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HESI EXIT EXAM FOR NIGHTINGALE COLLEGE WITH ACCURATE AND VERIFIED QUESTIONS COVERING COMPREHENSIVE NURSING CONCEPTS, CLINICAL JUDGMENT, NCLEX READINESS, AND PATIENT CARE MANAGEMENT.
Question :The nurse is completing the admission
assessment of a 3-year-old who is admitted with bacterial
meningitis and hydrocephalus. Which assessment finding
is evidence that the child is experiencing increased
intracranial pressure (ICP?)
A.) Tachycardia and tachypnea
B.) Sluggish and unequal pupillary responses
C.) Increased head circumference and bulging fontanels
D.) Blood pressure fluctuations and syncope
Correct answer:B.) Sluggish and unequal pupillary
responses
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