51. Which of the following is true regarding the GTPase activity of Ras proteins?
NR 327 Exam 1 Chamberlain University
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in
Question Bank 2026/2027 with Verified
as as as as as as as as as as as as as as
.
Answers & Detailed Rationales
Question 1: A patient opens their eyes only after receiving a painful stimulus from the examiner. How should the
as as as as as as as as as as as as as as as as as as
Level of Consciousness (Item 1a) be scored?
as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: C — as as as
A score of 2 is assigned when the patient requires repeated or painful stimulation to make movements or open ey
as as as as as as as as as as as as as as as as as as as as
es. Score 0 indicates alertness, 1 indicates drowsiness but arousal with minimal stimulation, and 3 indicates no re
as as as as as as as as as as as as as as as as as
sponse or reflex-only movements . as as as as
Question 2: During assessment of LOC Questions (Item 1b), the patient correctly states their age but cannot nam
as as as as as as as as as as as as as as as as as
e the current month despite repeated prompting. What is the appropriate score?
as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: B — as as as
Item 1b requires the patient to answer both the month and their age correctly to receive a score of 0. Answering
as as as as as as as as as as as as as as as as as as as as as as
only one question correctly warrants a score of 1. A score of 2 is reserved for patients who answer neither questio
as as as as as as as as as as as as as as as as as as as as
n correctly .
as as
Question 3: The patient follows the command to open and close their eyes but does not perform the grip-and-
as as as as as as as as as as as as as as as as as as
release task when asked. How should LOC Commands (Item 1c) be scored?
as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: B — as as as
Item 1c scores the ability to perform two commands: open/close eyes and grip/release hand. A score of 1 is given
as as as as as as as as as as as as as as as as as as as as
when the patient performs only one task correctly. Score 0 requires both commands to be performed correctly .
as as as as as as as as as as as as as as as as as as
Question 4: A patient is asked to hold their left arm at 90 degrees while sitting. The arm holds the position but dr
as as as as as as as as as as as as as as as as as as as as as as
ifts downward before the 10-
as as as as
second period ends, though it does not reach the bed. What is the correct Motor Arm (Item 5a) score?
as as as as as as as as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — A score of 1 is assigned when the limb drifts down but does not hit the bed within the 10-
as as as as as as as as as as as as as as as as as as as as as as as
second window. Score 0 requires the arm to hold the position steadily for the full 10 seconds without any drift. Sc
as as as as as as as as as as as as as as as as as as as as
ore 2 indicates the limb drifts to the bed but has some effort against gravity .
as as as as as as as as as as as as as as as
Question 5: When assessing Limb Ataxia (Item 7) in a patient who has complete paralysis of the left arm (Motor
as as as as as as as as as as as as as as as as as as as as
Arm score of 4), how should this item be scored?
as as as as as as as as as
A. Score 1, assuming ataxia would be present
as as as as as as as
B. Score 2 based on stroke severity
as as as as as as
C. Score 0 as unscoreable, and skip the item
as as as as as as as as
D. Perform the test on the right arm only and double the score
as as as as as as as as as as as as
Correct Answer: C — as as as
If the patient is paralyzed in a limb (Motor score of 4), ataxia cannot be assessed in that limb. The item is scored
as as as as as as as as as as as as as as as as as as as as as as as as
as 0 and marked as untestable for the purpose of the total score. This prevents artificially inflating the score by do
as as as as as as as as as as as as as as as as as as as as
uble-counting the deficit . as as as
Garrett/Grisham 5e Test Bank 10 as as
, 51.
Which of the following is true regarding the GTPase activity of Ras proteins?
