NIHSS POST TEST QUESTIONS & ANSWERS 100% ACCURATE

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 - ANSWER-A,B,D Which of the following statements about NIHSS is not accurate? - ANSWER-The NIHSS is a 10-item scale The NIHSS can be completed by trained healthcare personnel in ....minutes. - ANSWER-Under 7 At what point should the pt suspected of having an ischemic stroke 1st be assessed using the NIHSS? - ANSWER-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? - ANSWER-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? - ANSWER-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 - ANSWER-The pt had normal horizontal eye movements The nurse administering the NIHSS positions the supine pts left arm at a 45 angle from his body with the elbow straight and the palm down. She releases the arm and counts to 10. What is the nurse assessing for? - ANSWER-Motor strength