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A stroke patient is being assessed on item 4 (facial palsy). The patient appears unconscious and
shows no signs of response when asked to follow commands. The examiner pinches the patients nail
bed and the patient shows a flattened nasolabial fold and an uneven grimace. What score should be
addressed?
0-normal
1-minor paralysis
2-partial paralysis
3-complete paralysis ✔Correct Answer-1- minor paralysis
The healthcare provider is evaluating the motor function of the right arm. The provider positions the
arm correctly, then releases it. The arm slightly dips, returns to normal position and the position is
held for the appropriate time. What is the correct score?
0-no drift
1-drift
2-some effort
3-no effort ✔Correct Answer-0-no drift
True or false: if the NIHSS is a o be used as a baseline, it must be administered before any form of
treatment ✔Correct Answer-True
A patient who scores a 4 on the NIHSS is said to have had:
No stroke
Minor stroke
Moderate stroke
Severe stroke ✔Correct Answer-Minor stroke
Which of the following is a principle of administering the NIHSS?
A:allow the patient to make one correction
B: administer the NIHSS within 6 hours of symptom o set
C: validate response with neurologist
D: record only what happened ✔Correct Answer-record only what happened
The NIHSS can be an effective tool for determining the location of a stroke
True or false ✔Correct Answer-True
Item 2 (best gaze) is designed to test:
A: reflexive eye movement only
B: voluntary eye movement only
C: vertical eye movement only
D: horizontal eye movement only ✔Correct Answer-Horizontal eye movement only
Which of the following locations is inappropriate to administer item 8 (sensory) pinpricks
A: trunk
B: sides of face