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in as as as as as as as as as as as as as as
Question 6: A patient has dense hemianopia (blindness in half the visual field) in one eye, but the other eye has n
as as as as as as as as as as as as as as as as as as as as as
ormal vision. How should Visual Fields (Item 3) be scored?
as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — as as as
This scenario describes partial hemianopia, which receives a score of 1. Score 0 indicates no visual loss, score 2 i
as as as as as as as as as as as as as as as as as as as as
ndicates complete hemianopia, and score 3 indicates bilateral hemianopia (blindness) .
as as as as as as as as as as
Question 7: A patient is intubated and cannot speak. How should Dysarthria (Item 10) be scored?
as as as as as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: D — as as as
If the patient is intubated, has a physical barrier, or cannot be assessed for speech clarity, the item should be mar
as as as as as as as as as as as as as as as as as as as as as
ked as "Untestable" (UN). Scoring this item as 0, 1, or 2 would be inaccurate because the physical barrier prevent
as as as as as as as as as as as as as as as as as as as
s proper assessment .
as as as
Question 8: According to the NIHSS, what total score range indicates a "moderate" stroke severity?
as as as as as as as as as as as as as as
A. 0–4 as
B. 5–15 as
C. 16–20 as
D. 21–42 as
Correct Answer: B — The NIHSS total score classifications are: 0 = no stroke symptoms; 1–4 = mild; 5–
as as as as as as as as as as as as as as as as as as
15 = moderate; 16–20 = moderate to severe; 21–42 = severe .
as as as as as as as as as as as
Question 9: During Best Gaze assessment (Item 2), what type of eye movement is specifically being tested?
as as as as as as as as as as as as as as as as
A. Vertical eye movements and pupil reactivity
as as as as as as
B. Horizontal eye movements only
as as as as
C. Convergence and accommodation
as as as
D. Oculocephalic reflex only
as as as
Correct Answer: B — as as as
Item 2 specifically assesses horizontal eye movements, looking for partial gaze palsy or forced deviation. It doe
as as as as as as as as as as as as as as as as as
s not test vertical movements, pupil reactivity, or convergence .
as as as as as as as as as
Question 10: A patient is alert and fully responsive to questions without any prompting. What is the correct score
as as as as as as as as as as as as as as as as as as
for Level of Consciousness (Item 1a)?
as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: A — as as as
A score of 0 on Item 1a is assigned when the patient is alert, keenly responsive, and requires no stimulation to ar
as as as as as as as as as as as as as as as as as as as as as as
ouse. This is the normal finding for a patient without impaired consciousness .
as as as as as as as as as as as as
11 to 100 as as
Found 19 web pages as as as
NIHSS Certification Exam — Group A (Questions 11–100)
as as as as as as as
Note: Questions 11– as as
100 continue from the previous set. These questions cover general NIHSS principles, scoring rules, and clinical s
as as as as as as as as as as as as as as as as
cenarios applicable to Group A certification. The correct answer is provided after each question with a brief ratio
as as as as as as as as as as as as as as as as as
nale.
Question 11: The NIHSS is designed to measure which of the following?
as as as as as as as as as as as
A. The specific type of stroke (ischemic vs. hemorrhagic)
as as as as as as as as
B. The severity of neurological deficit in acute stroke patients
as as as as as as as as as
Garrett/Grisham 5e as Test Bank as 10
, 51.
Which of the following is true regarding the GTPase activity of Ras proteins?
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in as as as as as as as as as as as as as as
C. The patient's long-term rehabilitation potential
as as as as as
D. The exact location of the arterial occlusion
as as as as as as as
Correct Answer: B — as as as
The NIHSS is a standardized tool that quantifies neurological impairment following stroke. It does not diagnose
as as as as as as as as as as as as as as as as as
stroke type, localize the occlusion, or predict rehabilitation outcomes.
as as as as as as as as as
Question 12: What is the maximum total score possible on the NIHSS?
as as as as as as as as as as as
A. 30as
B. 42as
C. 45as
D. 56as
Correct Answer: B — as as as
The maximum score is 42, which represents the sum of the highest possible scores across all 15 scored items.
as as as as as as as as as as as as as as as as as as as as
Question 13: A patient answers both orientation questions correctly (month and age). What is the score for Item
as as as as as as as as as as as as as as as as as as
1b?
