure NCLEX Practice Questions EXAM NEWES
ACTUAL EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED AN
SWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_hm7maf
1. The nurse is assessing a client with Hemiparesis
a traumatic head injury and suspects
increased intracranial pressure (IICP). Drowsiness
Which assessment finding supports
Double vision
this suspicion? (Select all that apply.)
Blurred vision
Hemiparesis
Hemiparesis or hemiplegia of the contralateral
Increased heart rate
side may be an early sign of IICP. Drowsiness can
Drowsiness occur with IICP. Double vision and blurred vision
can occur with IICP. Headache is common with
Double vision IICP. The client may also report other generalized
manifestations such as dizziness. The heart rate
Blurred vision generally decreases with IICP.
2. Which client is most at risk for in- Older adult
creased intracranial pressure? (Select
all that apply.) Newborn infant
Older adult Pregnant obese woman
Newborn infant School-aged child
Pregnant obese woman Adolescent
School-aged child Falls continue to be the major cause of traumatic
brain injury leading to increased intracranial pres-
Adolescent sure (IICP). Older adults are more prone to falls
due to sensory and motor losses, as well as med-
ication use. Adolescents are at risk for motor ve-
, Increased Intracranial Pressure NCLEX Practice Questions EXAM NEWES
ACTUAL EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED AN
SWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_hm7maf
hicle crashes and trauma resulting from violence.
Premature newborn infants are at an increased
risk of IICP. School-aged children are prone to
falling. School-aged children are at risk for bicycle,
swimming, or activity-related accidents that cause
IICP. Obese women of childbearing age often have
idiopathic intracranial hypertension. During preg-
nancy, these women must be closely monitored
for increased intracranial pressure.
3. The nurse caring for a client with in- Lactic acid
creased intracranial pressure should
recognize that which compensatory Carbonic acid
mechanism stimulates the cerebral
Carbon dioxide
blood vessels to regulate cerebral pres-
sure? (Select all that apply.)
Lactic acid, carbonic acid, and carbon dioxide are
chemicals that stimulate the dilation or contraction
Lactic acid
of blood vessels within the brain, which aids in
Serum uric acid regulation of cerebral pressure. Cerebral hemor-
rhage also regulates dilation or constriction of the
Carbonic acid cerebral blood vessels in response to the amount
of blood flow within the brain. Serum uric acid and
Potassium potassium do not affect cerebral pressure.
Carbon dioxide
4. The nurse assessing a client who pre- Traumatic brain injury
sents with an altered level of con-
sciousness (LOC) should suspect which Hematoma
condition? (Select all that apply.)
Seizure activity
ACTUAL EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED AN
SWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_hm7maf
1. The nurse is assessing a client with Hemiparesis
a traumatic head injury and suspects
increased intracranial pressure (IICP). Drowsiness
Which assessment finding supports
Double vision
this suspicion? (Select all that apply.)
Blurred vision
Hemiparesis
Hemiparesis or hemiplegia of the contralateral
Increased heart rate
side may be an early sign of IICP. Drowsiness can
Drowsiness occur with IICP. Double vision and blurred vision
can occur with IICP. Headache is common with
Double vision IICP. The client may also report other generalized
manifestations such as dizziness. The heart rate
Blurred vision generally decreases with IICP.
2. Which client is most at risk for in- Older adult
creased intracranial pressure? (Select
all that apply.) Newborn infant
Older adult Pregnant obese woman
Newborn infant School-aged child
Pregnant obese woman Adolescent
School-aged child Falls continue to be the major cause of traumatic
brain injury leading to increased intracranial pres-
Adolescent sure (IICP). Older adults are more prone to falls
due to sensory and motor losses, as well as med-
ication use. Adolescents are at risk for motor ve-
, Increased Intracranial Pressure NCLEX Practice Questions EXAM NEWES
ACTUAL EXAM COMPLETE ALL QUESTIONS AND CORRECT DETAILED AN
SWERS (VERIFIED ANSWERS)
Study online at https://quizlet.com/_hm7maf
hicle crashes and trauma resulting from violence.
Premature newborn infants are at an increased
risk of IICP. School-aged children are prone to
falling. School-aged children are at risk for bicycle,
swimming, or activity-related accidents that cause
IICP. Obese women of childbearing age often have
idiopathic intracranial hypertension. During preg-
nancy, these women must be closely monitored
for increased intracranial pressure.
3. The nurse caring for a client with in- Lactic acid
creased intracranial pressure should
recognize that which compensatory Carbonic acid
mechanism stimulates the cerebral
Carbon dioxide
blood vessels to regulate cerebral pres-
sure? (Select all that apply.)
Lactic acid, carbonic acid, and carbon dioxide are
chemicals that stimulate the dilation or contraction
Lactic acid
of blood vessels within the brain, which aids in
Serum uric acid regulation of cerebral pressure. Cerebral hemor-
rhage also regulates dilation or constriction of the
Carbonic acid cerebral blood vessels in response to the amount
of blood flow within the brain. Serum uric acid and
Potassium potassium do not affect cerebral pressure.
Carbon dioxide
4. The nurse assessing a client who pre- Traumatic brain injury
sents with an altered level of con-
sciousness (LOC) should suspect which Hematoma
condition? (Select all that apply.)
Seizure activity
