NIHSS Certification Exam Questions with 100% correct Answers

What does NIHSS stand for? Correct Answer National Institute of Health Stroke Scale What are 6 important conventions to remember when scoring a NIHSS? Correct Answer Administer scale items in EXACT order Avoid coaching the patient Accept the patient's first effort Score only what the patient does Be consistent Include all deficits in scoring When administering an NIHSS what is important to remember about the order of the test? Correct Answer Do not change the order of the testing, go in exact order to reproduce results. A nurse is administering a NIHSS. He/she re preforms the test after a poor first result. The patient scores much better on the second attempt. Which test result should the nurse record in the patient's records? Why? Correct Answer The first attempt. Only first attempts are recorded as an attempt to keep the NIHSS uniform throughout healthcare. What is the first item of the NIHSS? 1A Correct Answer Level of Consciousness What are the four score levels for item 1A? Correct Answer 0 = Alert 1 = Not alert, aroused with minor verbal stimulation 2 = Not alert; requires strong or painful stimulation 3 = Reflex movements only or totally unresponsive How should a level 3 patient be stimulated? Correct Answer Rubbing on the chest, painful stimuli