NIH STROKE SCALE EXAM 2 FINAL SCRIPT
2026 SOLVED QUESTIONS WITH FULL
SOLUTIONS
◉ What if patient gives DOB as answer to question asking for their
age? How is this scored?
Is there credit for partial answers that are close like being off a
month when answering what month it is? Answer: This is scored as
a WRONG answer.
NO
◉ NIH 1C is what?
Make sure to position what in testable position. Answer: Commands
Eyes and Hands
◉ NIH 1C
ask patient to do how many actions and what are they?. Answer: 3
commands
"close your eyes for me"
"now open them"
"now make a fist with your hand"
,◉ NIH 1C - may I repeat the commands?
May I encourage?
May I pantomime command?
May I hold up arm for hand to make fist?. Answer: Yes, you can
repeat command ONCE.
No, no encouragement or coaching.
Yes, you should try and pantomime command so that patient
receives verbal and visual input.
Yes, can hold up arm for hand command
◉ NIH scale 1C scoring:
0
1
2. Answer: 0 - both tasks performed correctly
1 - one task performed correctly
2 - neither task if performed correctly
◉ Can a friend/family member translate w/ NIH commands?.
Answer: Yes
◉ NIH scale 1C
-for patient who has comprehension deficit and perform incorreclty,
what is scored?. Answer: 2
, ◉ NIH scale 1C
-for patient who gives a real attempt but not completed due to
weakness, is credit given?. Answer: yes, give credit but ONLY score
the first attempt
◉ NIH scale Number 2 item is.... Answer: Best Gaze
◉ what does the best gaze item test?. Answer: voluntary horizontal
eye movements
◉ does NIH scale #2 measure distortions in vertical gaze, nystagmus
or schew deviation. Answer: NO, NIH scale #2 does not measure
these visual issues
◉ NIH scale #2
-first test, noting what?
-second test. Answer: -look at position of eyes at rest, noting
spontaneous eye movements to left or right
-then move finger or other target from side to side and ask patient to
track MOVING EYES ONLY, being sure to keep asking patient to
follow the target
2026 SOLVED QUESTIONS WITH FULL
SOLUTIONS
◉ What if patient gives DOB as answer to question asking for their
age? How is this scored?
Is there credit for partial answers that are close like being off a
month when answering what month it is? Answer: This is scored as
a WRONG answer.
NO
◉ NIH 1C is what?
Make sure to position what in testable position. Answer: Commands
Eyes and Hands
◉ NIH 1C
ask patient to do how many actions and what are they?. Answer: 3
commands
"close your eyes for me"
"now open them"
"now make a fist with your hand"
,◉ NIH 1C - may I repeat the commands?
May I encourage?
May I pantomime command?
May I hold up arm for hand to make fist?. Answer: Yes, you can
repeat command ONCE.
No, no encouragement or coaching.
Yes, you should try and pantomime command so that patient
receives verbal and visual input.
Yes, can hold up arm for hand command
◉ NIH scale 1C scoring:
0
1
2. Answer: 0 - both tasks performed correctly
1 - one task performed correctly
2 - neither task if performed correctly
◉ Can a friend/family member translate w/ NIH commands?.
Answer: Yes
◉ NIH scale 1C
-for patient who has comprehension deficit and perform incorreclty,
what is scored?. Answer: 2
, ◉ NIH scale 1C
-for patient who gives a real attempt but not completed due to
weakness, is credit given?. Answer: yes, give credit but ONLY score
the first attempt
◉ NIH scale Number 2 item is.... Answer: Best Gaze
◉ what does the best gaze item test?. Answer: voluntary horizontal
eye movements
◉ does NIH scale #2 measure distortions in vertical gaze, nystagmus
or schew deviation. Answer: NO, NIH scale #2 does not measure
these visual issues
◉ NIH scale #2
-first test, noting what?
-second test. Answer: -look at position of eyes at rest, noting
spontaneous eye movements to left or right
-then move finger or other target from side to side and ask patient to
track MOVING EYES ONLY, being sure to keep asking patient to
follow the target
