Relias acute stroke: understanding
and using the NIHSS Exam Q’s and
A’s
A stroke patient is being assessed on item 4 (facial palsy). The patient
appears unconscious and shows no signs of response when asked to follow
commands. The examiner pinches the patients nail bed and the patient
shows a flattened nasolabial fold and an uneven grimace. What score should
be addressed?
0-normal
1-minor paralysis
2-partial paralysis
3-complete paralysis - -1- minor paralysis
- The healthcare provider is evaluating the motor function of the right arm.
The provider positions the arm correctly, then releases it. The arm slightly
dips, returns to normal position and the position is held for the appropriate
time. What is the correct score?
0-no drift
1-drift
2-some effort
3-no effort - -0-no drift
- True or false: if the NIHSS is a o be used as a baseline, it must be
administered before any form of treatment - -True
- A patient who scores a 4 on the NIHSS is said to have had:
No stroke
Minor stroke
Moderate stroke
Severe stroke - -Minor stroke
- Which of the following is a principle of administering the NIHSS?
A:allow the patient to make one correction
B: administer the NIHSS within 6 hours of symptom o set
C: validate response with neurologist
D: record only what happened - -record only what happened
- The NIHSS can be an effective tool for determining the location of a stroke
True or false - -True
- Item 2 (best gaze) is designed to test:
A: reflexive eye movement only
and using the NIHSS Exam Q’s and
A’s
A stroke patient is being assessed on item 4 (facial palsy). The patient
appears unconscious and shows no signs of response when asked to follow
commands. The examiner pinches the patients nail bed and the patient
shows a flattened nasolabial fold and an uneven grimace. What score should
be addressed?
0-normal
1-minor paralysis
2-partial paralysis
3-complete paralysis - -1- minor paralysis
- The healthcare provider is evaluating the motor function of the right arm.
The provider positions the arm correctly, then releases it. The arm slightly
dips, returns to normal position and the position is held for the appropriate
time. What is the correct score?
0-no drift
1-drift
2-some effort
3-no effort - -0-no drift
- True or false: if the NIHSS is a o be used as a baseline, it must be
administered before any form of treatment - -True
- A patient who scores a 4 on the NIHSS is said to have had:
No stroke
Minor stroke
Moderate stroke
Severe stroke - -Minor stroke
- Which of the following is a principle of administering the NIHSS?
A:allow the patient to make one correction
B: administer the NIHSS within 6 hours of symptom o set
C: validate response with neurologist
D: record only what happened - -record only what happened
- The NIHSS can be an effective tool for determining the location of a stroke
True or false - -True
- Item 2 (best gaze) is designed to test:
A: reflexive eye movement only
