NIH Stroke Scale-All Test Groups A-F (patients 1-6) Answer keyUpdated, Exams of Nursing

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NIH Stroke Scale – All Test Groups A-F (patients 1-6) Answer key

Updated

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.

2. 0 - normal.
3. 2 - severe.
4. 1- minor paralysis. 5a. 0 - no drift. 5b. 4 - no movement. 6a. 0 - no drift. 6b. 4 - no movement.
5. 1 - present in one limb.
6. 2 - severe or total sensory loss.
7. 2 - severe aphasia.
8. 1 - mild to moderate dysarthria.
9. 1 - complete neglect. Patient 2 - 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - preforms both tasks correctly.
10. 0 - normal.
11. 0 - no visual loss.

4. 0 - normal symmetrical movement. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1- mild drift. 6b. 2 - some efforts against gravity.
5. 0 - absent.
6. 1 - mild to moderate sensory loss.
7. 0 - normal, no aphasia.
8. 0 - normal.
9. 0 - no abnormality. Patient 3 - 1a. 0 - alert. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly.
10. 0 - normal.
11. 0 - no visual loss.
12. 1 - minor paralysis. 5a. 0 - no drift. 5b. 0 - no drift. 6a. 1 - drifts, does not hit bed. 6b. 0 - no drift.
13. 1 - present in one limb.
14. 1 - mild to moderate sensory loss.
15. 0 - normal, no aphasia.
16. 0 - normal
17. 0 - no abnormality. Patient 4 - 1a. 0 - alert. 1b. 0 - answers both correctly.

1c. 0 - performs both tasks correctly.

2. 0 - normal.
3. 0 - no visual loss.
4. 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.
5. 2 - present in two limbs.
6. 1 - mild to moderate sensory loss.
7. 0 - normal, no aphasia.
8. 0 - normal
9. 0 - no abnormality. Patient 5 - 1a. 1 - not alert, but arousable. 1b. 0 - answers both correctly. 1c. 0 - performs both tasks correctly.
10. 1 - partial gaze palsy.
11. 1 - parietal.
12. 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.
13. 2 - present in two limbs.
14. 1 - mild to moderate sensory loss.
15. 1 - mild to moderate aphasia.
16. 1 - mild to moderate dysarthria.
17. 0 - no abnormality.

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

2. 0 - normal.
3. 0 - no visual loss.
4. 0 - normal. 5a. 0 - no drift. 5b. 1 - drifts, does not hit bed. 6a. 0 - no drift. 6b. 1 - drifts, does not hit bed.
5. 0 - absent.
6. 0 - normal/.
7. 0 - normal, no aphasia.
8. 1 - mild to moderate dysarthria.
9. 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

• 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-
• 5b-
• 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-
• 5b-
• 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:
• 2. Best Gaze:
• 3. Visual:
• 4. Facial Palsy:
• 5a. Motor Arm Left:
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. Extinction and Inattention (formerly Neglect):
• Patient 2 - 1a. Level of Consciousness:
• 1b. LOC Questions:
• 1c. LOC Commands:
• 2. Best Gaze:
• 3. Visual:
• 4. Facial Palsy:
• 5a. Motor Arm Left:
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. Extinction and Inattention (formerly Neglect):
• Patient 3 - 1a. Level of Consciousness:
• 1b. LOC Questions:
• 1c. LOC Commands:
• 2. Best Gaze:
• 3. Visual:
• 4. Facial Palsy:
• 5a. Motor Arm Left:
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. Extinction and Inattention (formerly Neglect):
• Patient 4 - 1a. Level of Consciousness:
• 1b. LOC Questions:
• 1c. LOC Commands:
• 2. Best Gaze:
• 3. Visual:
• 5a. Motor Arm Left: 4. Facial Palsy: 3 incorrect
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. Extinction and Inattention (formerly Neglect):
• Patient 5 - 1a. Level of Consciousness:
• 1b. LOC Questions:
• 1c. LOC Commands:
• 2. Best Gaze:
• 3. Visual:
• 4. Facial Palsy:
• 5a. Motor Arm Left:
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. Extinction and Inattention (formerly Neglect):
• Patient 6 - 1a. Level of Consciousness:
• 1b. LOC Questions:
• 1c. LOC Commands:
• 2. Best Gaze:
• 3. Visual:
• 4. Facial Palsy:
• 5a. Motor Arm Left:
• 5b. Motor Arm Right:
• 6a. Left Leg:
• 6b. Right Leg:
• 7. Limb Ataxia:
• 8. Sensory:
• 9. Best Language:
• 10. Dysarthria:
• 11. 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 -
• 10 -
• 11 -
• 6 - 1a-
• 1b-
• 1c-
• 2 -
• 3 -
• 4 -
• 5a-
• 5b-
• 6a-
• 6b-
• 7 -
• 8 -
• 9 -
• 10 -
• 11 -