NIHSS-ENGLISH GROUP G-V3 - 7TH. CERTIFICATION EXAM- LATEST
2026 UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS
(2026/2027) |A+ GRADED |GUARANTEED PASS
Certification Patient 1 (Dr. Lyden-San Diego, California)
Purple flowers in background, drip bag hanging from IV pole, yellow book on table. Male
Caucasian patient.
1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 3 = No effort against gravity, limb falls.
5b. Motor Arm Right: 0 = No drift
6a. Left Leg: 1 = Drift, leg falls by the end of the 5 second period, but does not hit bed
6b. Right Leg: 0 = No drift
7. Limb Ataxia: 1 = Present in one limb
8. Sensory: 2 = Severe or total sensory loss
9. Best Language: 0 = No aphasia, normal
10. Dysarthria: 0 = Normal
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 2: (Karen Rapp, RN Nurse coordinator, San Diego, CA)
Karen in red blazer/pink long sleeve shirt and black trousers, patient laying in bed, appears to
have cataract right eye; purple flowers, card upright on desk. Male Caucasian patient.
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 2 = Answers neither question correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 1 = Partial gaze palsy. (THIS ANSWER IS WRONG)
3. Visual: 0 = No visual loss
4.Facial Palsy: 0 = Normal symmetrical movement
5a. Motor Arm Left: 0 = No drift
5b. 1a. Level of Consciousness: 0 = Alert; keenly responsive
6a. Left Leg: 0 = No drift
6b. Right Leg: 0 = No drift
7. Limb Ataxia: 0 = Absent
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, 8. Sensory: 1 = Mild-to-moderate sensory loss
9. Best Language: 2 = Severe aphasia
10. Dysarthria: 2 = Severe dysarthria
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 3 ( (Dr. Lyden-San Diego, California)
Whiteboard: Nurses, Ted and Amy, February 26, Monday-Have a great day, cat pictures on the
wall. Patient is 81 year old Caucasian female on O2 and ID on right hand (your left), has IV in
Left AC area.
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 0 = Answers both questions correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 0 = Normal
3. Visual: 0 = No visual loss
4.Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 0 = No drift
5b. 1a. Level of Consciousness: 0 = No drift
6a. Left Leg: 3 = No effort against gravity
6b. Right Leg: 2 = Some effort against gravity
7. Limb Ataxia: 1 = Present in one limb
8. Sensory: 1 = Mild-to-moderate sensory loss
9. Best Language: 2 = Severe aphasia
10. Dysarthria: 1 = Mild-to-moderate dysarthria
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 4 (Brett Meyer, San Diego, CA) Blue long sleeve dress shirt, black tie,
black pants. 62 yo male AA patient, purple flowers bedside, IV bag handing 1st question any
pain...not in any severe pain. Month: Feb
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 0 = Answers both questions correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 0 = Normal
3. Visual: 0 = No visual loss
4.Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 0 = No drift
5b. Motor Arm Right: 0 = No drift
6a. Left Leg: 0 = No drift
6b. Right Leg: 0 = No drift
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2026 UPDATED QUESTIONS AND VERIFIED 100% SOLUTIONS
(2026/2027) |A+ GRADED |GUARANTEED PASS
Certification Patient 1 (Dr. Lyden-San Diego, California)
Purple flowers in background, drip bag hanging from IV pole, yellow book on table. Male
Caucasian patient.
1a. Level of Consciousness: 0
1b. LOC Questions: 0
1c. LOC Commands: 0
2. Best Gaze: 0
3. Visual: 0
4. Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 3 = No effort against gravity, limb falls.
5b. Motor Arm Right: 0 = No drift
6a. Left Leg: 1 = Drift, leg falls by the end of the 5 second period, but does not hit bed
6b. Right Leg: 0 = No drift
7. Limb Ataxia: 1 = Present in one limb
8. Sensory: 2 = Severe or total sensory loss
9. Best Language: 0 = No aphasia, normal
10. Dysarthria: 0 = Normal
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 2: (Karen Rapp, RN Nurse coordinator, San Diego, CA)
Karen in red blazer/pink long sleeve shirt and black trousers, patient laying in bed, appears to
have cataract right eye; purple flowers, card upright on desk. Male Caucasian patient.
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 2 = Answers neither question correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 1 = Partial gaze palsy. (THIS ANSWER IS WRONG)
3. Visual: 0 = No visual loss
4.Facial Palsy: 0 = Normal symmetrical movement
5a. Motor Arm Left: 0 = No drift
5b. 1a. Level of Consciousness: 0 = Alert; keenly responsive
6a. Left Leg: 0 = No drift
6b. Right Leg: 0 = No drift
7. Limb Ataxia: 0 = Absent
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, 8. Sensory: 1 = Mild-to-moderate sensory loss
9. Best Language: 2 = Severe aphasia
10. Dysarthria: 2 = Severe dysarthria
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 3 ( (Dr. Lyden-San Diego, California)
Whiteboard: Nurses, Ted and Amy, February 26, Monday-Have a great day, cat pictures on the
wall. Patient is 81 year old Caucasian female on O2 and ID on right hand (your left), has IV in
Left AC area.
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 0 = Answers both questions correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 0 = Normal
3. Visual: 0 = No visual loss
4.Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 0 = No drift
5b. 1a. Level of Consciousness: 0 = No drift
6a. Left Leg: 3 = No effort against gravity
6b. Right Leg: 2 = Some effort against gravity
7. Limb Ataxia: 1 = Present in one limb
8. Sensory: 1 = Mild-to-moderate sensory loss
9. Best Language: 2 = Severe aphasia
10. Dysarthria: 1 = Mild-to-moderate dysarthria
11. Extinction and Inattention (formerly Neglect): 0 = No abnormality
Certification Patient 4 (Brett Meyer, San Diego, CA) Blue long sleeve dress shirt, black tie,
black pants. 62 yo male AA patient, purple flowers bedside, IV bag handing 1st question any
pain...not in any severe pain. Month: Feb
1a. Level of Consciousness: 0 = Alert; keenly responsive
1b. LOC Questions: 0 = Answers both questions correctly
1c. LOC Commands: 0 = Performs both tasks correctly
2. Best Gaze: 0 = Normal
3. Visual: 0 = No visual loss
4.Facial Palsy: 1 = Minor paralysis
5a. Motor Arm Left: 0 = No drift
5b. Motor Arm Right: 0 = No drift
6a. Left Leg: 0 = No drift
6b. Right Leg: 0 = No drift
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