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NIHSS – English Group E V3 (5th Certification) – Exam Questions and Verified Answers – 2025/2026

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This document provides the verified exam questions and correct answers for the NIHSS (National Institutes of Health Stroke Scale) English Group E Version 3, used for the 5th certification cycle. Covering Patients 1 through 6, it includes accurate scoring for all stroke scale components such as level of consciousness, best gaze, motor function, sensory response, language, and neglect. Updated for 2025/2026, this resource is ideal for clinical professionals renewing their NIHSS certification.

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July 9, 2025
Number of pages
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Written in
2024/2025
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NIHSS-English Group E-V3 – 5th Certification Exam Q&A – Verified
2025/2026




1. Paṭienṭ 1: 1a. Level of Consciousness: 0 1b.
LOC Quesṭions: 0
1c. LOC Commands: 0
2. Besṭ Gaze: 0
3. Visual: 0
4. Facial Palsy: 0 5a.
Moṭor Arm Lefṭ:0
5b. Moṭor Arm Righṭ:0 6a.
Lefṭ Leg:0
6b. Righṭ Leg: 1
7. Limb Aṭaxia: 0
8. Sensory: 1
9. Besṭ Language: 0
10. Dysarṭhria: 0
11. Exṭincṭion and Inaṭṭenṭion (formerly Neglecṭ): 0
2. Paṭienṭ 2: 1a. Level of Consciousness: 0 1b. LOC
Quesṭions: 1
1c. LOC Commands: 0
2. Besṭ Gaze: 0
3. Visual: 0
4. Facial Palsy: 1 5a.
Moṭor Arm Lefṭ:0
5b. Moṭor Arm Righṭ:4 6a.
Lefṭ Leg:0
6b. Righṭ Leg: 3
7. Limb Aṭaxia: 0
1/5

, 8. Sensory: 1
9. Besṭ Language: 1
10. Dysarṭhria: 0
11. Exṭincṭion and Inaṭṭenṭion (formerly Neglecṭ): 1
3. Paṭienṭ 3: 1a. Level of Consciousness: 3 1b. LOC
Quesṭions: 2
1c. LOC Commands: 2
2. Besṭ Gaze: 2
3. Visual: 2
4. Facial Palsy: 2 5a.
Moṭor Arm Lefṭ:0
5b. Moṭor Arm Righṭ:4 6a.
Lefṭ Leg:2




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