Stroke and Neurologic Emergencies · NCLEX Exam

Which vital sign change in a stroke patient should raise immediate concern for neurologic deterioration?

  1. Stable blood pressure and heart rate with no new findings
  2. Bradycardia, hypertension and widening pulse pressure (Cushing triad)
  3. Mild tachycardia with an otherwise normal neurological exam
  4. A slight isolated drop in body temperature without other change
Show answer and explanation

Correct answer: Bradycardia, hypertension and widening pulse pressure (Cushing triad)

The Cushing triad suggests increased intracranial pressure and possible herniation, indicating neurologic deterioration.

Difficulty: Medium Question 7 of 20

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