NIHSS Test Questions & Answers 100% Correct

NIHSSI - Answer The National Institutes of Health Stroke Scale International Important Conventions - Answer Administer scale items in their exact order Avoid coaching patient Accept patients first attempt Score only what patient does Be consistent Include all deficits in scoring 1A. Level of Consciousness (LOC) - Answer Overall impression of alertness. 1A. Level of Consciousness (LOC) Scoring - Answer 0 = Alert. 1 = Not alert; aroused with minor verbal stimulation. 2 = Not alert; requires strong or painful stimulation. 3 = Reflex movements only or totally unresponsive. 1A. Level of Consciousness (LOC) Exam - Answer Ask patient questions about circumstances of admission. Stimulate patient by patting or tapping patient. Or noxious stimulation such as pinching or stern rub to check level of consciousness. 1A. Level of Consciousness (LOC) Assessment - Answer LOC is the only item allowed to go back and change a score. If it is difficult to score between 1 or 2, continue with medical history questions until confident in assigning a score. Score must be chosen even if confronted with obstacles such as ET tube, language barrier, or oral tracheae trauma or bandages. Score 0, keenly responsive. Score 2, repeated verbal stimulation to attend, strong painful noxious stimulation to make movements. Score of 3 is generally considered to be in a coma. Score of 3 requires noxious painful stimuli by sternal rub. Only reflexive posturing movements in response to painful noxious stimuli. Requires particular attention as it impacts rest of exam. Continue with exam and attempt all following items. 1B. Level of Consciousness Questions - Answer Question 1. Month of year Question 2. Patients age 1B. Level of Consciousness Questions Scoring - Answer 0 = Answers both questions correctly 1 = Answers one question correctly 2 = Answers neither question correctly