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APEX NIH Stroke Scale- All Test Groups A-F (Patient 1-6 Complete) Answer key Updated 202, Exams of Nursing

APEX NIH Stroke Scale- All Test Groups A-F (Patient 1-6 Complete) Answer key Updated 2024

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Download APEX NIH Stroke Scale- All Test Groups A-F (Patient 1-6 Complete) Answer key Updated 202 and more Exams Nursing in PDF only on Docsity!

APEX NIH Stroke Scale - All Test Groups

5a- 0

5b- 0

6a- 0

6b- 1

7 - 0

8 - 1

9 - 0

10 - 0

11 - 0

NIHSS Group C - Patients 1- 6 Patient 1 - 1a. 0 - alert. 1b. 2 - neither correct. 1c. 1 - preforms one task correctly.

  1. 0 - normal.
  2. 2 - severe.
  3. 1 - minor paralysis. 5a. 0 - no drift. 5 b. 4 - no movement. 6a. 0 - no drift. 6b. 4 - no movement.
  4. 1 - present in one limb.
  5. 2 - severe or total sensory loss.
  6. 2 - severe aphasia.
  7. 1 - mild to moderate dysarthria.
  8. 1 - complete neglect. Patient 2 - 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - preforms both tasks correctly.
  9. 0 - normal.
  10. 0 - no visual loss.
  1. 0 - normal symmetrical movement. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1 - mild drift. 6b. 2 - some efforts against gravity.
  2. 0 - absent.
  3. 1 - mild to moderate sensory loss.
  4. 0 - normal, no aphasia.
  5. 0 - normal.
  6. 0 - no abnormality. Patient 3 - 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly.
  7. 0 - normal.
  8. 0 - no visual loss. 4.1 - minor paralysis. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1 - drifts, does not hit bed. 6b. 0 - no drift. 7.1 - present in one limb.
  9. 1 - mild to moderate sensory loss.
  10. 0 - normal, no aphasia.
  11. 0 - normal
  12. 0 - no abnormality. Patient 4 - 1a. 0 - alert. 1b. 0 - answers both correctly.

1c. 0 - performs both tasks correctly.

  1. 0 - normal.
  2. 0 - no visual loss.
  3. 1 - minor paralysis. 5a. 1 - drift, does not hit bed. 5b. 0 - no drift. 6a. 1 - drifts, does not hit bed. 6b. 0 - no drift. 7.2 - present in two limbs. 8.1 - mild to moderate sensory loss.
  4. 0 - normal, no aphasia.
  5. 0 - normal
  6. 0 - no abnormality. Patient 5 - 1a. 1 - not alert, but arousable. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly. 2.1 - partial gaze palsy. 3.1 - parietal.
  7. 0 - normal. 5a. 2 - drifts to hit bed. 5b. 0 - no drift. 6a. 2 - drifts to hit bed. 6b. 1 - drifts, does not hit bed.
  8. 2 - present in two limbs.
  9. 1 - mild to moderate sensory loss.
  10. 1 - mild to moderate aphasia.
  11. 1 - mild to moderate dysarthria.
  12. 0 - no abnormality.

Patient 6 - 1a. 0 - alert. 1b. 1 - answers one correctly. 1c. 0 - performs both tasks correctly.

  1. 0 - normal.
  2. 0 - no visual loss.
  3. 0 - normal. 5a. 0 - no drift. 5b. 1 - drifts, does not hit bed. 6a. 0 - no drift. 6b. 1 - drifts, does not hit bed.
  4. 0 - absent.
  5. 0 - normal/.
  6. 0 - normal, no aphasia.
  7. 1 - mild to moderate dysarthria.
  8. 0 - no abnormality. NIH Group D

1 - 1a- 0

1b- 0

1c- 0

2 - 0

3 - 0

4 - 0

5a- 0

5b- 0

6a- 0

6b- 1

7 - 0

8 - 1

9 - 0

10 - 1

11 - 0

2 - 1a- 0

1b- 0

NIHSS Group E

  • Updated A-F (Patient 1-6 Complete) Answer key
    • Patient 1 - 1a- Group A Test Answers/ NIHSS GROUP A | PATIENTS 1-6 NIH
    • 1b-
    • 1c-
    • 2 -
    • 3 -
    • 4 -
    • 5a-
    • 5b-
    • 6a-
    • 6b-
    • 7 -
    • 8 -
    • 9 -
    • 10 -
    • 11 -
    • Patient 2 - 1a-
    • 1b-
    • 1c-
    • 2 -
    • 3 -
    • 4 -
    • 5a-
    • 5b-
    • 6a-
    • 6b-
    • 7 -
    • 8 -
    • 9 -
    • 10 -
    • 11 -
    • Patient 3 - 1a-
    • 1b-
    • 1c-
    • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 4 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 5 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 6 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • NIH Stroke Scale Group B Patient 1-
  • Patient 1 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 2 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • patient 3 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 4 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 5 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 6 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 3 i'm doing fine - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5 b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 4 --alright, no, 81yo - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 5 --good morning, yes - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 6 --er bed; - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 1 --pretty ok, older white man with mustache and blue eyes - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 2 -- 1,2,3,4,5 and a 1/2 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5 b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 3 --comatose black woman - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 4 --white man, silly looking circle head; 67 yo says 58 - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 4 --Lyden, woman, feeling ok, no pain, 2227 woman - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 5 --Shaw, white man black female doctor, - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • Patient 1 - 1a. Level of Consciousness: NIHSS-English Group E-V3 - 5th Certification
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
    1. Facial Palsy:
  • 5a. Motor Arm Left:
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • Patient 2 - 1a. Level of Consciousness:
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
    1. Facial Palsy:
  • 5a. Motor Arm Left:
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • Patient 3 - 1a. Level of Consciousness:
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
    1. Facial Palsy:
  • 5a. Motor Arm Left:
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • Patient 4 - 1a. Level of Consciousness:
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
  • 5a. Motor Arm Left: 4. Facial Palsy: 3 incorrect
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • Patient 5 - 1a. Level of Consciousness:
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
    1. Facial Palsy:
  • 5a. Motor Arm Left:
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • Patient 6 - 1a. Level of Consciousness:
  • 1b. LOC Questions:
  • 1c. LOC Commands:
    1. Best Gaze:
    1. Visual:
    1. Facial Palsy:
  • 5a. Motor Arm Left:
  • 5b. Motor Arm Right:
  • 6a. Left Leg:
  • 6b. Right Leg:
    1. Limb Ataxia:
    1. Sensory:
    1. Best Language:
    1. Dysarthria:
    1. Extinction and Inattention (formerly Neglect):
  • 1 --black man, asian doctor with red tie - 1a- NIH Group F
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 2 - lyden, older woman hospital bed, window curtains - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 3 --just a little dizzy - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 4 --lyden, bruise right face woman - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -
  • 9 -
  • 10 -
  • 11 -
  • 5 --shaw - 1a-
  • 1b-
  • 1c-
  • 2 -
  • 3 -
  • 4 -
  • 5a-
  • 5b-
  • 6a-
  • 6b-
  • 7 -
  • 8 -

9 - 0

10 - 0

11 - 0

6 - 1a- 1 1b- 0 1c- 0 2 - 1 3 - 1 4 - 0 5a- 2 5b- 0 6a- 2 6b- 0 7 - 2 8 - 1 9 - 1 10 - 1 11 - 0