Sensory NCLEX Questions | Nurselytic

Questions 43

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Sensory NCLEX Questions Questions

Extract:


Question 1 of 5

An adult man fell off a ladder and hit his head. His wife rushed to help him and found him unconscious. After regaining consciousness several minutes later, he was drowsy and had trouble staying awake. He is admitted to the hospital for evaluation. When the nurse enters the room, he is sleeping. While caring for the client, the nurse finds that his systolic blood pressure has increased, his pulse has decreased, and his temperature is slightly elevated. What does this suggest?

Correct Answer: C

Rationale: Increased systolic blood pressure, decreased pulse, and elevated temperature suggest increased intracranial pressure (Cushing's triad) post-head injury.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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