NIHSS Stroke Scale Testing Exam (2026) UPDATE Verified Questions And correct detailed Answers | With 100% Correct Answers graded A+ Guaranteed Success!!

1. NIHSS: National Institutes of Health Stroke Scale Scoring range is 0 to 42 points, with higher numbers indicating greater severity. a score of 5 to 15 represents a moderate stroke, a score of 16 to 20 represents a moderate to severe stroke, and a score of 21 to 42 represents a severe stroke. 2. A score of 5 on the NIHSS indicates what?: No stroke symptoms or minor stroke 3. A score of 5-15 on the NIHSS indicates what?: Moderate stroke 4. A score of 16-20 on the NIHSS indicates what?: Moderate to severe 5. A score of 21-42 on the NIHSS indicates what?: Severe stroke 6. 1A. Level of Consciousness (LOC) Scoring: 0 - Alert; keenly responsive. 1 - Not Alert; but arousable by minor stimulation to obey, answer, or respond. 2 - Not Alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). 3 - Responds only with reflex motor or autonomic ettects, or totally unresponsive, flaccid, and areflexic. 7. 1B. Level of Consciousness (LOC) Scoring: The patient is asked the month and his/her age. The answer must be correct Aphasic and stuporous patients who do not comprehend the questions are scored 2 Patients unable to speak because of endotracheal intubation, orotracheal trauma, severe dysarthria from any cause, language barrier, or any other problem not secondary to aphasia are scored 1 0 - Answers both questions correctly 1 - Answers one question correctly 2 - Answers neither question correctly. 8. 1C. Level of Consciousness (LOC) Scoring: The patient is asked to open and close the eyes and then to grip and release the nonparetic hand. Substitute another one-step command if the hands cannot be used. Credit is given if an unequivocal attempt is made but not completed due to weakness. Only the first attempt is scored. 0 - Performs both tasks correctly 1 - Performs one task correctly 2 - Performs neither task correctly. 9. 2. Best Gaze NIHSS Scoring: Best Gaze Instructions: Only horizontal eye movements will be tested. Voluntary or reflexive (oculocephalic) eye movements will be scored Establishing eye contact and then moving about the patient from side to side will occasionally clari partial gaze palsy. 0 - Normal 1 - Partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present 2 - Forced deviation, or total gaze paresis is not overcome by the oculocephalic maneuver. 10. 3 Visual NIHSS Scoring: Visual fields (upper and lower quadrants) are tested by confrontation, using finger counting or visual threat, as appropriate. Have pt cover individual eye and look at your nose. Flash numbers in peripheral vision. 0 - No visual loss 1 - Partial hemianopia (loss of half of visions field) 2 - Complete hemianopia 3 - Bilateral hemianopia (blind including cortical blindness) 11. 4 Facial Palsy NIHSS Scoring: Ask pt to show teeth or raise eyebrows and close eyes. Score symmetry of grimace. 0 - Normal symmetrical movements 1 - Minor paralysis (flattened nasolabial fold, asymmetry on smiling) 2 - Partial paralysis (total or near-total paralysis of lower face) 3 - Complete paralysis of one or both sides (absence of facial movement in the upper and lower face) 12. 5. Motor Arm NIHSS Scoring: The limb is placed in the appropriate position: extend the arms (palms down) 90 degrees (if sitting) or 45 degrees (if supine). Drift is scored if the arm falls before 10 seconds. Each limb is tested in turn, beginning with the non-paretic arm. 0 - No drift; limb holds 90 (or 45) degrees for full 10 seconds 1 - Drift; limb holds 90 (or 45) degrees, but drifts down before full 10 seconds; does not hit bed or other support. 2 - Some ettort against gravity; limb cannot get to or maintain (if cued) 90 (or 45) degrees, drifts down to bed, but has some ettort against gravity 3 - No ettort against gravity; limb falls. 4 - No movement. UN - Amputation or joint fusion 13. 6. Motor Arm NIHSS Scoring: The limb is placed in the appropriate position: hold the leg at 30 degrees (always tested supine). Drift is scored if the leg falls before 5 seconds. Each limb is tested in turn, beginning with the non-paretic leg. 0 -no drift; leg holds 30-degree position for full 5 seconds 1 - Drift; leg falls by the end of the 5-second period but does not hit the bed 2 - Some ettort against gravity; leg falls to bed by 5 seconds but has some ettort against gravity 3 - No ettort against gravity; leg falls to bed immediately 4 - No movement. UN - Amputation or joint fusion 14. 7. Limb Ataxia NIHSS Scoring: Test with eyes open. The finger-nose-finger and heel-shin tests are performed on both sides, and ataxia is scored only if present out of proportion to weakness. Ataxia is absent in the patient who cannot understand or is paralyzed. In case of blindness, test by having the patient touch nose from extended arm position. 0 - Absent