NIHSS STROKE SCALE questions well answered to pass A+ rated

NIHSS STROKE SCALE questions well
answered to pass A+ rated

common signs of a stroke - correct answer ✔✔•Confusion

•Slurred speech

•Facial droop

•Extremity weakness and/or numbness

•Vision disturbance

•Dysphasia

•Ataxia



FAST - correct answer ✔✔•FAST - rapid identification for lay people

•Does not identify sensory impairment, vertigo or gait changes

-Facial droop

-Arm weakness

-Slurred speech

-Time



ways to assess a stroke - correct answer ✔✔•FAST - rapid identification for lay people

•CPSS, LAPSS, ROSIER - used for prehospital and ER recognition

•NIHSS



NIHSS (National Institutes of Health Stroke Scale) - correct answer ✔✔•Reliable and valid

•Used to objectively quantify the stroke impairments

, •Also used in emergent situations to determine treatment planning (the need for tPA) in the 3 -
4.5 hour window, along with clinical decision making

•Predictor of short and long-term outcomes

•Does not capture all stroke symptoms - vertebrobasilar stroke can cause vertigo, nausea and
vomiting, headache, oculomotor signs



1. Level of Consciousness

2. Best Gaze

3. Visual Fields

4. Facial Paresis

5. Motor Arm

6. Motor Leg

7. Limb Ataxia

8. Sensory

9. Best Language

10. Speech

11. Extinction and Inattention - correct answer ✔✔1-11 of the NIHSS



1. Level of Consciousness - correct answer ✔✔Divided into 3 sections:

•Responsiveness

•Questions

•Commands



0 = alert; responsive

1 = not alert; arousable by verbal or minor stimuli to respond

2 = not alert; arousable by repeated or strong or painful stimuli to respond; obtunded