NIHSS - Group A Questions with Correct Answers 2026

NIHSS - Group A Questions with Correct
Answers 2026
1. A patient is asked to state the month and their age. This assesses which
NIHSS item?
A. Level of Consciousness Questions
B. Level of Consciousness Commands
C. Orientation and Memory
D. Best Language
✔ Correct Answer: A. Level of Consciousness Questions
Explanation: This item specifically evaluates orientation to time and age as
part of LOC questions.
2. A patient opens eyes only after repeated painful stimulation. What score is
assigned for LOC?
A. 0
B. 1
C. 2
D. 3
✔ Correct Answer: C. 2
Explanation: Score 2 indicates arousal requires repeated or painful
stimulation.
3. Failure to follow simple commands such as opening and closing eyes
reflects impairment in:
A. LOC Questions
B. LOC Commands
C. Best Gaze
D. Motor Function
✔ Correct Answer: B. LOC Commands
Explanation: LOC commands test the ability to follow simple instructions.

, 4. A patient cannot move eyes horizontally past midline. This is scored under:
A. Visual Fields
B. Best Gaze
C. Facial Palsy
D. Limb Ataxia
✔ Correct Answer: B. Best Gaze
Explanation: Best gaze assesses voluntary horizontal eye movement.
5. Complete hemianopia is scored as:
A. 1
B. 2
C. 3
D. 0
✔ Correct Answer: B. 2
Explanation: Score 2 reflects complete loss of half of the visual field.
6. Facial droop involving lower face only is scored as:
A. 1
B. 2
C. 3
D. 0
✔ Correct Answer: A. 1
Explanation: Minor paralysis such as lower facial weakness is scored 1.
7. No movement in the left arm against gravity is scored as:
A. 2
B. 3
C. 4
D. 1
✔ Correct Answer: B. 3
Explanation: Score 3 indicates no effort against gravity.
8. Drift of the right leg within 5 seconds is scored:
A. 1