NIHSS CERTIFICATION TEST QUESTIONS AND ANSWERS 2025/2026

NIHSS CERTIFICATION TEST QUESTIONS AND ANSWERS 2025/2026 11 components of NIHSS 1. LOC (Question & Command) 2. Gaze 3. Visual field 4. Facial palsy 5. Upper extremity 6. Lower extremity 7. Limb ataxia 8. Sensory 9. Best language 10. Dysarthria 11. Extinction & inattention1A - LOC 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 (COMA ~ try rub on chest) --- 1a. Level of Consciousness: The investigator must choose a response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation.* 1B - LOC Questions (2)