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NIHSS CERTIFICATION EXAM 2026/2027 | NIH STROKE SCALE | 50 VERIFIED Q&A | DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED

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NIHSS CERTIFICATION EXAM 2026/2027 — NIH STROKE SCALE — This Expert Verified, A+ Graded resource includes 50 verified Q&A with detailed rationales covering NIH Stroke Scale assessment, neurological examination, level of consciousness, visual fields, facial palsy, motor and sensory function, language, dysarthria, limb ataxia, neglect, stroke severity assessment, scoring principles, and clinical documentation.

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NIHSS CERTIFICATION EXAM 2026/2027 | NIH
STROKE SCALE | 50 VERIFIED Q&A | DETAILED
RATIONALES | PASS GUARANTEED – A+ GRADED

SECTION 1: NIHSS FUNDAMENTALS – Questions 1–10



Q1: NIHSS Fundamentals – Purpose
The NIH Stroke Scale is primarily used to:
A. Determine stroke etiology
B. Quantify neurological impairment
C. Assess long-term functional outcome
D. Diagnose hemorrhagic stroke

Correct Answer: B
Rationale: The NIHSS quantifies neurological impairment in acute stroke to guide treatment and
monitor changes. It does not determine etiology or long-term outcomes. [100% CORRECT]



Q2: NIHSS Fundamentals – Score Range
The maximum possible NIHSS score is:
A. 30
B. 36
C. 42
D. 50

Correct Answer: C
Rationale: The NIHSS has 11 items, each scored 0–4, with a maximum total score of 42. [100%
CORRECT]



Q3: NIHSS Fundamentals – Score of 0
An NIHSS score of 0 indicates:
A. Severe stroke
B. Moderate stroke
C. No measurable deficit
D. Minor stroke

Correct Answer: C
Rationale: A score of 0 indicates no measurable neurological deficit on the NIHSS. [100% CORRECT]



Q4: NIHSS Fundamentals – Score 1–4
An NIHSS score of 1–4 is classified as:
A. Minor stroke
B. Moderate stroke

, 2


C. Moderate-severe stroke
D. Severe stroke

Correct Answer: A
Rationale: NIHSS 1–4 is classified as minor stroke. [100% CORRECT]



Q5: NIHSS Fundamentals – Score 5–15
An NIHSS score of 5–15 is classified as:
A. Minor stroke
B. Moderate stroke
C. Moderate-severe stroke
D. Severe stroke

Correct Answer: B
Rationale: NIHSS 5–15 is classified as moderate stroke. [100% CORRECT]



Q6: NIHSS Fundamentals – Score 16–20
An NIHSS score of 16–20 is classified as:
A. Minor stroke
B. Moderate stroke
C. Moderate-severe stroke
D. Severe stroke

Correct Answer: C
Rationale: NIHSS 16–20 is classified as moderate to severe stroke. [100% CORRECT]



Q7: NIHSS Fundamentals – Score >20
An NIHSS score greater than 20 is classified as:
A. Minor stroke
B. Moderate stroke
C. Moderate-severe stroke
D. Severe stroke

Correct Answer: D
Rationale: NIHSS >20 is classified as severe stroke. [100% CORRECT]



Q8: NIHSS Fundamentals – Score ≥25
An NIHSS score of 25 or higher is associated with:
A. Good prognosis
B. Poor prognosis
C. No deficit
D. Minor stroke

Correct Answer: B
Rationale: NIHSS ≥25 indicates severe stroke and is associated with poor prognosis and increased
mortality. [100% CORRECT]

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