NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update, Exams of Nursing

Download NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update and more Exams Nursing in PDF only on Docsity! NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update. What does NIHSS stand for? - Correct Answer National Institute of Health Stroke Scale What are 6 important conventions to remember when scoring a NIHSS? - Correct Answer Administer scale items in EXACT order Avoid coaching the patient Accept the patient's first effort Score only what the patient does Be consistent Include all deficits in scoring When administering an NIHSS what is important to remember about the order of the test? - Correct Answer Do not change the order of the testing, go in exact order to reproduce results. NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update. A nurse is administering a NIHSS. He/she re preforms the test after a poor first result. The patient scores much better on the second attempt. Which test result should the nurse record in the patient's records? Why? - Correct Answer The first attempt. Only first attempts are recorded as an attempt to keep the NIHSS uniform throughout healthcare. What is the first item of the NIHSS? 1A - Correct Answer Level of Consciousness What are the four score levels for item 1A? - Correct Answer 0 = Alert 1 = Not alert, aroused with minor verbal stimulation 2 = Not alert; requires strong or painful stimulation NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update. considered an incorrect Correct Answer . Only accept the initial Correct Answer , and no partial credit is given. How do you perform LOC item 1C? - Correct Answer Instruct the patient to 'close their eyes, then open them up. Take your (unaffected) hand and make a fist, then open it up.' How do you score LOC item 1C? - Correct Answer 0 = both items performed correctly 1 = one item performed correctly 2 = both items performed incorrectly NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update. In LOC item 1C can partial credit be given if the patient makes a legitmate effort that is impaired due to weakness? - Correct Answer Yes The patient does not speak English. Their family who is bilingual is in the room. How will you instruct the patient for LOC item 1C? - Correct Answer You are able to ask the family to give verbal commands to the patient and observe the response. What is the best gaze item? - Correct Answer It tests horizontal gaze How do you test for best gaze? - Correct Answer First observe the patient's eye movements. Note any shaking or inability to focus. Then instruct the patient to follow your finger from right to left with just their eyes. NIHSS Certification Exam Review with Verified Solutions 2023-2024 Update. What is the scoring for best gaze? - Correct Answer 0 = patient performs correctly 1 = partial gaze palsy 2 = patient cannot perform