SOLUTION GRADED A+
● When should the NIHSS be completed? Answer: As soon as possible
after ED arrival.
● What is one key use of the NIHSS? Answer: Helps determine
eligibility for IV fibrinolytics (clot-busting medications).
● How is the NIHSS used for ongoing monitoring? Answer: It is a
standard tool for assessing neurologic status after acute stroke.
● What is the role of first responders regarding the NIHSS? Answer:
They perform the initial neurologic exam using stroke assessment tools.
● What does the NIHSS provide upon completion? Answer: A baseline
neurologic function assessment.
● What becomes the most important area to assess during transition of
care? Answer: Level of consciousness (LOC).
● Which scale can be used to monitor LOC changes? Answer: Glasgow
Coma Scale (GCS) or modified NIHSS.