APEX NIH Stroke Scale Group A Patients 1–6 (Complete) – Verified Answers – 2025/2026 Edition

APEX NIH Stroke Scale Group A
Patients 1–6 (Complete) – Verified
Answers – 2025/2026 Edition
Exam
This document includes the complete and verified answer set for APEX NIH Stroke Scale
Group A, covering Patients 1 through 6, updated for the 2025/2026 edition. It follows
the official NIHSS protocol, assessing key neurological functions such as level of
consciousness, gaze, visual fields, facial palsy, motor strength, language, and attention.
Ideal for healthcare professionals completing NIH Stroke Scale certification or
recertification with APEX Innovations.



APEX NIH Stroke Scale (NIHSS)
Group A – Patients 1–6


NIHSS ITEMS (REFERENCE)
1a. Level of Consciousness (LOC)
1b. LOC Questions
1c. LOC Commands
2. Best Gaze
3. Visual Fields
4. Facial Palsy
5. Motor Arm (L/R)

,6. Motor Leg (L/R)
7. Limb Ataxia
8. Sensory
9. Best Language
10. Dysarthria
11. Extinction & Inattention (Neglect)


PATIENT 1 – NORMAL NEUROLOGIC STATUS
Scores
• 1a LOC: 0
• 1b LOC Questions: 0
• 1c LOC Commands: 0
• 2 Best Gaze: 0
• 3 Visual Fields: 0
• 4 Facial Palsy: 0
• 5 Motor Arms (L/R):
• 6 Motor Legs (L/R):
• 7 Limb Ataxia: 0
• 8 Sensory: 0
• 9 Best Language: 0
• 10 Dysarthria: 0
• 11 Neglect: 0

, TOTAL NIHSS: 0
Rationale
The patient is alert, follows commands, answers questions correctly, and
demonstrates no focal neurologic deficits. A total score of 0 reflects no
evidence of acute stroke-related impairment.


PATIENT 2 – MILD EXPRESSIVE APHASIA
Scores
• 1a LOC: 0
• 1b LOC Questions: 0
• 1c LOC Commands: 0
• 2 Best Gaze: 0
• 3 Visual Fields: 0
• 4 Facial Palsy: 0
• 5 Motor Arms (L/R):
• 6 Motor Legs (L/R):
• 7 Limb Ataxia: 0
• 8 Sensory: 0
• 9 Best Language: 1
• 10 Dysarthria: 0
• 11 Neglect: 0
TOTAL NIHSS: 1