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NIH Stroke Scale Group D Answer Key 2025 | Patients 1-6 with Detailed Item Scores and Total Scores

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Complete your NIH Stroke Scale (NIHSS) certification preparation with this comprehensive Group D answer key featuring accurate scoring for Patients 1 through 6 with updated 2025 answers. This essential resource provides detailed breakdowns of all 11 assessment items for each patient case, including level of consciousness (LOC questions and commands), best gaze, visual fields, facial palsy, motor function for both arms and legs, limb ataxia, sensory function, best language, dysarthria, and extinction/inattention. Each patient includes the specific descriptor for every item score along with the calculated total score: Patient 1 (Total Score 5) with partial gaze palsy and complete hemianopia, Patient 2 (Total Score 6), Patient 3 (Total Score 7) with left leg weakness and mild sensory loss, Patient 4 (Total Score 3) with ataxia in two limbs, Patient 5 (Total Score 13) presenting with left-sided hemiplegia, hemianopia, and complete inattention, and Patient 6 (Total Score 3) with right leg weakness and ataxia. Designed for healthcare professionals seeking initial NIHSS certification or recertification, this answer key enables accurate self-assessment and validation of stroke severity scoring proficiency through the complete Group D patient set.

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NIH stroke scale

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NIH Stroke Scale (NIHSS) – Group D
Answer Key
Patients 1–6 | Updated 2025

NIH Stroke Scale – Group D (Complete)



Patient 1
1a: 0 – Alert
1b: 0 – Answers both correctly
1c: 0 – Performs both tasks correctly
2: 1 – Partial gaze palsy
3: 2 – Complete hemianopia
4: 0 – Normal symmetrical movement
5a (Left Arm): 0 – No drift
5b (Right Arm): 0 – No drift
6a (Left Leg): 2 – Some effort against gravity; limb cannot get to or maintain position
6b (Right Leg): 0 – No drift
7: 0 – No ataxia
8: 0 – No sensory loss
9: 0 – No aphasia
10: 0 – Normal
11: 0 – No inattention

Total Score: 5



Patient 2
1a: 0 – Alert
1b: 2 – Answers neither correctly
1c: 0 – Performs both tasks correctly
2: 0 – Normal
3: 0 – No visual loss
4: 0 – Normal
5a (Left Arm): 0 – No drift
5b (Right Arm): 0 – No drift
6a (Left Leg): 1 – Drift, does not hit bed
6b (Right Leg): 2 – Some effort against gravity
7: 1 – Ataxia present in one limb
8: 0 – No sensory loss
9: 0 – No aphasia

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NIH stroke scale
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NIH stroke scale

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Uploaded on
February 20, 2026
Number of pages
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Written in
2025/2026
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