2
NIHSS POST TEST with verified detailed answers || || || || || ||
A nurse educator is teaching a group of nursing students about use of the NIHSS. The nurse
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educator is correct to tell the students that the NIHSS is a clinical tool that can be used to -
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✔✔A,B,D
Which of the following statements about NIHSS is not accurate? - ✔✔The NIHSS is a 10-
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item scale ||
The NIHSS can be completed by trained healthcare personnel in ....minutes. - ✔✔Under 7
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At what point should the pt suspected of having an ischemic stroke 1st be assessed using
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the NIHSS? - ✔✔As soon as he/she is stabilized.
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A nurse administers the NIHSS to a pt who was brought to the ER by his son, who
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suspected that his father had a stroke. The nurse calculates the total NIHSS score of 12.
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What should this indicate to the nurse? - ✔✔The pt had a moderate stroke
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The nurse ask the pt to read the list of words attached to the NIHSS. The pts speech is
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unintelligible. What score should the nurse assign based on this finding? - ✔✔2 || || || || || || || || || || || ||
The nurse administering the NIHSS hold one finger up approximately one foot in front of
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pts face at eye level, instructs the pt to follow his finger with her eye, keeping the face still,
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as he moves his finger horizontally back and forth across the pts field of view. The nurse
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observes for voluntary or reflexive horizontal eye movement and assigns a score of 0. This
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indicates that - ✔✔The pt had normal horizontal eye movements || || || || || || || || ||
NIHSS POST TEST with verified detailed answers || || || || || ||
A nurse educator is teaching a group of nursing students about use of the NIHSS. The nurse
|| || || || || || || || || || || || || || || ||
educator is correct to tell the students that the NIHSS is a clinical tool that can be used to -
|| || || || || || || || || || || || || || || || || || || || ||
✔✔A,B,D
Which of the following statements about NIHSS is not accurate? - ✔✔The NIHSS is a 10-
|| || || || || || || || || || || || || || ||
item scale ||
The NIHSS can be completed by trained healthcare personnel in ....minutes. - ✔✔Under 7
|| || || || || || || || || || || || ||
At what point should the pt suspected of having an ischemic stroke 1st be assessed using
|| || || || || || || || || || || || || || || ||
the NIHSS? - ✔✔As soon as he/she is stabilized.
|| || || || || || || ||
A nurse administers the NIHSS to a pt who was brought to the ER by his son, who
|| || || || || || || || || || || || || || || || || ||
suspected that his father had a stroke. The nurse calculates the total NIHSS score of 12.
|| || || || || || || || || || || || || || || ||
What should this indicate to the nurse? - ✔✔The pt had a moderate stroke
|| || || || || || || || || || || || ||
The nurse ask the pt to read the list of words attached to the NIHSS. The pts speech is
|| || || || || || || || || || || || || || || || || || ||
unintelligible. What score should the nurse assign based on this finding? - ✔✔2 || || || || || || || || || || || ||
The nurse administering the NIHSS hold one finger up approximately one foot in front of
|| || || || || || || || || || || || || || ||
pts face at eye level, instructs the pt to follow his finger with her eye, keeping the face still,
|| || || || || || || || || || || || || || || || || || ||
as he moves his finger horizontally back and forth across the pts field of view. The nurse
|| || || || || || || || || || || || || || || || ||
observes for voluntary or reflexive horizontal eye movement and assigns a score of 0. This
|| || || || || || || || || || || || || || ||
indicates that - ✔✔The pt had normal horizontal eye movements || || || || || || || || ||
