Traumatic Brain and Spinal Cord Injury · NCLEX Exam

Which sign may indicate an increase in intracranial pressure (ICP) in the acute phase following a Traumatic Brain Injury (TBI)?

  1. Stable vital signs with no reported headache
  2. Widening pulse pressure, bradycardia, irregular respirations (Cushing's triad)
  3. Isolated tachycardia without other changes
  4. Hypotension accompanied by tachypnea
Show answer and explanation

Correct answer: Widening pulse pressure, bradycardia, irregular respirations (Cushing's triad)

Cushing’s triad—hypertension with wide pulse pressure, bradycardia and irregular respirations—signals increased ICP and possible brain herniation.

Difficulty: Medium Question 4 of 20

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