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DHA Medical Surgical Nursing (DHA-MedSurg) Practice Exams & Exam Prep - Review



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DHA Medical Surgical Nursing - Reviews


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See why our users from 154 countries love us for their exam prep! Including 85 reviews for the DHA Medical Surgical Nursing exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

   Excellent -- Based on 85 reviews

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DHA Medical Surgical Nursing - Test Reviews Sample Questions

For a patient suffering from intracranial pressure (ICP) the head of his or her bed should be in which of the following positions?

Correct Answer:
elevated 30 to 45 degrees


when managing a patient with increased intracranial pressure (icp), positioning is a critical aspect of care. the recommended position for such a patient is to have the head of the bed elevated to an angle of 30 to 45 degrees. this specific range is chosen based on its effectiveness in promoting venous outflow from the brain, thereby helping to reduce intracranial pressure.

elevating the head of the bed aids in utilizing gravity to facilitate venous drainage through the jugular veins. when the head is raised, blood flows more easily from the brain towards the heart, which can help in reducing the pressure inside the skull. proper venous drainage is crucial because it helps in decreasing the blood volume within the cranial vault and, consequently, reduces the intracranial pressure.

it is also important to maintain the patient’s neck in a neutral position without any flexion, extension, or rotation. misalignment of the neck can lead to jugular vein compression, which impedes venous outflow from the brain and potentially worsens the intracranial pressure. ensuring that the neck is not bent or twisted is therefore essential for maintaining optimal venous drainage.

positions other than an elevation of 30 to 45 degrees are generally less effective or not recommended in cases of increased icp. for instance, a flat position may cause venous blood pooling in the head and can increase intracranial pressure. elevating the bed to 90 degrees might shift too much blood away from the brain, potentially leading to decreased cerebral perfusion. similarly, a slight elevation, such as 10 degrees, may not be sufficient to significantly affect venous drainage and reduction of icp.

thus, consistently keeping the head of the bed elevated to 30 to 45 degrees, while maintaining the neck in a neutral position, is a key non-pharmacological strategy in the management of patients with elevated intracranial pressure. this practice, combined with other medical interventions, forms an integral part of the treatment protocol aimed at stabilizing the patient’s condition and preventing further complications related to increased icp.