NIH STROKE SCALE (NIHSS)
CERTIFICATION PRACTICE EXAM —
GROUP A (PATIENTS 1–6)
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NIH Stroke Scale (NIHSS) Certification Practice Exam — Group A (Patients 1–6)
,Q1
What is the primary purpose of the NIH Stroke Scale?
A) Diagnose stroke etiology
B) Quantify neurologic deficit after stroke CORRECT
C) Determine stroke location
D) Replace neuroimaging
Rationale
The NIHSS quantifies neurologic impairment and helps guide treatment.
Q2
How many items are in the standard NIHSS?
A) 9
B) 11 CORRECT
C) 13
D) 15
Rationale
The NIHSS contains 11 items, some with left and right sub-scores.
Q3
What is the maximum possible NIHSS score?
A) 32
B) 38
C) 42 CORRECT
D) 46
Rationale
The maximum NIHSS score is 42.
2
,Q4
What is the minimum NIHSS score?
A) 0 CORRECT
B) 1
C) 2
D) 3
Rationale
A score of 0 indicates no measurable deficit.
Q5
Which litem lassesses llevel lof lconsciousness?
A) 1a CORRECT
B) 2
C) 3
D) 4
Rationale
Item 1a assesses level of consciousness.
Q6
Which litem lassesses lorientation lquestions?
A) 1a
B) 1b CORRECT
C) 1c
D) 2
Rationale
Item 1b assesses orientation to month and age.
3
, Q7
Which item assesses ability to follow commands?
A) 1a
B) 1b
C) 1c CORRECT
D) 3
Rationale
Item 1c assesses command-following.
Q8
Which litem lassesses lextraocular lmovements?
A) 2 CORRECT
B) 3
C) 4
D) 5
Rationale
Item 2 assesses best gaze.
Q9
Which litem lassesses lvisual lfields?
A) 2
B) 3 CORRECT
C) 4
D) 5
Rationale
Item 3 assesses visual fields.
4
CERTIFICATION PRACTICE EXAM —
GROUP A (PATIENTS 1–6)
300 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NIH Stroke Scale (NIHSS) Certification Practice Exam — Group A (Patients 1–6)
,Q1
What is the primary purpose of the NIH Stroke Scale?
A) Diagnose stroke etiology
B) Quantify neurologic deficit after stroke CORRECT
C) Determine stroke location
D) Replace neuroimaging
Rationale
The NIHSS quantifies neurologic impairment and helps guide treatment.
Q2
How many items are in the standard NIHSS?
A) 9
B) 11 CORRECT
C) 13
D) 15
Rationale
The NIHSS contains 11 items, some with left and right sub-scores.
Q3
What is the maximum possible NIHSS score?
A) 32
B) 38
C) 42 CORRECT
D) 46
Rationale
The maximum NIHSS score is 42.
2
,Q4
What is the minimum NIHSS score?
A) 0 CORRECT
B) 1
C) 2
D) 3
Rationale
A score of 0 indicates no measurable deficit.
Q5
Which litem lassesses llevel lof lconsciousness?
A) 1a CORRECT
B) 2
C) 3
D) 4
Rationale
Item 1a assesses level of consciousness.
Q6
Which litem lassesses lorientation lquestions?
A) 1a
B) 1b CORRECT
C) 1c
D) 2
Rationale
Item 1b assesses orientation to month and age.
3
, Q7
Which item assesses ability to follow commands?
A) 1a
B) 1b
C) 1c CORRECT
D) 3
Rationale
Item 1c assesses command-following.
Q8
Which litem lassesses lextraocular lmovements?
A) 2 CORRECT
B) 3
C) 4
D) 5
Rationale
Item 2 assesses best gaze.
Q9
Which litem lassesses lvisual lfields?
A) 2
B) 3 CORRECT
C) 4
D) 5
Rationale
Item 3 assesses visual fields.
4