NIHSS Stroke Scale Testing Exam (2026) UPDATE Verified Questions And Answers | With 100%
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NIHSS - (ANSWER)National Institutes of Health Stroke Scale
Scoring range is 0 to 42 points, with higher numbers indicating greater severity. a score of 5 to 15
represents a moderate stroke, a score of 16 to 20 represents a moderate to severe stroke, and a score
of 21 to 42 represents a severe stroke.
A score of <5 on the NIHSS indicates what? - (ANSWER)No stroke symptoms or minor stroke
A score of 5-15 on the NIHSS indicates what? - (ANSWER)Moderate stroke
A score of 16-20 on the NIHSS indicates what? - (ANSWER)Moderate to severe
A score of 21-42 on the NIHSS indicates what? - (ANSWER)Severe stroke
1A. Level of Consciousness (LOC) Scoring - (ANSWER)0 - Alert; keenly responsive.
1 - Not Alert; but arousable by minor stimulation to obey, answer, or respond.
2 - Not Alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful
stimulation to make movements (not stereotyped).
3 - Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic.
1B. Level of Consciousness (LOC) Scoring - (ANSWER)The patient is asked the month and his/her age.
The answer must be correct
Aphasic and stuporous patients who do not comprehend the questions are scored 2
Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria
from any cause, language barrier, or any other problem not secondary to aphasia are scored 1
0 - Answers both questions correctly
1 - Answers one question correctly
2 - Answers neither question correctly.
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1C. Level of Consciousness (LOC) Scoring - (ANSWER)The patient is asked to open and close the eyes and
then to grip and release the nonparetic hand. Substitute another one-step command if the hands cannot
be used. Credit is given if an unequivocal attempt is made but not completed due to weakness. Only the
first attempt is scored.
0 - Performs both tasks correctly
1 - Performs one task correctly
2 - Performs neither task correctly.
2. Best Gaze NIHSS Scoring - (ANSWER)Best Gaze Instructions: Only horizontal eye movements will be
tested. Voluntary or reflexive (oculocephalic) eye movements will be scored
Establishing eye contact and then moving about the patient from side to side will occasionally clarify the
presence of a partial gaze palsy.
0 - Normal
1 - Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is
not present
2 - Forced deviation, or total gaze paresis is not overcome by the oculocephalic maneuver.
3 Visual NIHSS Scoring - (ANSWER)Visual fields (upper and lower quadrants) are tested by confrontation,
using finger counting or visual threat, as appropriate. Have pt cover individual eye and look at your nose.
Flash numbers in peripheral vision.
0 - No visual loss
1 - Partial hemianopia (loss of half of visions field)
2 - Complete hemianopia
3 - Bilateral hemianopia (blind including cortical blindness)
4 Facial Palsy NIHSS Scoring - (ANSWER)Ask pt to show teeth or raise eyebrows and close eyes. Score
symmetry of grimace.
0 - Normal symmetrical movements
Correct Answers graded A+ Guaranteed Success!!
NIHSS - (ANSWER)National Institutes of Health Stroke Scale
Scoring range is 0 to 42 points, with higher numbers indicating greater severity. a score of 5 to 15
represents a moderate stroke, a score of 16 to 20 represents a moderate to severe stroke, and a score
of 21 to 42 represents a severe stroke.
A score of <5 on the NIHSS indicates what? - (ANSWER)No stroke symptoms or minor stroke
A score of 5-15 on the NIHSS indicates what? - (ANSWER)Moderate stroke
A score of 16-20 on the NIHSS indicates what? - (ANSWER)Moderate to severe
A score of 21-42 on the NIHSS indicates what? - (ANSWER)Severe stroke
1A. Level of Consciousness (LOC) Scoring - (ANSWER)0 - Alert; keenly responsive.
1 - Not Alert; but arousable by minor stimulation to obey, answer, or respond.
2 - Not Alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful
stimulation to make movements (not stereotyped).
3 - Responds only with reflex motor or autonomic effects, or totally unresponsive, flaccid, and areflexic.
1B. Level of Consciousness (LOC) Scoring - (ANSWER)The patient is asked the month and his/her age.
The answer must be correct
Aphasic and stuporous patients who do not comprehend the questions are scored 2
Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria
from any cause, language barrier, or any other problem not secondary to aphasia are scored 1
0 - Answers both questions correctly
1 - Answers one question correctly
2 - Answers neither question correctly.
, NIHSS Stroke Scale Testing Exam (2026) UPDATE Verified Questions And Answers | With 100%
Correct Answers graded A+ Guaranteed Success!!
1C. Level of Consciousness (LOC) Scoring - (ANSWER)The patient is asked to open and close the eyes and
then to grip and release the nonparetic hand. Substitute another one-step command if the hands cannot
be used. Credit is given if an unequivocal attempt is made but not completed due to weakness. Only the
first attempt is scored.
0 - Performs both tasks correctly
1 - Performs one task correctly
2 - Performs neither task correctly.
2. Best Gaze NIHSS Scoring - (ANSWER)Best Gaze Instructions: Only horizontal eye movements will be
tested. Voluntary or reflexive (oculocephalic) eye movements will be scored
Establishing eye contact and then moving about the patient from side to side will occasionally clarify the
presence of a partial gaze palsy.
0 - Normal
1 - Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is
not present
2 - Forced deviation, or total gaze paresis is not overcome by the oculocephalic maneuver.
3 Visual NIHSS Scoring - (ANSWER)Visual fields (upper and lower quadrants) are tested by confrontation,
using finger counting or visual threat, as appropriate. Have pt cover individual eye and look at your nose.
Flash numbers in peripheral vision.
0 - No visual loss
1 - Partial hemianopia (loss of half of visions field)
2 - Complete hemianopia
3 - Bilateral hemianopia (blind including cortical blindness)
4 Facial Palsy NIHSS Scoring - (ANSWER)Ask pt to show teeth or raise eyebrows and close eyes. Score
symmetry of grimace.
0 - Normal symmetrical movements
