NIH Stroke Scale Group D Certification
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
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1. A 68-year-old patient presents with acute onset right-sided weakness
and expressive aphasia. During the NIH Stroke Scale assessment, the
examiner asks the patient to open and close their eyes and grip and
release the non-paretic hand. The patient follows both commands
correctly. Which score should be assigned for Level of Consciousness
(LOC) Commands?
A. 0
B. 1
C. 2
D. 3
, A. 0
The patient correctly performs both commands, which corresponds to
a score of 0, indicating no impairment in following commands.
2. A patient is unable to answer questions about the current month and
their age but is alert and responsive. What is the appropriate LOC
Questions score?
A. 0
B. 1
C. 2
D. 3
C. 2
Failure to answer both orientation questions correctly results in a
score of 2 on the LOC Questions component.
3. During gaze assessment, a patient demonstrates forced deviation of
the eyes to the left that cannot be overcome by oculocephalic
maneuver. What is the correct score?
A. 0
B. 1
C. 2
D. 3
C. 2
Forced deviation that cannot be overcome is scored as 2, indicating
severe gaze palsy.
,4. A patient correctly identifies all items in a visual field test with no
extinction. What is the visual field score?
A. 0
B. 1
C. 2
D. 3
A. 0
Normal visual fields without deficit or extinction are scored as 0.
5. A patient shows partial facial droop involving the lower face only.
What score should be assigned for facial palsy?
A. 0
B. 1
C. 2
D. 3
B. 1
Minor paralysis such as flattening of nasolabial fold is scored as 1.
6. A patient cannot lift their right arm against gravity but shows some
effort. What is the appropriate motor arm score?
A. 2
B. 3
C. 1
D. 4
A. 2
, Drift with inability to maintain position but some effort against
gravity is scored as 2.
7. A patient’s left leg shows no movement at all. What score should be
assigned?
A. 2
B. 3
C. 4
D. 1
C. 4
No movement in the limb corresponds to the maximum deficit score
of 4.
8. A patient has mild dysmetria in one limb but can perform coordination
tasks. What is the limb ataxia score?
A. 0
B. 1
C. 2
D. 3
B. 1
Ataxia present in one limb is scored as 1.
9. A patient reports complete loss of sensation on one side of the body.
What is the sensory score?
A. 0
B. 1
Exam Practice Questions And Correct
Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
1. A 68-year-old patient presents with acute onset right-sided weakness
and expressive aphasia. During the NIH Stroke Scale assessment, the
examiner asks the patient to open and close their eyes and grip and
release the non-paretic hand. The patient follows both commands
correctly. Which score should be assigned for Level of Consciousness
(LOC) Commands?
A. 0
B. 1
C. 2
D. 3
, A. 0
The patient correctly performs both commands, which corresponds to
a score of 0, indicating no impairment in following commands.
2. A patient is unable to answer questions about the current month and
their age but is alert and responsive. What is the appropriate LOC
Questions score?
A. 0
B. 1
C. 2
D. 3
C. 2
Failure to answer both orientation questions correctly results in a
score of 2 on the LOC Questions component.
3. During gaze assessment, a patient demonstrates forced deviation of
the eyes to the left that cannot be overcome by oculocephalic
maneuver. What is the correct score?
A. 0
B. 1
C. 2
D. 3
C. 2
Forced deviation that cannot be overcome is scored as 2, indicating
severe gaze palsy.
,4. A patient correctly identifies all items in a visual field test with no
extinction. What is the visual field score?
A. 0
B. 1
C. 2
D. 3
A. 0
Normal visual fields without deficit or extinction are scored as 0.
5. A patient shows partial facial droop involving the lower face only.
What score should be assigned for facial palsy?
A. 0
B. 1
C. 2
D. 3
B. 1
Minor paralysis such as flattening of nasolabial fold is scored as 1.
6. A patient cannot lift their right arm against gravity but shows some
effort. What is the appropriate motor arm score?
A. 2
B. 3
C. 1
D. 4
A. 2
, Drift with inability to maintain position but some effort against
gravity is scored as 2.
7. A patient’s left leg shows no movement at all. What score should be
assigned?
A. 2
B. 3
C. 4
D. 1
C. 4
No movement in the limb corresponds to the maximum deficit score
of 4.
8. A patient has mild dysmetria in one limb but can perform coordination
tasks. What is the limb ataxia score?
A. 0
B. 1
C. 2
D. 3
B. 1
Ataxia present in one limb is scored as 1.
9. A patient reports complete loss of sensation on one side of the body.
What is the sensory score?
A. 0
B. 1
