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NIH STROKE SCALE GROUP B (PATIENTS 1–6)

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The NIH Stroke Scale Group B (Patients 1–6) exam is a clinical competency assessment designed to evaluate a healthcare provider’s ability to accurately score patients using the National Institutes of Health Stroke Scale (NIHSS). This exam focuses on simulated scenarios involving six distinct patients, allowing test-takers to demonstrate their proficiency in recognizing and rating neurological deficits such as level of consciousness, motor strength, gaze, language, and sensory function. Mastery of the NIHSS is essential for stroke triage, treatment decisions, and ongoing monitoring in acute care settings. This certification-level material is ideal for nurses, physicians, and emergency medical professionals working in stroke care or preparing for NIHSS certification or renewal.

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NIH STROKE SCALE GROUP B (PATIENTS 1–6)
Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ 40 Questions and Answers
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks



Question 1

What is the total NIHSS score for Patient 1?
A. 11
B. 12
C. 13
D. 14
Answer: C
EXPLANATION: Total score = 0+1+0+0+0+1+0+4+0+3+0+1+1+0+1 = 13, indicating a
moderately severe stroke.



Question 2

Based on NIHSS scoring, what stroke severity does Patient 1 have?
A. Mild
B. Mild to moderate
C. Moderate to severe
D. Very severe
Answer: C
EXPLANATION: Score of 13 falls into the 5–14 range, interpreted as mild to moderately
severe stroke.



Question 3

What is the total NIHSS score for Patient 2?
A. 6
B. 7
C. 8
D. 9

, Answer: A
EXPLANATION: Total = 0+1+0+0+0+1+0+0+0+2+0+1+0+1+0 = 6.



Question 4

What level of stroke does Patient 2 exhibit based on a score of 6?
A. No stroke
B. Mild stroke
C. Severe stroke
D. Very severe stroke
Answer: B
EXPLANATION: A score between 1–5 is mild; 6 is on the upper end of mild and transitioning
to moderate.



Question 5

What is the NIHSS score for Patient 3?
A. 5
B. 4
C. 3
D. 2
Answer: B
EXPLANATION: Total = 0+1+0+0+0+3+0+0+0+0+0+0+0+1+0 = 4, indicating mild stroke.



Question 6

Which of the following was most impaired in Patient 3?
A. Speech
B. Facial palsy
C. Visual fields
D. Language
Answer: B
EXPLANATION: Facial palsy scored 3, indicating unilateral complete paralysis.



Question 7

Patient 4's total NIHSS score is:
A. 25

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