NIHSS Scale Questions & Answers Already Solved

What does the NIHSS scale assess? - Answer LOC, vision, motor strength, coordination, sensation, and language What is the highest score you can get on the NIHSS scale? - Answer 42 What does NIHSS stand for? - Answer National Institute of Health Stroke Scale The higher the score the ______ the outcome (worse or better) - Answer worse NIHSS item 1a - Answer level of consciousness; score 0-2 NIHSS item 1b - Answer LOC questions: age and month; score 0-2 NIHSS item 1c - Answer commands: open and close eyes, grip and release nonparetic hand; score 0-2 NIHSS item 2 - Answer best gaze: horizontal extraocular muscle movement (voluntary or doll's); score 0-2 NIHSS item 3 - Answer visual field: use visual threat if necessary (if monocular, score field of good eye); score 0-3 NIHSS item 4 - Answer facial palsy: if stuporous, check symmetry of grimace to pain; score 1-3 NIHSS item 5 - Answer motor arm: arm outstretch for 10 seconds; score 0-4 NIHSS item 6 - Answer motor leg: leg raised for 5 seconds; score 0-4 NIHSS item 7 - Answer limb ataxia: finger-to-noise/heel-to-shin; score 0-2 NIHSS item 8 - Answer sensory: use safety pin, poke face and extremities; score 0-2 NIHSS item 9 - Answer best language: show pictures, have pt describe; score 0-3