COMPLETE CERTIFICATION GUIDE
ALL 15 ITEMS (GROUPS A-F) FULLY SOLVED
TESTED QUESTIONS & VERIFIED ANSWERS
SECTION 1: LEVEL OF CONSCIOUSNESS (ITEM 1)
1a. Level of Consciousness (LOC)
How to assess: Observe the patient to determine alertness. Ask patient age and
month. The patient must be alert and oriented to time and situation.
Scoring:
• 0 = Alert; keenly responsive.
• 1 = Not alert; but arousable by minor stimulation to obey, answer, or
respond.
• 2 = Not alert; requires repeated stimulation to attend, or is obtunded and
requires strong or painful stimulation to make movements (not
stereotyped).
• 3 = Responds only with reflex motor or autonomic effects or totally
unresponsive, flaccid, and areflexic.
Critical Notes: Only the initial answer is graded. Do not "help" the patient with
verbal or non-verbal cues. Aphasic and stuporous patients who do not
comprehend the questions will score 2.
1b. LOC Questions
How to assess: Ask the patient: "What is the month?" and "How old are you?"