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: A — as as as
Item 1b scores 0 when the patient correctly answers both the current month and their age.
as as as as as as as as as as as as as as as as as
Question 14: For Item 1c (LOC Commands), what are the two tasks the patient is asked to perform?
as as as as as as as as as as as as as as as as as
A. State their name and count to ten
as as as as as as as
B. Open and close eyes, then grip and release hand
as as as as as as as as as
C. Stick out tongue and smile
as as as as as
D. Raise both arms and walk
as as as as as
Correct Answer: B — as as as
The standard commands are: (1) open and close your eyes, and (2) grip and release the non-paretic hand.
as as as as as as as as as as as as as as as as as as as
Question 15: When testing Motor Arm (Item 5a), how long should the patient hold the arm in the elevated positi
as as as as as as as as as as as as as as as as as as as
on?
A. 5 seconds
as as
B. 10 seconds
as as
C. 15 seconds
as as
D. 30 seconds
as as
Correct Answer: B — as as as
The patient holds the arm at 90 degrees (sitting) or 45 degrees (supine) for a full 10 seconds to assess for drift.
as as as as as as as as as as as as as as as as as as as as as as as
Question 16: A patient's arm drifts downward but does not reach the bed within 10 seconds. What is the Motor A
as as as as as as as as as as as as as as as as as as as as
rm (Item 5a) score?
as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — A score of 1 indicates drift that does not hit the bed within the 10-
as as as as as as as as as as as as as as as as as as
second window. Score 0 requires no drift; score 2 indicates the limb drifts to the bed.
as as as as as as as as as as as as as as as as
Question 17: How long should the leg be held elevated when testing Motor Leg (Item 6)?
as as as as as as as as as as as as as as as
A. 3 seconds
as as
B. 5 seconds
as as
C. 10 seconds
as as
D. 15 seconds
as as
Correct Answer: B — as as as
The leg is held at 30 degrees (always supine) for 5 seconds. Note: the leg hold time is shorter than the arm hold ti
as as as as as as as as as as as as as as as as as as as as as as as as
me. as
Question 18: When assessing Limb Ataxia (Item 7), what does a score of 2 indicate?
as as as as as as as as as as as as as as
A. Ataxia in one limb
as as as as
Garrett/Grisham 5e as Test Bank as 10
NR 327 Exam 1 Chamberlain University
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in
Question Bank 2026/2027 with Verified
as as as as as as as as as as as as as as
.
Answers & Detailed Rationales
Question 1: A patient opens their eyes only after receiving a painful stimulus from the examiner. How should the
as as as as as as as as as as as as as as as as as as
Level of Consciousness (Item 1a) be scored?
as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: C — as as as
A score of 2 is assigned when the patient requires repeated or painful stimulation to make movements or open ey
as as as as as as as as as as as as as as as as as as as as
es. Score 0 indicates alertness, 1 indicates drowsiness but arousal with minimal stimulation, and 3 indicates no re
as as as as as as as as as as as as as as as as as
sponse or reflex-only movements . as as as as
Question 2: During assessment of LOC Questions (Item 1b), the patient correctly states their age but cannot nam
as as as as as as as as as as as as as as as as as
e the current month despite repeated prompting. What is the appropriate score?
as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: B — as as as
Item 1b requires the patient to answer both the month and their age correctly to receive a score of 0. Answering
as as as as as as as as as as as as as as as as as as as as as as
only one question correctly warrants a score of 1. A score of 2 is reserved for patients who answer neither questio
as as as as as as as as as as as as as as as as as as as as
n correctly .
as as
Question 3: The patient follows the command to open and close their eyes but does not perform the grip-and-
as as as as as as as as as as as as as as as as as as
release task when asked. How should LOC Commands (Item 1c) be scored?
as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: B — as as as
Item 1c scores the ability to perform two commands: open/close eyes and grip/release hand. A score of 1 is given
as as as as as as as as as as as as as as as as as as as as
when the patient performs only one task correctly. Score 0 requires both commands to be performed correctly .
as as as as as as as as as as as as as as as as as as
Question 4: A patient is asked to hold their left arm at 90 degrees while sitting. The arm holds the position but dr
as as as as as as as as as as as as as as as as as as as as as as
ifts downward before the 10-
as as as as
second period ends, though it does not reach the bed. What is the correct Motor Arm (Item 5a) score?
