Stroke and Cerebrovascular Disorders · NCLEX Exam

Which is the most reliable indicator that a client's neurological status is deteriorating post-stroke?

  1. Blood pressure of 150/90 mmHg
  2. New onset pupillary asymmetry
  3. Mild confusion when asked time of day
  4. Complaints of dry mouth
Show answer and explanation

Correct answer: New onset pupillary asymmetry

Pupillary asymmetry suggests increased intracranial pressure or herniation risk and is a serious sign requiring immediate action.

Difficulty: Medium Question 14 of 20

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