NIH Stroke Scale Exam Questions And
Answers
NIH stroke scale was developed to? - - correct answer ✅help clinicians
objectively rate the severity of ischemic strokes
Increasing NIH score indicates what? - - correct answer ✅more severe
stroke and correlates with the size of the infarction
1-pt increase in score decreases the likelihood of an excellent outcome
by? - - correct answer ✅24% at 7 days
T/F: total NIHSS <4 generally have favorable clinical outcomes and a
high likelihood of functional independence regardless of treatment - -
correct answer ✅True
Rules for scoring - - correct answer ✅-score what you see not what you
think
-score the first response, not the best response (exception: item 9 best
language)
-don't coach the pt
LOC is divided into what three sections? - - correct answer ✅-
Responsiveness - are they responsive when you walk into the room
, NIH Stroke Scale Exam Questions And
Answers
-LOC questions - ask the pt what the current month is and what their
current age is
-LOC commands - ask the pt to blink their eyes and make the fist in both
hands
LOC questions scoring: - - correct answer ✅0 - gets both questions
right
1- gets only one question right, or there is a language barrier, or unable
to speak due to trauma or intubated
2- gets both questions wrong, or they are inaudible
LOC responsiveness scoring: - - correct answer ✅0-alert and
completely responsive
1- not alert but arousal to minor stimulation
2- not alert, required repeated stimulation to arouse, or requires strong
or painful stimuli
Answers
NIH stroke scale was developed to? - - correct answer ✅help clinicians
objectively rate the severity of ischemic strokes
Increasing NIH score indicates what? - - correct answer ✅more severe
stroke and correlates with the size of the infarction
1-pt increase in score decreases the likelihood of an excellent outcome
by? - - correct answer ✅24% at 7 days
T/F: total NIHSS <4 generally have favorable clinical outcomes and a
high likelihood of functional independence regardless of treatment - -
correct answer ✅True
Rules for scoring - - correct answer ✅-score what you see not what you
think
-score the first response, not the best response (exception: item 9 best
language)
-don't coach the pt
LOC is divided into what three sections? - - correct answer ✅-
Responsiveness - are they responsive when you walk into the room
, NIH Stroke Scale Exam Questions And
Answers
-LOC questions - ask the pt what the current month is and what their
current age is
-LOC commands - ask the pt to blink their eyes and make the fist in both
hands
LOC questions scoring: - - correct answer ✅0 - gets both questions
right
1- gets only one question right, or there is a language barrier, or unable
to speak due to trauma or intubated
2- gets both questions wrong, or they are inaudible
LOC responsiveness scoring: - - correct answer ✅0-alert and
completely responsive
1- not alert but arousal to minor stimulation
2- not alert, required repeated stimulation to arouse, or requires strong
or painful stimuli