100% CORRECT| GRADED A+|100% PASS
NIH Stroke Scale
1a - ANSWER level of consciousness
1b - ANSWER LOC questions
ask what month it is and their age
1c - ANSWER LOC commands
close and open eyes, or make a fist and open it
2 - ANSWER best gaze
horizontal eye movement is tested
3 - ANSWER visual fields
by finger counting or visual threat
4 - ANSWER facial palsy
show teeth and/or raise eyebrows
testing for symmetry
,5 - ANSWER motor arm
lift arms (individually) for 10 seconds and test for drift
6 - ANSWER motor leg
lift legs (individually) for 5 seconds and test for drift
7 - ANSWER limb ataxia
finger to nose and heel to shin
8 - ANSWER sensory
pin prick check on each side of body
9 - ANSWER best language
ask what is happening in the kitchen picture
10 - ANSWER dysarthria
read words from attached list. note and slurring
11 - ANSWER extinction and inattention
look straight ahead and wiggle fingers on each side of face (in upper and lower visual fields) and see if
they can identify which side finger is wiggling
, NIH Stroke Scale Group C Patient 1-6, NIH Stroke Scale
Patient 1 - ANSWER 1A - 0
1B - 0
1C - 0
2-0
3-0
4-1
5A - 3
5B - 0
6A - 1
6B - 0
7-1
8-2
9-0
10 - 0
11 - 1
Patient 2 - ANSWER 1A - 0
1B - 2
1C - 0
2-0
3-0
4-1
5A - 0
5B - 0
6A - 0
6B - 0
7-0
8-1