Difficulty: Medium
Average Score: 95%
Full-length
The nurse caring for a client with a head injury would recognize which assessment finding as the most indicative of increased ICP?
Correct answer
D
Rationale
Papilledema (optic disc swelling) is a specific sign of increased ICP due to pressure on the optic nerve. Vomiting (A), headache (B), and dizziness (C) are less specific and occur in other conditions.