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APEX NIH Stroke Scale Group B 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 Group B answer key featuring accurate scoring for Patients 1 through 6 with updated 2025 answers and severity classifications. 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, the calculated total score, and severity classification based on the NIHSS scoring key (0=Normal, 1-4=Minor, 5-15=Moderate, 16-20=Moderate to Severe, 21-42=Severe). Patient 1 (Total Score 11 - Moderate) with right-sided weakness, aphasia, and inattention; Patient 2 (Total Score 5 - Moderate) with right leg weakness and dysarthria; Patient 3 (Total Score 5 - Moderate) with complete facial paralysis; Patient 4 (Total Score 28 - Severe) with unresponsiveness, forced gaze deviation, complete hemianopia, right-sided hemiplegia, severe aphasia, severe dysarthria, and complete inattention; Patient 5 (Total Score 4 - Minor) with left leg drift, ataxia, sensory loss, and inattention; Patient 6 (Total Score 2 - Minor) 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 (NIHSS) –
Group B Answer Key
Patients 1–6 | Updated 2025

APEX NIH Stroke Scale – Group B




Patients 1–6 Assessment Summary

Purpose: To document and evaluate neurologic deficits in acute stroke patients using
the NIH Stroke Scale (NIHSS).

Scoring Key:

0 = Normal / No deficit

1–4 = Minor deficit

5–15 = Moderate deficit

16–20 = Moderate to severe deficit

21–42 = Severe deficit




Patient 1
1a: 0 – Alert
1b: 1 – Answers one question 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): 4 – No movement
6a (Left Leg): 0 – No drift
6b (Right Leg): 3 – No effort against gravity; limb falls
7: 0 – No ataxia
8: 1 – Mild to moderate sensory loss
9: 1 – Mild to moderate aphasia

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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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