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APEX NIH Stroke Scale Group A Answer Key 2025 | Patients 1-6 with Severity Classification and Detailed Item Scores

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Master NIHSS certification with this comprehensive APEX NIH Stroke Scale answer key for group A featuring accurate scoring for Patients 1 through 6 with updated 2025 answers. This essential resource provides detailed breakdowns of all 11 assessment items for each patient case, including level of consciousness (LOC questions and commands), best gaze, visual fields, facial palsy, motor function for both arms and legs, limb ataxia, sensory function, best language, dysarthria, and extinction/inattention. Each patient includes the specific clinical descriptor for every item score along with the calculated total score: Patient 1 (Total Score 9) with left arm weakness, sensory loss, and inattention, Patient 2 (Total Score 7) with severe aphasia and sensory loss, Patient 3 (Total Score 7) with bilateral leg weakness and sensory loss, Patient 4 (Total Score 2) with minor facial paralysis and mild sensory loss, Patient 5 (Total Score 12) with left-sided weakness, complete hemianopia, aphasia, and inattention, and Patient 6 (Total Score 2) with right leg drift and mild sensory loss. Designed for healthcare professionals seeking initial NIHSS certification or recertification, this answer key enables accurate self-assessment and validation of stroke severity scoring proficiency.

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APEX NIH Stroke Scale
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APEX NIH Stroke Scale

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APEX NIH Stroke Scale (NIHSS) –
Group A Answer Key
Patients 1–6 | Updated 2025

APEX NIH Stroke Scale - Group A (Complete)




Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 3 – No effort against gravity; limb falls
5b (Right Arm): 0 – No drift
6a (Left Leg): 1 – Drift, does not hit bed
6b (Right Leg): 0 – No drift
7: 1 – Ataxia present in one limb
8: 2 – Severe or total sensory loss
9: 0 – No aphasia
10: 0 – Normal
11: 1 – Inattention

Total Score: 9



Patient 2
1a: 0 – Alert
1b: 2 – Answers neither correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 1 – Minor paralysis
5a (Left Arm): 0 – No drift
5b (Right Arm): 0 – No drift
6a (Left Leg): 0 – No drift
6b (Right Leg): 0 – No drift
7: 0 – No ataxia

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APEX NIH Stroke Scale
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APEX NIH Stroke Scale

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Uploaded on
February 20, 2026
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Written in
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