NIH STROKE SCALE (NIHSS) EXAM 2026 ANSWERS KEY -
GROUPS A–F, PATIENTS 1–6 VERIFIED QUESTIONS &
ANSWERS A+ PERFORMANCE
🧠 Patient 1 – Test Group A
1. Level of Consciousness (LOC)
Question: When asked the current month and their age, the patient responds
incorrectly to both. What LOC question score should be recorded?
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a. 0 – Answers both correctly
b. 1 – Answers one correctly
c. 2 – Answers both incorrectly
d. 3 – Unresponsive
- ANSWER: c. 2 – Answers both incorrectly
🧠 Patient 2 – Test Group B
2. Best Gaze
Question: The patient is unable to follow commands to look left or right and shows
spontaneous deviation of the eyes to the left. What is the correct score?
a. 0 – Normal
b. 1 – Partial gaze palsy
c. 2 – Forced deviation
d. 3 – Complete gaze paralysis
- ANSWER: c. 2 – Forced deviation
🧠 Patient 3 – Test Group C
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3. Visual Fields
Question: The patient reports not seeing fingers in the left visual field in both eyes.
What score should be recorded?
a. 0 – No visual loss
b. 1 – Partial hemianopia
c. 2 – Complete hemianopia
d. 3 – Bilateral blindness
- ANSWER: c. 2 – Complete hemianopia
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🧠 Patient 4 – Test Group D
4. Facial Palsy
Question: Patient has complete paralysis of the lower face on one side and partial
on the upper face. What is the correct score?
a. 0 – Normal
b. 1 – Minor paralysis
c. 2 – Partial paralysis
d. 3 – Complete paralysis on one or both sides
- ANSWER: d. 3 – Complete paralysis