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CE direct: The NIH Stroke Scale questions and solutions

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CE direct: The NIH Stroke Scale questions and solutions

When should the NIHSS be administered? - answersC. As soon as possible and if there is a sudden change in status
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What is one way that the NIHSS is reproducible? - answersC. Use by certified professionals Correct
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Worsening scores in which of the following NIHSS categories is associated with neurological deterioration when
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observed within 120 minutes after TPA administration? - answersA. Level of consciousness
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When administering the NIHSS to a non-English speaking patient, what additional resources should the nurse plan to
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have for the assessment? - answersB. Language services or an interpreter
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What is the NIHSS category score for 1c (LOC-Commands) when the patient attempts to follow instructions but is too
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weak? - answersA. 0 - Performs both tasks correctly
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For which category of the NIHSS would the nurse ask the patient to "follow my finger" as the nurse moves a finger
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horizontally to the left and right? - answersB. Best gaze
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When assessing Motor Arm function for a patient sitting in a wheelchair, should the palm be up or down? And, at what
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angle should the arms be? - answersD. Down, 90
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The nurse is evaluating the Motor Arm function, right arm. The provider positions the arm in the correct position and the
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releases the arm. The arm slightly dips, returns to normal position, and the position is held. What is the appropriate
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score? - answersA. 0 - No drift
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What is the severity of a patient's stroke if they have a NIHSS of 4? - answersB. Minor stroke
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Which of the following locations is inappropriate to administer Item 8 (Sensory) pinpricks? - answersB. Sides of face
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(Incorrect) A. Trunk (Incorrect)
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The nurse is evaluating the Motor Arm function, right arm. The provider positions the arm in the correct position and the
AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF




releases the arm. The arm slightly dips, returns to normal position, and the position is held. What is the appropriate
AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF




score? - answersB. 1 - Drift (Incorrect)
AF AF AF AF AF AF AF




What is the severity of a patient's stroke if they have a NIHSS of 4? - answersB. Minor stroke
AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF AF




Which of the following locations is inappropriate to administer Item 8 (Sensory) pinpricks? - answers
AF AF AF AF AF AF AF AF AF AF AF AF AF AF




1/1 AFAFAFAFAFxoxooxo AFAFAFAFAFxoxoxoo
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