Critical Care Registered Nurse (CCRN) Practice Exam

What is a potential consequence of increased intracranial pressure (ICP) after an initial intracerebral hemorrhage (ICH)?

1. Improved neurological function

2. Worsening headache

3. Increased appetite

4. Improved circulation

The correct answer is: Worsening headache

Increased intracranial pressure (ICP) following an intracerebral hemorrhage (ICH) can lead to a variety of neurological complications, including worsening headache. This is primarily due to the accumulation of blood and fluid in the intracranial space, which increases pressure on the surrounding brain structures. The pressure can stimulate pain receptors and lead to a headache, which can be a significant symptom in patients experiencing elevated ICP. This intense headache may be accompanied by other signs such as altered mental status, nausea, vomiting, and changes in vision, all of which are linked to the ongoing increase in pressure within the skull. Recognizing these symptoms is crucial for early intervention and management to prevent further complications, such as brain herniation or permanent neurological deficits. The other options—improved neurological function, increased appetite, and improved circulation—do not realistically correlate with the condition of increased ICP following ICH, as they are not typical responses or outcomes that would be expected in this context.