NIHSS Group C Patients 1-6 Exam Actual
Exam 2026/2027 – Complete Exam-Style
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Q1: A patient is alert but disoriented to time and place. What is the NIHSS score for Level of
Consciousness (LOC) Questions?
A. 0
B. 1
C. 2
D. 3
Correct Answer: C
Rationale: Correct because the patient is disoriented to both time and place, which
corresponds to a score of 2 for LOC Questions. This matches the NIHSS scoring standards
where 2 indicates disorientation to both time and place.
Q2: During the NIHSS assessment, a patient's eyes deviate conjugately to the right, but they can
be brought back to midline with visual fixation. What is the score for Gaze?
A. 0
B. 1
C. 2
D. 3
Correct Answer: B
Rationale: Correct because the eyes deviate conjugately but can be brought back to midline
with visual fixation, which corresponds to a score of 1 for Gaze. This matches the NIHSS
criteria where 1 indicates partial gaze deviation correctable by visual fixation.
Q3: A patient with a left homonymous hemianopia is unable to see objects in the left visual field
of both eyes. What is the NIHSS score for Visual Fields?
A. 0
B. 1
C. 2
D. 3
Correct Answer: C
Rationale: Correct because the patient has a complete homonymous hemianopia, which
corresponds to a score of 2 for Visual Fields. This matches the NIHSS scoring where 2
indicates complete visual field loss in one half.
, 2
Q4: A patient has facial palsy with asymmetric smile, but forehead movement is preserved on the
affected side. What is the NIHSS score for Facial Palsy?
A. 0
B. 1
C. 2
D. 3
Correct Answer: B
Rationale: Correct because the patient has facial palsy with preserved forehead movement,
which corresponds to a score of 1 for Facial Palsy. This matches the NIHSS criteria where 1
indicates mild facial weakness with forehead sparing.
Q5: During motor arm testing, the left arm drifts down within 10 seconds but does not fall off the
bed. What is the NIHSS score for Motor Arm (Left)?
A. 0
B. 1
C. 2
D. 3
Correct Answer: C
Rationale: Correct because the arm drifts down within 10 seconds but does not fall, which
corresponds to a score of 2 for Motor Arm. This matches the NIHSS scoring where 2
indicates drift within 10 seconds without falling.
Q6: In motor leg testing, the right leg drifts down within 5 seconds but remains on the bed. What
is the NIHSS score for Motor Leg (Right)?
A. 0
B. 1
C. 2
D. 3
Correct Answer: B
Rationale: Correct because the leg drifts down within 5 seconds but does not fall, which
corresponds to a score of 1 for Motor Leg. This matches the NIHSS criteria where 1
indicates drift within 5 seconds without falling.
Q7: A patient demonstrates past-pointing on the finger-nose-finger test on the left side. What is
the NIHSS score for Limb Ataxia?
A. 0
B. 1
C. 2
D. 3
Correct Answer: C
Rationale: Correct because past-pointing on one side indicates ataxia, which corresponds to