NIH STROKE SCALE VIEW AHEAD PACKAGE
2026 COMPLETE RESPONSE BUNDLE
GUARANTEED
◉ 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. Answer: -order
-coaching
-first
-does
-Be consistent
-previous strokes
◉ ITEM 1a and how to get it. Answer: -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:
0
1
2
3. Answer: -Alert
-Not alert, aroused w/ minor verbal stim
-Not alert, requires strong or painful stim
-Only reflexive movements or totally unresponsive
◉ ITEM 1a - patient w/ 3 on this item is generally considered to be
in...
3 is scored ONLY if patient makes no movement other than.....
Answer: a coma
reflexive posturing in response to noxious stimulation
◉ If difficult to determine 1 vs 2 in item 1a, continue with.... Answer:
medical hx qs until confident in assigning a score - THIS IS ONLY
TIME IN NIH scale where you can go back
◉ EVEN IF PRESENTED WITH OBSTACLES OR BARRIERS, YOU
MUST CHOOSE A. Answer: SCORE
, ◉ NIH Item 1B
based on responses to two items:
When?
-What about patient. Answer: -month of year
-patient's age
◉ ITEM 1B SCORING
0
1
2. Answer: -answers both qs correctly
-answers 1 q correctly OR patients unable to communicate d/t
intubation, oral-tracheal trauma, severe dysarthria from any cause,
language barrier, or any issue not secondary to aphasia
-answers neither question correctly --> a 3 on 1a must be a 2 on 1b
◉ A patient that cannot speak but is otherwise able to communicate
can be allowed to convey the answer how?. Answer: writing
◉ If the patient answers incorrectly first and then corrects self, how
is the answer scored?. Answer: it is still scored as incorrect
◉ What if patient gives DOB as answer to question asking for their
age? How is this scored?
2026 COMPLETE RESPONSE BUNDLE
GUARANTEED
◉ 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. Answer: -order
-coaching
-first
-does
-Be consistent
-previous strokes
◉ ITEM 1a and how to get it. Answer: -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:
0
1
2
3. Answer: -Alert
-Not alert, aroused w/ minor verbal stim
-Not alert, requires strong or painful stim
-Only reflexive movements or totally unresponsive
◉ ITEM 1a - patient w/ 3 on this item is generally considered to be
in...
3 is scored ONLY if patient makes no movement other than.....
Answer: a coma
reflexive posturing in response to noxious stimulation
◉ If difficult to determine 1 vs 2 in item 1a, continue with.... Answer:
medical hx qs until confident in assigning a score - THIS IS ONLY
TIME IN NIH scale where you can go back
◉ EVEN IF PRESENTED WITH OBSTACLES OR BARRIERS, YOU
MUST CHOOSE A. Answer: SCORE
, ◉ NIH Item 1B
based on responses to two items:
When?
-What about patient. Answer: -month of year
-patient's age
◉ ITEM 1B SCORING
0
1
2. Answer: -answers both qs correctly
-answers 1 q correctly OR patients unable to communicate d/t
intubation, oral-tracheal trauma, severe dysarthria from any cause,
language barrier, or any issue not secondary to aphasia
-answers neither question correctly --> a 3 on 1a must be a 2 on 1b
◉ A patient that cannot speak but is otherwise able to communicate
can be allowed to convey the answer how?. Answer: writing
◉ If the patient answers incorrectly first and then corrects self, how
is the answer scored?. Answer: it is still scored as incorrect
◉ What if patient gives DOB as answer to question asking for their
age? How is this scored?
