NIH STROKE SCALE (NIHSS) CERTIFICATION ANSWER KEY FOR
THE TEST GROUP A-F (PATIENT 1-6) ACTUAL EXAM 2026/2027
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
SOLUTIONS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ | FULL REVISED 2026 OFFICIAL
CERTIFICATION EXAM | INSTANT DOWNLOAD PDF |JUST
RELEASED
TEST GROUP A – PATIENTS 1–6
PATIENT 1 – GROUP A
1a. Level of Consciousness:
A) 0 – Alert
B) 1 – Arouses to minor stimulation
C) 2 – Requires repeated stimulation
D) 3 – Pain only
CORRECT ANSWER: A) 0 – Alert
Rationale: The patient is awake, attentive, and responds
appropriately to the environment without requiring any stimulation.
A score of 0 indicates a fully alert patient who is keenly responsive
and follows commands without difficulty.
1b. LOC Questions:
A) 0 – Answers both correctly
,B) 1 – Answers one correctly
C) 2 – Answers neither correctly
D) 3 – Unable to understand
CORRECT ANSWER: A) 0 – Answers both correctly
Rationale: The patient correctly identifies the current month and
their age. Both questions are answered accurately, indicating intact
orientation and language comprehension.
1c. LOC Commands:
A) 0 – Performs both tasks correctly
B) 1 – Performs one task correctly
C) 2 – Performs neither task
CORRECT ANSWER: A) 0 – Performs both tasks correctly
Rationale: The patient successfully follows both commands—
opening and closing eyes and gripping/hand releasing. This
demonstrates intact motor command comprehension and execution.
2. Best Gaze:
A) 0 – Normal
B) 1 – Partial gaze palsy
C) 2 – Forced deviation
CORRECT ANSWER: A) 0 – Normal
,Rationale: The patient demonstrates full, conjugate horizontal eye
movements without any deviation or gaze preference. Both
voluntary and reflexive horizontal eye movements are intact.
3. Visual Fields:
A) 0 – No visual loss
B) 1 – Partial hemianopia
C) 2 – Complete hemianopia
D) 3 – Bilateral blindness
CORRECT ANSWER: A) 0 – No visual loss
Rationale: Visual field testing by confrontation reveals no visual loss.
The patient can see and count fingers in all four visual field
quadrants.
4. Facial Palsy:
A) 0 – Normal
B) 1 – Minor paralysis
C) 2 – Partial paralysis
D) 3 – Complete paralysis
CORRECT ANSWER: B) 1 – Minor paralysis
, Rationale: The patient demonstrates flattened nasolabial fold and
mild asymmetry on smiling, indicating minor facial weakness. This
represents a subtle but definite facial palsy.
5a. Motor Arm – Left:
A) 0 – No drift
B) 1 – Drift
C) 2 – Some effort against gravity
D) 3 – No effort against gravity
E) 4 – No movement
CORRECT ANSWER: D) 3 – No effort against gravity
Rationale: The left arm falls without any effort against gravity when
extended. The limb cannot maintain position and demonstrates
significant motor weakness.
5b. Motor Arm – Right:
A) 0 – No drift
B) 1 – Drift
C) 2 – Some effort against gravity
D) 3 – No effort against gravity
E) 4 – No movement
CORRECT ANSWER: A) 0 – No drift
THE TEST GROUP A-F (PATIENT 1-6) ACTUAL EXAM 2026/2027
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
SOLUTIONS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ | FULL REVISED 2026 OFFICIAL
CERTIFICATION EXAM | INSTANT DOWNLOAD PDF |JUST
RELEASED
TEST GROUP A – PATIENTS 1–6
PATIENT 1 – GROUP A
1a. Level of Consciousness:
A) 0 – Alert
B) 1 – Arouses to minor stimulation
C) 2 – Requires repeated stimulation
D) 3 – Pain only
CORRECT ANSWER: A) 0 – Alert
Rationale: The patient is awake, attentive, and responds
appropriately to the environment without requiring any stimulation.
A score of 0 indicates a fully alert patient who is keenly responsive
and follows commands without difficulty.
1b. LOC Questions:
A) 0 – Answers both correctly
,B) 1 – Answers one correctly
C) 2 – Answers neither correctly
D) 3 – Unable to understand
CORRECT ANSWER: A) 0 – Answers both correctly
Rationale: The patient correctly identifies the current month and
their age. Both questions are answered accurately, indicating intact
orientation and language comprehension.
1c. LOC Commands:
A) 0 – Performs both tasks correctly
B) 1 – Performs one task correctly
C) 2 – Performs neither task
CORRECT ANSWER: A) 0 – Performs both tasks correctly
Rationale: The patient successfully follows both commands—
opening and closing eyes and gripping/hand releasing. This
demonstrates intact motor command comprehension and execution.
2. Best Gaze:
A) 0 – Normal
B) 1 – Partial gaze palsy
C) 2 – Forced deviation
CORRECT ANSWER: A) 0 – Normal
,Rationale: The patient demonstrates full, conjugate horizontal eye
movements without any deviation or gaze preference. Both
voluntary and reflexive horizontal eye movements are intact.
3. Visual Fields:
A) 0 – No visual loss
B) 1 – Partial hemianopia
C) 2 – Complete hemianopia
D) 3 – Bilateral blindness
CORRECT ANSWER: A) 0 – No visual loss
Rationale: Visual field testing by confrontation reveals no visual loss.
The patient can see and count fingers in all four visual field
quadrants.
4. Facial Palsy:
A) 0 – Normal
B) 1 – Minor paralysis
C) 2 – Partial paralysis
D) 3 – Complete paralysis
CORRECT ANSWER: B) 1 – Minor paralysis
, Rationale: The patient demonstrates flattened nasolabial fold and
mild asymmetry on smiling, indicating minor facial weakness. This
represents a subtle but definite facial palsy.
5a. Motor Arm – Left:
A) 0 – No drift
B) 1 – Drift
C) 2 – Some effort against gravity
D) 3 – No effort against gravity
E) 4 – No movement
CORRECT ANSWER: D) 3 – No effort against gravity
Rationale: The left arm falls without any effort against gravity when
extended. The limb cannot maintain position and demonstrates
significant motor weakness.
5b. Motor Arm – Right:
A) 0 – No drift
B) 1 – Drift
C) 2 – Some effort against gravity
D) 3 – No effort against gravity
E) 4 – No movement
CORRECT ANSWER: A) 0 – No drift
