NIH STROKE SCALE GROUP A PATIENTS 1-6 COMPLETE
SUMMARY 2026/2027 | NINDS/NIHSS Certification Standards |
Verified Scoring Answers | Pass Guaranteed - A+ Graded
Patient 1: Acute Left MCA Stroke with Right-Sided Deficits
Scenario Description: 68-year-old male, 2 hours post symptom onset. Alert but
confused, follows commands inconsistently. Right gaze preference, right visual
extinction. Right facial droop. Right arm drift, right leg weakness. Mild aphasia, slurred
speech.
NIHSS Item Scores:
1a. LOC Responsiveness: 1 [CORRECT]
Not alert but arousable with minor stimulation
1b. LOC Questions: 1 [CORRECT]
Answers one question correctly (age or month)
1c. LOC Commands: 0 [CORRECT]
Performs both tasks correctly
2. Best Gaze: 1 [CORRECT]
Gaze is abnormal in one eye (right gaze preference)
3. Visual Fields: 1 [CORRECT]
Partial right hemianopia/visual extinction
4. Facial Palsy: 2 [CORRECT]
Complete right facial paralysis (upper and lower)
5. Motor Arm - Left: 0 [CORRECT]
No drift, holds position 10 seconds
, 6. Motor Arm - Right: 2 [CORRECT]
Some effort against gravity but cannot maintain position
7. Motor Leg - Left: 0 [CORRECT]
No drift, holds position 5 seconds
8. Motor Leg - Right: 2 [CORRECT]
Falls immediately, no effort against gravity
9. Limb Ataxia: 0 [CORRECT]
No ataxia present
10. Sensory: 1 [CORRECT]
Mild-to-moderate sensory loss on right side
11. Best Language: 1 [CORRECT]
Mild-to-moderate aphasia, some loss of complexity
12. Dysarthria: 1 [CORRECT]
Mild-to-moderate slurring of words
13. Extinction/Inattention: 1 [CORRECT]
Extinction to simultaneous stimulation on right side
Total Score: 13 [CORRECT]
Patient 2: Severe Right Hemisphere Stroke with Dense Left Neglect
Scenario Description: 72-year-old female, 4 hours post onset. Drowsy but arousable.
Left gaze deviation. Complete left hemianopia. Flat affect left face. No movement left
arm or leg. Profound left neglect. No aphasia but severe dysarthria.
NIHSS Item Scores:
1a. LOC Responsiveness: 1 [CORRECT]
Not alert, requires minor stimulation to stay awake
1b. LOC Questions: 2 [CORRECT]
Answers neither question correctly
1c. LOC Commands: 2 [CORRECT]
SUMMARY 2026/2027 | NINDS/NIHSS Certification Standards |
Verified Scoring Answers | Pass Guaranteed - A+ Graded
Patient 1: Acute Left MCA Stroke with Right-Sided Deficits
Scenario Description: 68-year-old male, 2 hours post symptom onset. Alert but
confused, follows commands inconsistently. Right gaze preference, right visual
extinction. Right facial droop. Right arm drift, right leg weakness. Mild aphasia, slurred
speech.
NIHSS Item Scores:
1a. LOC Responsiveness: 1 [CORRECT]
Not alert but arousable with minor stimulation
1b. LOC Questions: 1 [CORRECT]
Answers one question correctly (age or month)
1c. LOC Commands: 0 [CORRECT]
Performs both tasks correctly
2. Best Gaze: 1 [CORRECT]
Gaze is abnormal in one eye (right gaze preference)
3. Visual Fields: 1 [CORRECT]
Partial right hemianopia/visual extinction
4. Facial Palsy: 2 [CORRECT]
Complete right facial paralysis (upper and lower)
5. Motor Arm - Left: 0 [CORRECT]
No drift, holds position 10 seconds
, 6. Motor Arm - Right: 2 [CORRECT]
Some effort against gravity but cannot maintain position
7. Motor Leg - Left: 0 [CORRECT]
No drift, holds position 5 seconds
8. Motor Leg - Right: 2 [CORRECT]
Falls immediately, no effort against gravity
9. Limb Ataxia: 0 [CORRECT]
No ataxia present
10. Sensory: 1 [CORRECT]
Mild-to-moderate sensory loss on right side
11. Best Language: 1 [CORRECT]
Mild-to-moderate aphasia, some loss of complexity
12. Dysarthria: 1 [CORRECT]
Mild-to-moderate slurring of words
13. Extinction/Inattention: 1 [CORRECT]
Extinction to simultaneous stimulation on right side
Total Score: 13 [CORRECT]
Patient 2: Severe Right Hemisphere Stroke with Dense Left Neglect
Scenario Description: 72-year-old female, 4 hours post onset. Drowsy but arousable.
Left gaze deviation. Complete left hemianopia. Flat affect left face. No movement left
arm or leg. Profound left neglect. No aphasia but severe dysarthria.
NIHSS Item Scores:
1a. LOC Responsiveness: 1 [CORRECT]
Not alert, requires minor stimulation to stay awake
1b. LOC Questions: 2 [CORRECT]
Answers neither question correctly
1c. LOC Commands: 2 [CORRECT]
