{"id":10378,"date":"2026-07-15T00:15:59","date_gmt":"2026-07-15T08:15:59","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=10378"},"modified":"2026-06-30T12:28:25","modified_gmt":"2026-06-30T20:28:25","slug":"nclex-question-of-the-day-increased-intracranial-pressure-2","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2","title":{"rendered":"NCLEX-RN\u00ae Question of the Day: Increased intracranial pressure"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2\/#The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\" >The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2\/#Main_Takeaway\" >Main Takeaway<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2\/#Incorrect_Answer_Explanations\" >Incorrect Answer Explanations<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2\/#References\" >References<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.osmosis.org\/blog\/nclex-question-of-the-day-increased-intracranial-pressure-2\/#Want_to_learn_more_about_this_topic\" >Want to learn more about this topic?<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><em><strong>Today\u2019s NCLEX-RN\u00ae question of the day focuses on a patient with increased intracranial pressure (ICP). Do you know how to describe their condition? Let&#8217;s find out!<\/strong><\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>The nurse is caring for a patient diagnosed with increased intracranial pressure (ICP) secondary to vasogenic edema. Which statement best describes the pathophysiology of this condition?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. \u201cExcess cerebrospinal fluid (CSF) flows from the brain ventricles into the interstitium.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. \u201cA diffuse injury occurs to the brain cells.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. \u201cWater from the blood is pulled into brain cells.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. \u201cThe blood-brain barrier is disrupted.\u201d<\/strong><\/p>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><em>Scroll down for the correct answer!<\/em><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Learn with Osmosis\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/iDxHtjjCMbU?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_correct_answer_to_todays_NCLEX%C2%AE_Question_is%E2%80%A6\"><\/span>The correct answer to today&#8217;s NCLEX\u00ae Question is&#8230;<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>D. \u201cThe blood-brain barrier is disrupted.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> Vasogenic edema, the most common type of cerebral edema, occurs when the blood-brain barrier is disrupted, allowing proteins and other molecules to leak from the blood vessels into the brain interstitium. The resulting increase in interstitial osmotic pressure draws fluid into the tissue, increasing ICP.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Main_Takeaway\"><\/span>Main Takeaway<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">There are four major causes of increased intracranial pressure (ICP).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Vasogenic edema<\/strong>, the most common type, occurs when the blood-brain barrier is disrupted, allowing proteins and fluid to leak into the brain interstitium. <strong>Cytotoxic (cellular) edema <\/strong>occurs when injury to brain cells causes intracellular sodium and water accumulation. <strong>Interstitial cerebral edema<\/strong> occurs when cerebrospinal fluid (CSF) moves from the ventricles into the surrounding brain tissue. <strong>Osmotic edema<\/strong> occurs when decreased plasma osmolality, such as with hyponatremia, causes water to move from the blood into brain cells.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Incorrect_Answer_Explanations\"><\/span>Incorrect Answer Explanations<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>A. \u201cExcess cerebrospinal fluid (CSF) flows from the brain ventricles into the interstitium.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> A cause of increased ICP is interstitial cerebral edema, which occurs when CSF flows from the brain ventricles into the interstitium.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B. \u201cA diffuse injury occurs to the brain cells.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rationale:<\/strong> A cause of increased ICP is cellular edema, also known as cytotoxic edema. In this case, injury to brain cells causes increased intracellular sodium, which draws water into the cells, causing increased ICP.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C. \u201cWater from the blood is pulled into brain cells.\u201d<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rationale: In patients with osmotic edema, disturbances in the osmotic pressure can occur due to conditions such as hyponatremia, causing water to move from the blood into brain cells, increasing the ICP.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"References\"><\/span>References<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Barnett, N. (n.d.). <strong>Cerebral correlates of hyponatremia.<\/strong> Neurocritical care. Retrieved January 21, 2022, from https:\/\/pubmed.ncbi.nlm.nih.gov\/17356196\/<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Want_to_learn_more_about_this_topic\"><\/span>Want to learn more about this topic?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Watch the Osmosis video: <a href=\"https:\/\/www.osmosis.org\/learn\/Increased_intracranial_pressure_(ICP):_Nursing\">Increased intracranial pressure (ICP): Nursing<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\/rn\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?w=700\" alt=\"\" class=\"wp-image-5423\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/03\/Blog_Display_Ads_RN1_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center wp-block-paragraph\"><strong><em>Try Osmosis from Elsevier today! Access your&nbsp;<a href=\"https:\/\/www.osmosis.org\/plans\/rn\">free trial<\/a>&nbsp;to find out why future<\/em> <em>clinicians and caregivers love learning by Osmosis.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Can you distinguish between the different causes of cerebral edema? Challenge your understanding of increased intracranial pressure (ICP) and neuro pathophysiology with this NCLEX-RN style question.<\/p>\n","protected":false},"author":284,"featured_media":10391,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[20,29,1367,1366,32],"tags":[3221,3219,628,1664,886,3216,283,3218,3220,559,245,290,462,1282,3217],"class_list":["post-10378","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exam-prep","category-nclex","category-nclex-rn","category-questions","category-nursing","tag-brain-injury","tag-cerebral-edema","tag-clinical-judgment","tag-critical-care-nursing","tag-exam-prep","tag-increased-intracranial-pressure","tag-nclex","tag-neuro-nursing","tag-neurologic-disorders","tag-neuroscience","tag-nursing-education","tag-nursing-students","tag-osmosis","tag-pathophysiology","tag-vasogenic-edema"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - 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