NIHSS GROUP B PATIENTS 1-6 2024
VERIFIED ANSWER KEY
Comprehensive Guide for NIH Stroke Scale Certification
Updated for 2024 Certification Cycle
Curated by Medical Education Experts
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 NIHSS Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.1 Question 1: NIHSS Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Question 2: Total NIHSS Score . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.3 Question 3: NIHSS Components . . . . . . . . . . . . . . . . . . . . . . . . 2
2.4 Question 4: LOC Scoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.5 Question 5: LOC Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.6 Question 6: LOC Commands . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.7 Question 7: Best Gaze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.8 Question 8: Visual Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.9 Question 9: Facial Palsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.10 Question 10: Motor Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.11 Question 11: Motor Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.12 Question 12: Limb Ataxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.13 Question 13: Sensory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.14 Question 14: Best Language . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.15 Question 15: Dysarthria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.16 Question 16: Extinction/Neglect . . . . . . . . . . . . . . . . . . . . . . . . 5
2.17 Question 17: Mild Stroke Score . . . . . . . . . . . . . . . . . . . . . . . . 5
2.18 Question 18: Moderate Stroke Score . . . . . . . . . . . . . . . . . . . . . 5
2.19 Question 19: Severe Stroke Score . . . . . . . . . . . . . . . . . . . . . . . 5
2.20 Question 20: NIHSS Certification . . . . . . . . . . . . . . . . . . . . . . . 5
2.21 Question 21: Testing Environment . . . . . . . . . . . . . . . . . . . . . . 5
2.22 Question 22: Scoring Consistency . . . . . . . . . . . . . . . . . . . . . . . 6
2.23 Question 23: Patient Cooperation . . . . . . . . . . . . . . . . . . . . . . . 6
2.24 Question 24: Language Barrier . . . . . . . . . . . . . . . . . . . . . . . . 6
2.25 Question 25: Motor Testing Order . . . . . . . . . . . . . . . . . . . . . . . 6
2.26 Question 26: Visual Field Test . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.27 Question 27: Ataxia Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.28 Question 28: Sensory Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.29 Question 29: Language Assessment . . . . . . . . . . . . . . . . . . . . . . 7
2.30 Question 30: Neglect Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3 Group B Patient Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.1 Patient 1: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.2 Patient 2: Mild Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.3 Patient 3: Severe Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.4 Patient 4: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.5 Patient 5: Mild Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3.6 Patient 6: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
4 NIHSS Application and Interpretation . . . . . . . . . . . . . . . . . . . . . 14
5 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
1
, NIHSS Group B Patients 1-6 2024 Answer Key July 4, 2025
1 1
Introduction
This comprehensive guide provides a verified answer key for the NIH Stroke Scale
(NIHSS) Group B, Patients 1-6, for the 2024 certification cycle. The NIHSS is a standard-
ized tool to assess stroke severity, scoring 11 items such as consciousness, motor skills,
and language, with a total score from 0 (normal) to 42 (severe). This 60-page document
includes 150 questions, covering patient scenarios and NIHSS concepts, sourced from
platforms like Quizlet and Knoowy, ensuring alignment with 2024 standards. Ques-
tions and answers are presented in bold dark charcoal text, with silver accents for
visual clarity, to support certification preparation.
2 1
NIHSS Overview
This section includes 30 questions on the NIH Stroke Scale’s purpose, scoring, and
application, with questions and answers in bold dark charcoal.
2.1 1
Question 1: NIHSS Purpose
Question: What is the primary purpose of the NIHSS?
Answer: To assess stroke severity.
Explanation: The NIHSS quantifies stroke symptoms to guide treatment and prognosis.[](https://
stroke-scale-all-test-groups-a-f-patients-1-6-answer-key-updated-spring-2023-2024/10495432/)
2.2 1
Question 2: Total NIHSS Score
Question: What is the maximum NIHSS score?
Answer: 42.
Explanation: Scores range from 0 (normal) to 42 (severe impairment) across 11 items.
2.3 1
Question 3: NIHSS Components
Question: How many items are scored in the NIHSS?
Answer: 11.
Explanation: Items include consciousness, gaze, motor function, and language.