as as as as as as as as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — A score of 1 is assigned when the limb drifts down but does not hit the bed within the 10-
as as as as as as as as as as as as as as as as as as as as as as as
second window. Score 0 requires the arm to hold the position steadily for the full 10 seconds without any drift. Sc
as as as as as as as as as as as as as as as as as as as as
ore 2 indicates the limb drifts to the bed but has some effort against gravity .
as as as as as as as as as as as as as as as
Question 5: When assessing Limb Ataxia (Item 7) in a patient who has complete paralysis of the left arm (Motor
as as as as as as as as as as as as as as as as as as as as
Arm score of 4), how should this item be scored?
as as as as as as as as as
A. Score 1, assuming ataxia would be present
as as as as as as as
B. Score 2 based on stroke severity
as as as as as as
C. Score 0 as unscoreable, and skip the item
as as as as as as as as
D. Perform the test on the right arm only and double the score
as as as as as as as as as as as as
Correct Answer: C — as as as
If the patient is paralyzed in a limb (Motor score of 4), ataxia cannot be assessed in that limb. The item is scored
as as as as as as as as as as as as as as as as as as as as as as as as
as 0 and marked as untestable for the purpose of the total score. This prevents artificially inflating the score by do
as as as as as as as as as as as as as as as as as as as as
uble-counting the deficit . as as as
Garrett/Grisham 5e Test Bank 10 as as
, 51.
Which of the following is true regarding the GTPase activity of Ras proteins?
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in as as as as as as as as as as as as as as
Question 6: A patient has dense hemianopia (blindness in half the visual field) in one eye, but the other eye has n
as as as as as as as as as as as as as as as as as as as as as
ormal vision. How should Visual Fields (Item 3) be scored?
as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — as as as
This scenario describes partial hemianopia, which receives a score of 1. Score 0 indicates no visual loss, score 2 i
as as as as as as as as as as as as as as as as as as as as
ndicates complete hemianopia, and score 3 indicates bilateral hemianopia (blindness) .
as as as as as as as as as as
Question 7: A patient is intubated and cannot speak. How should Dysarthria (Item 10) be scored?
as as as as as as as as as as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. Untestable
as
Correct Answer: D — as as as
If the patient is intubated, has a physical barrier, or cannot be assessed for speech clarity, the item should be mar
as as as as as as as as as as as as as as as as as as as as as
ked as "Untestable" (UN). Scoring this item as 0, 1, or 2 would be inaccurate because the physical barrier prevent
as as as as as as as as as as as as as as as as as as as
s proper assessment .
as as as
Question 8: According to the NIHSS, what total score range indicates a "moderate" stroke severity?
as as as as as as as as as as as as as as
A. 0–4 as
B. 5–15 as
C. 16–20 as
D. 21–42 as
Correct Answer: B — The NIHSS total score classifications are: 0 = no stroke symptoms; 1–4 = mild; 5–
as as as as as as as as as as as as as as as as as as
15 = moderate; 16–20 = moderate to severe; 21–42 = severe .
as as as as as as as as as as as
Question 9: During Best Gaze assessment (Item 2), what type of eye movement is specifically being tested?
as as as as as as as as as as as as as as as as
A. Vertical eye movements and pupil reactivity
as as as as as as
B. Horizontal eye movements only
as as as as
C. Convergence and accommodation
as as as
D. Oculocephalic reflex only
as as as
Correct Answer: B — as as as
Item 2 specifically assesses horizontal eye movements, looking for partial gaze palsy or forced deviation. It doe
as as as as as as as as as as as as as as as as as
s not test vertical movements, pupil reactivity, or convergence .
as as as as as as as as as
Question 10: A patient is alert and fully responsive to questions without any prompting. What is the correct score
as as as as as as as as as as as as as as as as as as
for Level of Consciousness (Item 1a)?
as as as as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: A — as as as
A score of 0 on Item 1a is assigned when the patient is alert, keenly responsive, and requires no stimulation to ar
as as as as as as as as as as as as as as as as as as as as as as
ouse. This is the normal finding for a patient without impaired consciousness .
as as as as as as as as as as as as
11 to 100 as as
Found 19 web pages as as as
NIHSS Certification Exam — Group A (Questions 11–100)
as as as as as as as
Note: Questions 11– as as
100 continue from the previous set. These questions cover general NIHSS principles, scoring rules, and clinical s
as as as as as as as as as as as as as as as as
cenarios applicable to Group A certification. The correct answer is provided after each question with a brief ratio
as as as as as as as as as as as as as as as as as
nale.
