NI H Stroke Scale 2026/2027...
NIH Stroke Scale
Study online at https://quizlet.com/_9yf2bf
1. NIH stroke scale help clinicians objectively rate the severity of ischemic strokes
was developed
to?
2. Increasing NIH more severe stroke and correlates with the size of the infarction
score indicates
what?
3. 1-pt increase in 24% at 7 days
score decreases
the likelihood of
an excellent out-
come by?
4. T/F: total NIHSS True
<4 generally have
favorable clinical
outcomes and a
high likelihood
of functional in-
dependence re-
gardless of treat-
ment
5. Rules for scoring -score what you see not what you think
-score the first response, not the best response (exception: item 9 best language)
-don't coach the pt
6. LOC is divided -Responsiveness - are they responsive when you walk into the room
into what three
sections? -LOC questions - ask the pt what the current month is and what their current age
1/6
1 of 6
, NI H Stroke Scale 2026/2027...
NIH Stroke Scale
Study online at https://quizlet.com/_9yf2bf
is
-LOC commands - ask the pt to blink their eyes and make the fist in both hands
7. LOC questions 0 - gets both questions right
scoring:
1- gets only one question right, or there is a language barrier, or unable to speak
due to trauma or intubated
2- gets both questions wrong, or they are inaudible
8. LOC responsive- 0-alert and completely responsive
ness scoring:
1- not alert but arousal to minor stimulation
2- not alert, required repeated stimulation to arouse, or requires strong or painful
stimuli
3- completely unresponsive or only unintentional reflexes
9. LOC commands 0 - perform both tasks correctly
scoring:
1- performs only one task correctly
2- performs neither task correctly
10. Horizontal ex- hold your finger about a foot in front of the pts face and ask them to follow it
tra ocular move-
ments (Best gaze) slowly move it up and down and side to side
scoring:
0- normal
1- partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or
total gaze paresis is not present
2/6
2 of 6
NIH Stroke Scale
Study online at https://quizlet.com/_9yf2bf
1. NIH stroke scale help clinicians objectively rate the severity of ischemic strokes
was developed
to?
2. Increasing NIH more severe stroke and correlates with the size of the infarction
score indicates
what?
3. 1-pt increase in 24% at 7 days
score decreases
the likelihood of
an excellent out-
come by?
4. T/F: total NIHSS True
<4 generally have
favorable clinical
outcomes and a
high likelihood
of functional in-
dependence re-
gardless of treat-
ment
5. Rules for scoring -score what you see not what you think
-score the first response, not the best response (exception: item 9 best language)
-don't coach the pt
6. LOC is divided -Responsiveness - are they responsive when you walk into the room
into what three
sections? -LOC questions - ask the pt what the current month is and what their current age
1/6
1 of 6
, NI H Stroke Scale 2026/2027...
NIH Stroke Scale
Study online at https://quizlet.com/_9yf2bf
is
-LOC commands - ask the pt to blink their eyes and make the fist in both hands
7. LOC questions 0 - gets both questions right
scoring:
1- gets only one question right, or there is a language barrier, or unable to speak
due to trauma or intubated
2- gets both questions wrong, or they are inaudible
8. LOC responsive- 0-alert and completely responsive
ness scoring:
1- not alert but arousal to minor stimulation
2- not alert, required repeated stimulation to arouse, or requires strong or painful
stimuli
3- completely unresponsive or only unintentional reflexes
9. LOC commands 0 - perform both tasks correctly
scoring:
1- performs only one task correctly
2- performs neither task correctly
10. Horizontal ex- hold your finger about a foot in front of the pts face and ask them to follow it
tra ocular move-
ments (Best gaze) slowly move it up and down and side to side
scoring:
0- normal
1- partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or
total gaze paresis is not present
2/6
2 of 6
