NIHSS.pdf 2026//2027!!
NIHSS
Study online at https://quizlet.com/_4amj6n
1. What does NIHSS stand for? National Institute of Health
Stroke Scale
2. What are 6 important conventions to remember when Administer scale items in
scoring a NIHSS? EXACT order
Avoid coaching the pa-
tient
Accept the patient's first ef-
fort
Score only what the pa-
tient does
Be consistent
Include all deficits in scor-
ing
3. When administering an NIHSS what is important to Do not change the order
remember about the order of the test? of the testing, go in exact
order to reproduce results.
4. A nurse is administering a NIHSS. He/she re preforms The first attempt. Only first
the test after a poor first result. The patient scores attempts are recorded as
much better on the second attempt. Which test result an attempt to keep the
should the nurse record in the patient's records? Why? NIHSS uniform through-
out healthcare.
5. What is the first item of the NIHSS? 1A Level of Consciousness
6. What are the four score levels for item 1A? 0 = Alert
1 = Not alert, aroused with
minor verbal stimulation
2 = Not alert; requires
1/4
Page 1 of 4 9/15/2026, 7:27:11 AM
NIHSS
Study online at https://quizlet.com/_4amj6n
1. What does NIHSS stand for? National Institute of Health
Stroke Scale
2. What are 6 important conventions to remember when Administer scale items in
scoring a NIHSS? EXACT order
Avoid coaching the pa-
tient
Accept the patient's first ef-
fort
Score only what the pa-
tient does
Be consistent
Include all deficits in scor-
ing
3. When administering an NIHSS what is important to Do not change the order
remember about the order of the test? of the testing, go in exact
order to reproduce results.
4. A nurse is administering a NIHSS. He/she re preforms The first attempt. Only first
the test after a poor first result. The patient scores attempts are recorded as
much better on the second attempt. Which test result an attempt to keep the
should the nurse record in the patient's records? Why? NIHSS uniform through-
out healthcare.
5. What is the first item of the NIHSS? 1A Level of Consciousness
6. What are the four score levels for item 1A? 0 = Alert
1 = Not alert, aroused with
minor verbal stimulation
2 = Not alert; requires
1/4
Page 1 of 4 9/15/2026, 7:27:11 AM
