Free Practice Quiz Question List

3 Increased Intracranial Pressure Online Quiz Questions

Use this free practice quiz with 20 questions to review 3 Increased Intracranial Pressure, test your knowledge, and prepare for your next test or exam.

20 questions

True or false

1 point

Cushing’s response is often a late finding, so clinicians should not wait for it before responding to neurological deterioration.

A
True
B
False

Written response

1 point

When head elevation is appropriate and not contraindicated, what head alignment may support venous drainage?

Fill in the blank

1 point

In adults, sustained ICP above mm Hg is generally treated as elevated.

Written response

1 point

What is the full name of the assessment scale abbreviated as GCS?

Choose one

1 point

A patient with a head injury becomes newly restless and difficult to orient. Which interpretation is most appropriate?

A
The patient is stable unless Cushing’s response is present.
B
A change in mental status may be an early sign of neurological deterioration.
C
Equal pupils establish that the patient’s neurological status is stable.
D
Restlessness is an expected effect that does not require reassessment.

True or false

1 point

An ICP reading should be interpreted alongside the patient’s examination and clinical context, rather than considered in isolation.

A
True
B
False

Choose all

1 point

Select all findings that may indicate worsening intracranial hypertension or impending herniation.

A
A declining GCS score
B
New pupil asymmetry or reduced pupil reactivity
C
Extensor posturing
D
Hypertension with bradycardia and irregular respirations
E
Improved alertness with a stable neurological examination

Fill in the blank

1 point

When herniation is suspected, urgent action should not be delayed while waiting for an reading.

Choose one

1 point

A patient with severe traumatic brain injury has a sustained ICP reading of 25 mm Hg. What is the most appropriate response?

A
Escalate care and follow the prescribed ICP-management protocol.
B
Ignore the reading if blood pressure is normal.
C
Routinely hyperventilate the patient for several hours.
D
Wait for further deterioration before notifying the clinical team.

Choose all

1 point

Which measures may be included in prescribed management for increased ICP? Select all that apply.

A
Positioning as appropriate and not contraindicated
B
Cerebrospinal-fluid drainage when available
C
Ordered hyperosmolar therapy
D
Routine prolonged hyperventilation without a specific indication

Choose one

1 point

A patient’s consciousness suddenly declines, one pupil becomes enlarged and nonreactive, and the patient develops extensor posturing. What is the priority response?

A
Reassess in 30 minutes to confirm the change.
B
Activate the emergency response and rapidly assess and support airway, breathing, and circulation.
C
Lower the head of the bed and encourage coughing.
D
Wait for an ICP monitor reading before notifying the clinical team.

Open ended

1 point

A patient shows signs of acute neurological deterioration with suspected increased ICP. Describe four priorities for the immediate response.

True or false

1 point

True or false: In adults, sustained intracranial pressure above 22 mm Hg is generally treated as elevated, with readings interpreted alongside the patient’s examination and clinical context.

A
True
B
False

Written response

1 point

Which neurological scale is explicitly named for assessing and documenting a patient’s level of consciousness during acute deterioration?

Choose one

1 point

A patient’s level of consciousness suddenly declines. One pupil becomes enlarged and nonreactive, and the patient develops extensor posturing. What is the priority response?

A
Wait 30 minutes and repeat the examination before taking action.
B
Treat this as a neurological emergency, activate the emergency response, and support airway and breathing.
C
Lower the head of the bed and encourage coughing.
D
Wait for an ICP monitor reading before notifying the clinical team.

Written response

1 point

Along with hypotension, what oxygenation-related danger should clinicians prevent during acute neurological deterioration?

Choose one

1 point

For a patient with suspected increased ICP, which positioning approach may support venous drainage when it is appropriate and not contraindicated?

A
Lower the head of the bed and encourage coughing.
B
Keep the head turned to one side with the bed flat.
C
Elevate the head and maintain a midline position, when appropriate and not contraindicated.
D
Avoid positioning changes until an ICP monitor reading is available.

Choose one

1 point

Which option identifies measures that may be included in a prescribed plan to lower ICP?

A
Consider cerebrospinal-fluid drainage when available or ordered hyperosmolar therapy as part of the prescribed plan.
B
Use corticosteroids as standard treatment for severe traumatic brain injury.
C
Routinely hyperventilate the patient for several hours.
D
Wait for Cushing’s response before starting prescribed treatment.

Choose one

1 point

A clinician is reviewing standard treatment principles for severe traumatic brain injury. Which statement is appropriate?

A
Give corticosteroids routinely for severe traumatic brain injury.
B
Ignore sustained ICP elevation when blood pressure is normal.
C
Delay treatment until Cushing’s response appears.
D
Do not use corticosteroids as standard treatment for severe traumatic brain injury.

Choose one

1 point

Which statement about managing increased intracranial pressure is correct?

A
Use corticosteroids as standard treatment for severe traumatic brain injury.
B
Avoid routine prolonged hyperventilation when managing increased ICP.
C
Ignore a sustained elevated ICP reading if blood pressure is normal.
D
Wait for an ICP monitor reading before notifying the provider about neurological deterioration.

3 Increased Intracranial Pressure Online Quiz Questions

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