NIH Stroke Scale Test Groups A–F with Questions and Solutions

NIH Stroke Scale Test Groups A–F with Questions and Solutions A patient with suspected acute ischemic stroke is being assessed using the NIH Stroke Scale. During the initial step of sequential administration (Group A: level of consciousness), the patient is alert but incorrectly answers both orientation questions (age and month). How should the examiner score NIHSS item 1b? a. 0 b. 1 c. 2 d. 3 Correct Answer: c Rationale: NIHSS item 1b (LOC questions) scores 2 when the patient answers both questions incorrectly. One incorrect answer scores 1, and both incorrect answers score 2, provided the patient is otherwise arousable. During Group A assessment, a patient opens eyes only to repeated painful stimulation and requires repeated prompting to maintain arousal. What is the most appropriate NIHSS score for item 1a? a. 1 b. 2 c. 3 d. 0 Correct Answer: b Rationale: NIHSS item 1a (LOC alertness) scores 2 when the patient is not alert but arousable with repeated or strong stimulation, indicating a moderate reduction in consciousness.