Difficulty: Medium
Average Score: 89%
Full-length
Which set of vital signs would best indicate to the nurse that a client has an increase in intracranial pressure?
Correct answer
A
Rationale
Increased ICP is indicated by CushingÔÇÖs triad: hypertension (BP 180/70), bradycardia (pulse 50), and irregular respirations. Option A best matches this, with fever as a possible secondary sign. Options B, C, and D lack this combination.