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HESI Case Study: Intracranial Questions
and Answers | Latest Version | 2025/2026 | Correct & Verified
What is the earliest sign of increased intracranial pressure in adults?✔✔Altered level of consciousness
Which vital sign change is commonly associated with increased intracranial pressure?
✔✔Cushing’s triad: hypertension, bradycardia, irregular respirations
Which cranial nerve is assessed when checking pupillary response to light?✔✔Cranial nerve II (optic)
What is the priority nursing assessment for a patient with a head injury?✔✔Neurological status using the Glasgow Coma Scale
Which position helps reduce intracranial pressure?✔✔Elevate the head of the bed 30 degrees
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Which symptom may indicate a brain herniation?✔✔Unequal or dilated pupils
What is the normal range for intracranial pressure in adults?✔✔5–15 mmHg
Which laboratory test can help detect electrolyte imbalance in a patient with increased ICP?✔✔Serum sodium and osmolality
Which sign suggests worsening cerebral edema?✔✔Headache that increases in severity
What is the priority intervention when a patient develops sudden pupillary changes?✔✔Notify the physician immediately and prepare for further assessment
Which breathing pattern is associated with severe brain injury?✔✔Cheyne-Stokes or irregular respirations
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Which medication class is used to reduce cerebral edema?✔✔Osmotic diuretics, such as mannitol
Which nursing intervention helps prevent increased ICP during suctioning?✔✔Pre-oxygenate and limit suctioning duration
Which symptom may indicate infection after a neurosurgical procedure?✔✔Fever and purulent drainage at the incision site
Which factor can increase intracranial pressure in a patient?✔✔Straining, coughing, or vomiting
Which cranial nerve is assessed for facial symmetry and movement?✔✔Cranial nerve VII (facial)
Which clinical sign may indicate a subdural hematoma?✔✔Gradual decrease in level of consciousness
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