NIHSS Group C Patients 1-6 ACTUAL
EXAM 2026/2027 | NIH Stroke Scale
Group C | Verified Q&A | Pass
Guaranteed - A+ Graded
Patient 1: 72-year-old male, right hemisphere stroke, awake
Clinical Vignette: The patient is a 72-year-old male brought to the ED due to sudden left-sided
weakness. He is awake, opens eyes spontaneously, and follows commands consistently. He has a left
gaze preference.
Q1 (Item 1a – Level of Consciousness): The patient opens eyes spontaneously and is fully interactive.
What is the correct score for Level of Consciousness?
A. 0
B. 1
C. 2
D. 3
Correct Answer: A
Rationale: A score of 0 is assigned when the patient is alert, responsive, and fully oriented, as evidenced
by spontaneous eye opening and consistent interaction.
Q2 (Item 2 – Best Gaze): The patient has a left gaze preference but can move eyes to the right on
command. What is the correct score for Best Gaze?
A. 0
B. 1
C. 2
, D. 9
Correct Answer: B
Rationale: A score of 1 indicates partial gaze palsy; the patient has a gaze preference (left) but is able to
move the eyes to the opposite side (right) on command.
Q3 (Item 5a – Left Motor Arm): The patient holds the left arm up for 5 seconds before it drifts down to
the bed. What is the correct score for Left Motor Arm?
A. 0
B. 1
C. 2
D. 3
Correct Answer: B
Rationale: A score of 1 is given when the limb drifts down before the required 10 seconds but does not
hit the bed or another support surface.
Q4 (Item 11 – Extinction and Inattention): When you touch the patient's right arm, he acknowledges it.
When you touch both arms simultaneously, he only acknowledges the right arm. What is the correct
score for Extinction and Inattention?
A. 0
B. 1
C. 2
D. 9
Correct Answer: B
Rationale: A score of 1 indicates visual, tactile, auditory, spatial, or personal inattention or extinction to
double simultaneous stimulation in one sensory modality.
Q5 (Item 8 – Sensory): The patient feels pinpricks on the right arm normally. On the left arm, he feels
the pinprick but reports it feels "dull" or different compared to the right. What is the correct score for
Sensory?
EXAM 2026/2027 | NIH Stroke Scale
Group C | Verified Q&A | Pass
Guaranteed - A+ Graded
Patient 1: 72-year-old male, right hemisphere stroke, awake
Clinical Vignette: The patient is a 72-year-old male brought to the ED due to sudden left-sided
weakness. He is awake, opens eyes spontaneously, and follows commands consistently. He has a left
gaze preference.
Q1 (Item 1a – Level of Consciousness): The patient opens eyes spontaneously and is fully interactive.
What is the correct score for Level of Consciousness?
A. 0
B. 1
C. 2
D. 3
Correct Answer: A
Rationale: A score of 0 is assigned when the patient is alert, responsive, and fully oriented, as evidenced
by spontaneous eye opening and consistent interaction.
Q2 (Item 2 – Best Gaze): The patient has a left gaze preference but can move eyes to the right on
command. What is the correct score for Best Gaze?
A. 0
B. 1
C. 2
, D. 9
Correct Answer: B
Rationale: A score of 1 indicates partial gaze palsy; the patient has a gaze preference (left) but is able to
move the eyes to the opposite side (right) on command.
Q3 (Item 5a – Left Motor Arm): The patient holds the left arm up for 5 seconds before it drifts down to
the bed. What is the correct score for Left Motor Arm?
A. 0
B. 1
C. 2
D. 3
Correct Answer: B
Rationale: A score of 1 is given when the limb drifts down before the required 10 seconds but does not
hit the bed or another support surface.
Q4 (Item 11 – Extinction and Inattention): When you touch the patient's right arm, he acknowledges it.
When you touch both arms simultaneously, he only acknowledges the right arm. What is the correct
score for Extinction and Inattention?
A. 0
B. 1
C. 2
D. 9
Correct Answer: B
Rationale: A score of 1 indicates visual, tactile, auditory, spatial, or personal inattention or extinction to
double simultaneous stimulation in one sensory modality.
Q5 (Item 8 – Sensory): The patient feels pinpricks on the right arm normally. On the left arm, he feels
the pinprick but reports it feels "dull" or different compared to the right. What is the correct score for
Sensory?
