Answered Updated NIH Stroke Scale –
All Test Groups A-F 2026 UPDATED
How to assess Level of Consciousness? - Correct answer-1a. Deteremine if patient
is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for being close. Aphasic and
stuporous patients who do not comprehend the questions will score 2. It is
important that only the initial answer be graded and that the examiner not "help"
the patient with verbal or non-verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If the patient does not
respond to command, the task
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, should be demonstrated to him or her (pantomime), and the result scored (i.e.,
follows none, one or two commands)
What are the results? - Correct answer-0 = Alert; keenly responsive.
1 = Not alert; but arousable by minor stimulation to obey,
answer, or respond.
2 = Not alert; requires repeated stimulation to attend, or is obtunded and requires
strong or painful stimulation to
make movements (not stereotyped).
3 = Responds only with reflex motor or autonomic effects or totally unresponsive,
flaccid, and areflexic.
0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
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All Test Groups A-F 2026 UPDATED
How to assess Level of Consciousness? - Correct answer-1a. Deteremine if patient
is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for being close. Aphasic and
stuporous patients who do not comprehend the questions will score 2. It is
important that only the initial answer be graded and that the examiner not "help"
the patient with verbal or non-verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If the patient does not
respond to command, the task
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, should be demonstrated to him or her (pantomime), and the result scored (i.e.,
follows none, one or two commands)
What are the results? - Correct answer-0 = Alert; keenly responsive.
1 = Not alert; but arousable by minor stimulation to obey,
answer, or respond.
2 = Not alert; requires repeated stimulation to attend, or is obtunded and requires
strong or painful stimulation to
make movements (not stereotyped).
3 = Responds only with reflex motor or autonomic effects or totally unresponsive,
flaccid, and areflexic.
0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
