NIH Stroke Scale (NIHSS) Group A Test — Practice Exam
newest 2025- 2026 Update Questions & 100% Correct
Answers Graded A+ (Brand New!!)
Most Tested Areas: Level of consciousness, gaze, visual
fields, facial palsy, motor arm/leg, limb ataxia, sensory
loss, language, dysarthria, extinction/inattention, scoring
rules, differentiation of deficits
1. A patient opens eyes only to painful stimulation. What is the LOC score?
2
Eye opening to pain corresponds to a score of 2 on the LOC
responsiveness item.
2. The patient correctly states the month but not their age. What is the LOC
questions score?
1
One correct answer out of two orientation questions scores 1.
3. The patient obeys both commands to open and close eyes and grip and
release the hand. Score?
0
Following both commands correctly earns a score of 0.
4. Forced deviation of gaze to the right that cannot be overcome with
oculocephalic maneuver is scored as?
2
Forced gaze palsy is the highest score for horizontal gaze.
, 5. Partial gaze palsy with limitation in one direction only is scored as?
1
Incomplete gaze limitation equals a score of 1.
6. Complete hemianopia is scored as?
2
Loss of half the visual field on one side earns 2 points.
7. Bilateral hemianopia or cortical blindness is scored as?
3
Total visual loss is the maximum score for visual fields.
8. Minor facial paralysis such as flattened nasolabial fold is scored as?
1
Mild asymmetry without complete weakness equals 1.
9. Complete paralysis of one side of the face is scored as?
3
No movement in upper and lower face on one side earns 3.
10.Arm drifts down before 10 seconds but does not hit the bed. Score?
1
Drift without contact with the bed scores 1.
11.Arm falls to the bed before 10 seconds but shows some effort against
gravity. Score?
2
Cannot maintain position but has movement against gravity.
12.No effort against gravity in the arm, but minimal movement present. Score?
3
Movement but not against gravity earns 3.
13.No movement in the arm. Score?
4
Complete paralysis of the limb is scored as 4.
newest 2025- 2026 Update Questions & 100% Correct
Answers Graded A+ (Brand New!!)
Most Tested Areas: Level of consciousness, gaze, visual
fields, facial palsy, motor arm/leg, limb ataxia, sensory
loss, language, dysarthria, extinction/inattention, scoring
rules, differentiation of deficits
1. A patient opens eyes only to painful stimulation. What is the LOC score?
2
Eye opening to pain corresponds to a score of 2 on the LOC
responsiveness item.
2. The patient correctly states the month but not their age. What is the LOC
questions score?
1
One correct answer out of two orientation questions scores 1.
3. The patient obeys both commands to open and close eyes and grip and
release the hand. Score?
0
Following both commands correctly earns a score of 0.
4. Forced deviation of gaze to the right that cannot be overcome with
oculocephalic maneuver is scored as?
2
Forced gaze palsy is the highest score for horizontal gaze.
, 5. Partial gaze palsy with limitation in one direction only is scored as?
1
Incomplete gaze limitation equals a score of 1.
6. Complete hemianopia is scored as?
2
Loss of half the visual field on one side earns 2 points.
7. Bilateral hemianopia or cortical blindness is scored as?
3
Total visual loss is the maximum score for visual fields.
8. Minor facial paralysis such as flattened nasolabial fold is scored as?
1
Mild asymmetry without complete weakness equals 1.
9. Complete paralysis of one side of the face is scored as?
3
No movement in upper and lower face on one side earns 3.
10.Arm drifts down before 10 seconds but does not hit the bed. Score?
1
Drift without contact with the bed scores 1.
11.Arm falls to the bed before 10 seconds but shows some effort against
gravity. Score?
2
Cannot maintain position but has movement against gravity.
12.No effort against gravity in the arm, but minimal movement present. Score?
3
Movement but not against gravity earns 3.
13.No movement in the arm. Score?
4
Complete paralysis of the limb is scored as 4.
