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STROKE SCA 411-STROKE SCALE ANSWERS This document contains the complete set of answers for the Stroke Scale assessment used in clinical training, compiled at the University of Johannesburg. It includes detailed responses for each section of the neurolo

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STROKE SCA 411-STROKE SCALE ANSWERS This document contains the complete set of answers for the Stroke Scale assessment used in clinical training, compiled at the University of Johannesburg. It includes detailed responses for each section of the neurological evaluation criteria, such as level of consciousness, motor function, language, and sensory response. Designed as a reference for medical or nursing students, this answer sheet aligns with practical evaluations and exam preparation requirements. Latest Updated Exam Study Guide current 2025/2026

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Nursing Associated
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Nursing associated

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STROKE SCA 411-STROKE SCALE ANSWERS
This document contains the complete set of answers for the
Stroke Scale assessment used in clinical training, compiled at the
University of Johannesburg. It includes detailed responses for
each section of the neurological evaluation criteria, such as level
of consciousness, motor function, language, and sensory
response. Designed as a reference for medical or nursing
students, this answer sheet aligns with practical evaluations and
exam preparation requirements.
Latest Updated Exam Study Guide current 2025/2026
Attempt History

Hernandez, Delmy
01- NIHSS-English Group A-V3 - 1st Certification


Date Result
3/3/20184:12:38AM Passed 89of90(98.89%) ViewResponses

Patient1

Topic Question Answer Grade

Level of 1a. Level of 0=Alert;keenlyresponsive Correct
Consciousness Consciousness: The
investigator mustchoose
a response, even if a full
evaluation is prevented
by such obstacles as an
endotracheal tube,
language barrier,
orotracheal
trauma/bandages. A 3 is
scoredonlyifthe patient
makes no movement
(other than reflexive
posturing) in response to
noxious stimulation.
LOCQuestions 1b.LOCQuestions:The cause, a 1.
patient is asked the langu It is
month and his/her age. age impo
The answer must be barrie rtant
correct - there is no r or that
partial credit for being any onlyt
close. Aphasic and other he
stuporous patients who proble initial
do not comprehend the mnot answ
questions will score 2. secon er be
Patients unable to speak dary grad
because of endotracheal toaph ed
intubation, orotracheal asia and
trauma, severe are that
dysarthria from any given the

, STROKE SCA 411-STROKE SCALE ANSWERS
This document contains the complete set of answers for the
Stroke Scale assessment used in clinical training, compiled at the
University of Johannesburg. It includes detailed responses for
each section of the neurological evaluation criteria, such as level
of consciousness, motor function, language, and sensory
response. Designed as a reference for medical or nursing
students, this answer sheet aligns with practical evaluations and
exam preparation requirements.
Latest Updated Exam Study Guide current 2025/2026
examiner not "help" the 0 = Answers both questions Correct
patient with verbal or correctly
non-verbal cues.
LOCCommands 1c.LOCCommands: 0=PerformsbothtaskscorrectlyCorrect
The patient is asked to
open and close the eyes
and then to grip and

, STROKE SCA 411-STROKE SCALE ANSWERS
This document contains the complete set of answers for the
Stroke Scale assessment used in clinical training, compiled at the
University of Johannesburg. It includes detailed responses for
each section of the neurological evaluation criteria, such as level
of consciousness, motor function, language, and sensory
response. Designed as a reference for medical or nursing
students, this answer sheet aligns with practical evaluations and
exam preparation requirements.
Latest Updated Exam Study Guide current 2025/2026
release the non-paretic patients.
Patientswithocular
hand. Substituteanother
trauma, bandages, pre- existing
one step command if the
blindness or other disorder of visual
hands cannot be used.
acuity or fields should be tested with
Creditis given if
reflexive movements and a choice
anunequivocal attempt
made by the investigator.
is made but not
Establishing eye contact and then
completed due to
moving about the patient from side to
weakness. If the patient
side will occasionally
does notrespond to
command, the task
should be demonstrated
to them (pantomime)
and score the result
(i.e., follows none, one
or two commands).
Patients with trauma,
amputation, or other
physical impediments
should be given suitable
one-step commands.
Onlythefirstattemptis
scored.
Best Gaze 2. Best Gaze: Only
horizontal eye
movements will be
tested.Voluntary or
reflexive (oculocephalic)
eye movements will be
scored but calorictesting
is not done. If the
patient has a conjugate
deviation of the eyes
that can be overcome by
voluntary or reflexive
activity, the score will be
1. If a patient has an
isolated peripheral nerve
paresis (CN III, IV or VI)
scorea 1. Gaze is
testable in all aphasic

, STROKE SCA 411-STROKE SCALE ANSWERS
This document contains the complete set of answers for the
Stroke Scale assessment used in clinical training, compiled at the
University of Johannesburg. It includes detailed responses for
each section of the neurological evaluation criteria, such as level
of consciousness, motor function, language, and sensory
response. Designed as a reference for medical or nursing
students, this answer sheet aligns with practical evaluations and
exam preparation requirements.
Latest Updated Exam Study Guide current 2025/2026




0=Normal Correct

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Institución
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Nursing associated

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Subido en
7 de mayo de 2025
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Escrito en
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