And Answers Graded A+
What NIHSS measures - ANS-measures severity of
symptoms of stroke
NIHSS areas of assessment - ANS-Level of consciousness
Vision
Extraoccular movements
Facial Palsy
Limb strength
Ataxia
Sensation
Speech and language
Grading scale of NIHSS - ANS-3 or 4 point scale
Scores range from 0-42
Score of >25 - ANS-Very severe stroke on NIHSS scale
Score of 15-24 - ANS-Severe stroke on NIHSS scale
, Score of 5-14 - ANS-Mild to Moderately Severe stroke on
NIHSS scale
Score of 1-5 - ANS-Mild stroke on NIHSS scale
1A - Level of consciousness (stimulate, rub, pinch) - ANS-0
- Alert; keenly responsive
1 - not alert, Arouses to minor stimulation
2 - Requires repeated stimulation to arouse
3 - reflex movements only or totally unresponsive;
Postures or unresponsive( use
painful/noxious stimulus)
1B - Ask month and age - ANS-0 - Both questions right
1 - One question right
1 - Dysarthric, intubated, trauma, or language barrier
2 - Aphasic
1C - "Blink eyes" and "Squeeze hands"
(ask pt to close eye, then open, L-hand make fist) - ANS-0
- Performs both tasks