Question 11: The NIHSS is designed to measure which of the following?
as as as as as as as as as as as
A. The specific type of stroke (ischemic vs. hemorrhagic)
as as as as as as as as
B. The severity of neurological deficit in acute stroke patients
as as as as as as as as as
Garrett/Grisham 5e as Test Bank as 10
, 51.
Which of the following is true regarding the GTPase activity of Ras proteins?
a s a s as as as as as as as as as as as as
a. under normal conditions, the GTPase activity is very high with most Ras proteins kept in as as as as as as as as as as as as as as
C. The patient's long-term rehabilitation potential
as as as as as
D. The exact location of the arterial occlusion
as as as as as as as
Correct Answer: B — as as as
The NIHSS is a standardized tool that quantifies neurological impairment following stroke. It does not diagnose
as as as as as as as as as as as as as as as as as
stroke type, localize the occlusion, or predict rehabilitation outcomes.
as as as as as as as as as
Question 12: What is the maximum total score possible on the NIHSS?
as as as as as as as as as as as
A. 30as
B. 42as
C. 45as
D. 56as
Correct Answer: B — as as as
The maximum score is 42, which represents the sum of the highest possible scores across all 15 scored items.
as as as as as as as as as as as as as as as as as as as as
Question 13: A patient answers both orientation questions correctly (month and age). What is the score for Item
as as as as as as as as as as as as as as as as as as
1b?
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: A — as as as
Item 1b scores 0 when the patient correctly answers both the current month and their age.
as as as as as as as as as as as as as as as as as
Question 14: For Item 1c (LOC Commands), what are the two tasks the patient is asked to perform?
as as as as as as as as as as as as as as as as as
A. State their name and count to ten
as as as as as as as
B. Open and close eyes, then grip and release hand
as as as as as as as as as
C. Stick out tongue and smile
as as as as as
D. Raise both arms and walk
as as as as as
Correct Answer: B — as as as
The standard commands are: (1) open and close your eyes, and (2) grip and release the non-paretic hand.
as as as as as as as as as as as as as as as as as as as
Question 15: When testing Motor Arm (Item 5a), how long should the patient hold the arm in the elevated positi
as as as as as as as as as as as as as as as as as as as
on?
A. 5 seconds
as as
B. 10 seconds
as as
C. 15 seconds
as as
D. 30 seconds
as as
Correct Answer: B — as as as
The patient holds the arm at 90 degrees (sitting) or 45 degrees (supine) for a full 10 seconds to assess for drift.
as as as as as as as as as as as as as as as as as as as as as as as
Question 16: A patient's arm drifts downward but does not reach the bed within 10 seconds. What is the Motor A
as as as as as as as as as as as as as as as as as as as as
rm (Item 5a) score?
as as as
A. 0 as
B. 1 as
C. 2 as
D. 3 as
Correct Answer: B — A score of 1 indicates drift that does not hit the bed within the 10-
as as as as as as as as as as as as as as as as as as
second window. Score 0 requires no drift; score 2 indicates the limb drifts to the bed.
as as as as as as as as as as as as as as as as
Question 17: How long should the leg be held elevated when testing Motor Leg (Item 6)?
as as as as as as as as as as as as as as as
A. 3 seconds
as as
B. 5 seconds
as as
C. 10 seconds
as as
D. 15 seconds
as as
Correct Answer: B — as as as
The leg is held at 30 degrees (always supine) for 5 seconds. Note: the leg hold time is shorter than the arm hold ti
as as as as as as as as as as as as as as as as as as as as as as as as
me. as
Question 18: When assessing Limb Ataxia (Item 7), what does a score of 2 indicate?
as as as as as as as as as as as as as as
A. Ataxia in one limb
as as as as
Garrett/Grisham 5e as Test Bank as 10
