NIHSS Stroke Scale Testing Exam || Most Recent Exam 2026-
2027 Actual Complete Real Exam Questions And Correct
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1C. Level of Consciousness (LOC) Scoring - ANSWER -The
patient is asked to open and close the eyes and then to grip
and release the nonparetic hand. Substitute another one-step
command if the hands cannot be used. Credit is given if an
unequivocal attempt is made but not completed due to
weakness. Only the first attempt is scored.
0 - Performs both tasks
correctly 1 - Performs one
task correctly 2 - Performs
neither task correctly.
2. Best Gaze NIHSS Scoring - ANSWER -Best Gaze Instructions:
Only horizontal eye movements will be tested. Voluntary or
reflexive (oculocephalic) eye movements will be scored
Establishing eye contact and then moving about the patient
from side to side will occasionally clarify the presence of a
partial gaze palsy.
0 - Normal
1 - Partial gaze palsy; gaze is abnormal in one or both eyes, but
forced deviation or total gaze paresis is not present
, 2 - Forced deviation, or total gaze paresis is not overcome by
the oculocephalic maneuver.
3 Visual NIHSS Scoring - ANSWER -Visual fields (upper and
lower quadrants) are tested by confrontation, using finger
counting or visual threat, as appropriate. Have pt cover
individual eye and look at your nose. Flash numbers in
peripheral vision.
0 - No visual loss
1 - Partial hemianopia (loss of half of visions field)
2 - Complete hemianopia
3 - Bilateral hemianopia (blind including cortical blindness)
4 Facial Palsy NIHSS Scoring - ANSWER -Ask pt to show teeth
or raise eyebrows and close eyes. Score symmetry of
grimace.
0 - Normal symmetrical movements
1 - Minor paralysis (flattened nasolabial fold, asymmetry on
smiling)
2 - Partial paralysis (total or near-total paralysis of lower face)
3 - Complete paralysis of one or both sides (absence of facial
movement in the upper and lower face)
5. Motor Arm NIHSS Scoring - ANSWER -The limb is placed in
the appropriate position: extend the arms (palms down) 90
degrees (if sitting) or 45 degrees (if supine). Drift is scored if
the arm falls before 10 seconds. Each limb is tested in turn,
beginning with the non-paretic arm.
0 - No drift; limb holds 90 (or 45) degrees for full 10 seconds
2027 Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ |
Guaranteed Success | Newest Exam | Just
Released!!
1C. Level of Consciousness (LOC) Scoring - ANSWER -The
patient is asked to open and close the eyes and then to grip
and release the nonparetic hand. Substitute another one-step
command if the hands cannot be used. Credit is given if an
unequivocal attempt is made but not completed due to
weakness. Only the first attempt is scored.
0 - Performs both tasks
correctly 1 - Performs one
task correctly 2 - Performs
neither task correctly.
2. Best Gaze NIHSS Scoring - ANSWER -Best Gaze Instructions:
Only horizontal eye movements will be tested. Voluntary or
reflexive (oculocephalic) eye movements will be scored
Establishing eye contact and then moving about the patient
from side to side will occasionally clarify the presence of a
partial gaze palsy.
0 - Normal
1 - Partial gaze palsy; gaze is abnormal in one or both eyes, but
forced deviation or total gaze paresis is not present
, 2 - Forced deviation, or total gaze paresis is not overcome by
the oculocephalic maneuver.
3 Visual NIHSS Scoring - ANSWER -Visual fields (upper and
lower quadrants) are tested by confrontation, using finger
counting or visual threat, as appropriate. Have pt cover
individual eye and look at your nose. Flash numbers in
peripheral vision.
0 - No visual loss
1 - Partial hemianopia (loss of half of visions field)
2 - Complete hemianopia
3 - Bilateral hemianopia (blind including cortical blindness)
4 Facial Palsy NIHSS Scoring - ANSWER -Ask pt to show teeth
or raise eyebrows and close eyes. Score symmetry of
grimace.
0 - Normal symmetrical movements
1 - Minor paralysis (flattened nasolabial fold, asymmetry on
smiling)
2 - Partial paralysis (total or near-total paralysis of lower face)
3 - Complete paralysis of one or both sides (absence of facial
movement in the upper and lower face)
5. Motor Arm NIHSS Scoring - ANSWER -The limb is placed in
the appropriate position: extend the arms (palms down) 90
degrees (if sitting) or 45 degrees (if supine). Drift is scored if
the arm falls before 10 seconds. Each limb is tested in turn,
beginning with the non-paretic arm.
0 - No drift; limb holds 90 (or 45) degrees for full 10 seconds
