NIH Stroke Scale Certification - American Heart Association |
**A.** 0
Complete Questions And Verified 100% Answers (Correct &
**B.** 1
Graded A+) **C.** 2
--- ✅ **Correct Answer:** **B. 1**
### **1. Level of Consciousness (LOC) — General Responsiveness**
---
**Question:**
### **4. Best Gaze**
What is the correct NIHSS score for a patient who is alert and responsive but not fully oriented to
time or place?
**Question:**
**A.** 0
A patient has forced deviation of eyes to the right and cannot move past midline. What score should
**B.** 1
be given?
**C.** 2
**A.** 0
**D.** 3
**B.** 1
✅ **Correct Answer:** **B. 1** **C.** 2
✅ **Correct Answer:** **C. 2**
---
---
### **2. LOC Questions**
### **5. Visual Fields**
**Question:**
A patient answers one LOC question correctly and one incorrectly. What is the score?
**Question:**
**A.** 0
Patient has a partial hemianopia in the left eye. What is the correct score?
**B.** 1 **A.** 0
**C.** 2 **B.** 1
✅ **Correct Answer:** **B. 1** **C.** 2
**D.** 3
--- ✅ **Correct Answer:** **B. 1**
### **3. LOC Commands**
---
**Question:**
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,### **6. Facial Palsy**
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**Question:**
A patient has minor facial weakness such as flattening of the nasolabial fold. Score? ### **9. Motor Leg (Left)**
**A.** 0
**B.** 1 **Question:**
**C.** 2 Left leg drifts down but does not hit the bed before 5 seconds. Score?
**D.** 3 **A.** 0
✅ **Correct Answer:** **B. 1** **B.** 1
**C.** 2
--- ✅ **Correct Answer:** **B. 1**
### **7. Motor Arm (Left)** ---
**Question:** ### **10. Motor Leg (Right)**
The patient’s left arm drifts down before 10 seconds but does not hit the bed. What score?
**A.** 0 **Question:**
**B.** 1 Right leg falls immediately to the bed with no effort against gravity. Score?
**C.** 2 **A.** 2
**D.** 3 **B.** 3
✅ **Correct Answer:** **B. 1** **C.** 4
✅ **Correct Answer:** **B. 3**
---
---
### **8. Motor Arm (Right)**
### **11. Limb Ataxia**
**Question:**
Right arm falls immediately after being raised and hits the bed. What is the correct score? **Question:**
**A.** 2 Patient shows ataxia in one limb only. What score is correct?
**B.** 3 **A.** 0
**C.** 4 **B.** 1
✅ **Correct Answer:** **B. 3** **C.** 2
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, ✅ **Correct Answer:** **B. 1** **C.** 2
✅ **Correct Answer:** **B. 1**
---
---
### **12. Sensory**
### **15. Extinction and Inattention (Neglect)**
**Question:**
Patient has mild-to-moderate loss of sensation to pinprick. Score? **Question:**
**A.** 0 The patient ignores stimuli on one side during bilateral simultaneous testing. Score?
**B.** 1 **A.** 0
**C.** 2 **B.** 1
✅ **Correct Answer:** **B. 1** **C.** 2
✅ **Correct Answer:** **B. 1**
---
---
### **13. Best Language (Aphasia)**
### **16. Visual Field Testing**
**Question:**
Patient has severe aphasia and cannot communicate at all. Score? **Question:**
**A.** 1 Patient is blind in one eye due to old trauma unrelated to stroke. How is this scored?
**B.** 2 **A.** 0
**C.** 3 **B.** 1
✅ **Correct Answer:** **C. 3** **C.** 2
**D.** Not testable (NT)
--- ✅ **Correct Answer:** **D. Not testable**
### **14. Dysarthria** ---
**Question:** ### **17. LOC Commands — Comatose Patient**
Patient’s speech is slurred but intelligible. Score?
**A.** 0 **Question:**
**B.** 1 If the patient is comatose and cannot follow commands, what score do you assign?
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