HESI Comprehensive Exit Exam 1 with verified and detailed question and answers

HESI Comprehensive Exit Exam 1 with verified and detailed question and answers 1. The nurse is monitoring neurological vital signs for a male client who lost consciousness after falling and hitting his head. Which assessment finding is the earliest and most sensitive indication of altered cerebral function? a. Unequal pupils. b. Loss of central reflexes. c. Inability to open the eyes. d. Change in level of consciousness.: D (Neurological vital signs include serial assessments of TPR, blood pressure, and components of the Glasgow coma scale (GCS), which includes verbal, muscu- loskeletal, and pupillary responses. A change in the client's level of consciousness, as indicated by responses to commands during the GCS, is the first and the most sensitive sign of change in cerebral function. The other assessment data choices are late signs of altered cerebral function.)