NIH Stroke Scale 205-2026 Question and
Correct answer GRADED A+
How many items on the NIH stroke scale? - ANSWERS11
NIH Stroke scale is - ANSWERSan 11-item clinical evaluation instrument widely used in clinical trials and
practice to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) -
ANSWERSlevels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome after -
ANSWERStreatment
Should the patient be coached? Should you go back and rethink a particular assessment? - ANSWERSNO
Having what when using NIH scale is important? - ANSWERSreference materials
,DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY -
ANSWERSrate only what they actually do
use patient"s first response? - ANSWERSYES - DO NOT USE SUMMARY OF RESPONSES
re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test,
that's probably...
3) Important to know if ataxia is present or not and if present in _____ or _______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - ANSWERS1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate... - ANSWERSthat they have loss of
sensation
if patient has sensory loss from neuropathy, do you count thatt? - ANSWERSno, but you do if there's loss
on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be subjective as to
whether it is one of which classification? - ANSWERSmild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a history of... -
ANSWERSwhat happened
dysarthria is interesting because there are many cultural things about slurred ________? -
ANSWERSspeech.
Score is associated with prognosis? - ANSWERSYES
, Is NIH scale a measure of disability? - ANSWERSNO. The NIH scale is a measure of impairments.
The NIH scale creates a common currency so that everybody understands the patient's level of... -
ANSWERSdeficit, by giving a number that communicates to other professionals how sick the patient is
how much time to budget to perorm NIH scale - ANSWERS7-10 mins
What effort should be recorded? Do not do what? - ANSWERSThe patient's first effort. Don't go back
and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s ______s - ANSWERS-
order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - ANSWERS-examiner's overall impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping,
occasionally pinching
NIH Item 1a Scoring:
Correct answer GRADED A+
How many items on the NIH stroke scale? - ANSWERS11
NIH Stroke scale is - ANSWERSan 11-item clinical evaluation instrument widely used in clinical trials and
practice to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) -
ANSWERSlevels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome after -
ANSWERStreatment
Should the patient be coached? Should you go back and rethink a particular assessment? - ANSWERSNO
Having what when using NIH scale is important? - ANSWERSreference materials
,DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY -
ANSWERSrate only what they actually do
use patient"s first response? - ANSWERSYES - DO NOT USE SUMMARY OF RESPONSES
re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test,
that's probably...
3) Important to know if ataxia is present or not and if present in _____ or _______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - ANSWERS1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate... - ANSWERSthat they have loss of
sensation
if patient has sensory loss from neuropathy, do you count thatt? - ANSWERSno, but you do if there's loss
on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be subjective as to
whether it is one of which classification? - ANSWERSmild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a history of... -
ANSWERSwhat happened
dysarthria is interesting because there are many cultural things about slurred ________? -
ANSWERSspeech.
Score is associated with prognosis? - ANSWERSYES
, Is NIH scale a measure of disability? - ANSWERSNO. The NIH scale is a measure of impairments.
The NIH scale creates a common currency so that everybody understands the patient's level of... -
ANSWERSdeficit, by giving a number that communicates to other professionals how sick the patient is
how much time to budget to perorm NIH scale - ANSWERS7-10 mins
What effort should be recorded? Do not do what? - ANSWERSThe patient's first effort. Don't go back
and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s ______s - ANSWERS-
order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - ANSWERS-examiner's overall impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping,
occasionally pinching
NIH Item 1a Scoring:
