COMPLETE QUESTIONS &
ANSWERS 2024/2025
LATEST MOCK PRACTICE SET
150 Questions with Answers and Detailed Rationales
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This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NIH STROKE SCALE GROUP B - COMPLETE QUESTIONS & ANSWERS 2024/2025 CERTIFICATION TEST
BANK ALREADY GRADED A+. It contains 150 carefully selected questions that reflect the most current exam
content and testing strategies. Each question is accompanied by a correct answer and a detailed rationale that
explains the underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
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Review Summary 150 Questions
Foundations - Application - NIH Stroke Scale Group B - Complete & 2024/2025 Certification BANK Already
A Neurology / Stroke Assessment Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NIH Stroke Scale Group B - 1-25 Nihss, Score, Stroke, Examiner, Hemispheric
Complete & 2024/2025
Certification BANK Already A
Neurology / Stroke
Assessment Graduate
Score 26-50 Nihss, Stroke, Scored, Right, Hemispheric
Stroke 51-75 Score, Nihss, Right, Examiner, Hemisphere Stroke
Right 76-100 Nihss, Score, Examiner, Stroke, Ataxia
Examiner 101-125 Nihss, Score, Aphasia, Stroke, Motor
Aphasia 126-150 Score, Nihss, Right, Stroke, Examiner
TOTAL 150 All questions include answers and detailed rationales
, Section A - NIH Stroke Scale Group B - Complete &
2024/2025 Certification BANK Already A Neurology / Stroke
Assessment Graduate
Q1.
A patient with a left hemispheric stroke is intubated and sedated, but follows commands
inconsistently. The nurse attempts to score NIHSS item 1a. Which approach is most
appropriate?
A. Score 3 because the patient is intubated B. Score based on the patient's response to
and cannot speak painful stimulation only
C. Score 1 if the patient is not fully alert but D. Score 0 if the patient is intubated and
responds to minor stimulation appears awake
Correct: C - Score 1 if the patient is not fully alert but responds to minor stimulation
Rationale:For intubated patients, scoring 1a relies on response to commands or painful
stimulation. A score of 1 is appropriate if the patient is not fully alert but responds to minor
stimulation. Intubation alone does not necessitate a score of 3; that is reserved for coma.
Painful stimulation is used only if verbal commands cannot be followed, and the response
should be graded accordingly.
Q2.
A patient with a brainstem stroke has bilateral horizontal gaze palsy. The examiner
attempts to test oculocephalic reflexes. What should the NIHSS score be for item 2?
A. 0 B. 1
C. 2 D. 3
Correct: C - 2
Rationale:Item 2 scores the best conjugate gaze. If both eyes deviate to one side or there is
bilateral gaze palsy that cannot be overcome by oculocephalic testing, the score is 2. A score
of 1 is for partial gaze palsy or unilateral gaze palsy that is overcome by oculocephalic
maneuver. Score 0 is normal. Score 3 is not a valid NIHSS score for gaze.
Q3.
A patient has a visual field deficit. The examiner uses visual threat in a patient with
aphasia. Which statement is correct?
A. Visual threat is not a valid method for B. Visual threat is used only if the patient
NIHSS scoring cannot follow commands, and it is scored
similarly to confrontation
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