NIH Stroke Scale EXAM QUESTIONS AND VERIFIED ANSWERS .pdf

NIH Stroke Scale
Save




Students also studied


NIH Stroke Scale Group A (Apex Inn... NIH Stroke Scale Group A Patient 1-... NIH Stroke Scale EBP NU

6 terms 6 terms Teacher 22 terms Teacher




tyvnguyen Preview narrative_nessa Preview NURSTU2015 Preview Coa




Practice questions for this set


Learn 1 /7 Study with Learn




2



Choose an answer



Eyes: Visual fields
1 2 Score for large strokes
- complete hemianopia



LOC: Arousal
3 4 Components of Face
- drowsy



Don't know?




Score for large strokes > 10


(however, if it is a brainstem stroke it can have a low score and still be a large
stroke)


Lowest score Lowest score is 0


Highest score Highest score is 42

, Components of Eyes Gaze
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)


Visual fields
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose)


Components of LOC Arousal


Questions
- name
- month


Commands
- open eyes
- grip/release


Components of Face Facial droop
- smile & eyebrow raise (normal LOC / drowsy)
- grimace w/ pain (obtunded)


Components of Motor Strength Arm strength
- raise arms 45° (supine)
- raise arms 90° (sitting)


Leg strength
- raise legs 30° (always test supine)


Components of Limb Ataxia Finger→nose & Heel→shin


Components of Sensory Pinprick
- all 4 limbs; up to elbow


Components of Language Aphasia
- describe picture; name objects (w/ adequate vision)
- describe large objects in room or ask questions (w/ inadequate vision)


Components of Dysarthria Character of speech
- read sentences / words (w/ adequate vision)
- repeat "methodist episcopal" (w/ inadequate vision)
- listen for slurred, garbled, incoherent


Components of Extinction/Inattention Vision extinction:
- look at wiggling hand


Sensory test
- upper & lower extensors