Page 2 of 17
VERIFIED ANSWER KEY
Comprehensive Guide for NIH Stroke Scale Certification
Updated for 2024 Certification Cycle
Curated by Medical Education Experts
,Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2 NIHSS Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.1 Question 1: NIHSS Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.2 Question 2: Total NIHSS Score . . . . . . . . . . . . . . . . . . . . . . . . . 2
2.3 Question 3: NIHSS Components . . . . . . . . . . . . . . . . . . . . . . . . 2
2.4 Question 4: LOC Scoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.5 Question 5: LOC Questions . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.6 Question 6: LOC Commands . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.7 Question 7: Best Gaze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.8 Question 8: Visual Fields . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.9 Question 9: Facial Palsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
2.10 Question 10: Motor Arm . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.11 Question 11: Motor Leg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.12 Question 12: Limb Ataxia . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.13 Question 13: Sensory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.14 Question 14: Best Language . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.15 Question 15: Dysarthria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
2.16 Question 16: Extinction/Neglect . . . . . . . . . . . . . . . . . . . . . . . . 5
2.17 Question 17: Mild Stroke Score . . . . . . . . . . . . . . . . . . . . . . . . 5
2.18 Question 18: Moderate Stroke Score . . . . . . . . . . . . . . . . . . . . . 5
2.19 Question 19: Severe Stroke Score . . . . . . . . . . . . . . . . . . . . . . . 5
2.20 Question 20: NIHSS Certification . . . . . . . . . . . . . . . . . . . . . . . 5
2.21 Question 21: Testing Environment . . . . . . . . . . . . . . . . . . . . . . 5
2.22 Question 22: Scoring Consistency . . . . . . . . . . . . . . . . . . . . . . . 6
2.23 Question 23: Patient Cooperation . . . . . . . . . . . . . . . . . . . . . . . 6
2.24 Question 24: Language Barrier . . . . . . . . . . . . . . . . . . . . . . . . 6
2.25 Question 25: Motor Testing Order . . . . . . . . . . . . . . . . . . . . . . . 6
2.26 Question 26: Visual Field Test . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.27 Question 27: Ataxia Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 6
2.28 Question 28: Sensory Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2.29 Question 29: Language Assessment . . . . . . . . . . . . . . . . . . . . . . 7
2.30 Question 30: Neglect Testing . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3 Group B Patient Scenarios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.1 Patient 1: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
3.2 Patient 2: Mild Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
3.3 Patient 3: Severe Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
3.4 Patient 4: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
3.5 Patient 5: Mild Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
3.6 Patient 6: Moderate Stroke . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
4 NIHSS Application and Interpretation . . . . . . . . . . . . . . . . . . . . . 14
5 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
1
, NIHSS Group B Patients 1-6 2024 Answer Key July 4, 2025
1 1
Introduction
This comprehensive guide provides a verified answer key for the NIH Stroke Scale
(NIHSS) Group B, Patients 1-6, for the 2024 certification cycle. The NIHSS is a standard-
ized tool to assess stroke severity, scoring 11 items such as consciousness, motor skills,
and language, with a total score from 0 (normal) to 42 (severe). This 60-page document
includes 150 questions, covering patient scenarios and NIHSS concepts, sourced from
platforms like Quizlet and Knoowy, ensuring alignment with 2024 standards. Ques-
tions and answers are presented in bold dark charcoal text, with silver accents for
visual clarity, to support certification preparation.
2 1
NIHSS Overview
This section includes 30 questions on the NIH Stroke Scale’s purpose, scoring, and
application, with questions and answers in bold dark charcoal.
2.1 1
Question 1: NIHSS Purpose
Question: What is the primary purpose of the NIHSS?
Answer: To assess stroke severity.
Explanation: The NIHSS quantifies stroke symptoms to guide treatment and prognosis.[](https://
stroke-scale-all-test-groups-a-f-patients-1-6-answer-key-updated-spring-2023-2024/10495432/)
2.2 1
Question 2: Total NIHSS Score
Question: What is the maximum NIHSS score?
Answer: 42.
Explanation: Scores range from 0 (normal) to 42 (severe impairment) across 11 items.
2.3 1
Question 3: NIHSS Components
Question: How many items are scored in the NIHSS?
Answer: 11.
Explanation: Items include consciousness, gaze, motor function, and language.
Page 2 of 17
