NIH Stroke Scale – All Test Groups A–F (Patients 1–6)
Complete Answer Key | Verified and Fully Updated for 2025/2026
Exam (elaborations)
NIH STROKE SCALE – ALL TEST GROUPS A–F (PATIENTS 1–6)
Complete Answer Key with Detailed Rationales
Verified and Fully Updated for 2025/2026 | Already Graded A+
Institution: NIH Stroke Scale Certification / Healthcare Provider Training
Course: NIHSS Certification / Stroke Assessment / Neurology
,2|Page
TABLE OF CONTENTS
Section Topic Page
Section 1 Overview of the NIH Stroke Scale 3
Section 2 NIHSS Scoring Guidelines 4-5
Section 3 Test Group A – Patients 1-6 6-11
Section 4 Test Group B – Patients 1-6 12-17
Section 5 Test Group C – Patients 1-6 18-23
Section 6 Test Group D – Patients 1-6 24-29
Section 7 Test Group E – Patients 1-6 30-35
Section 8 Test Group F – Patients 1-6 36-41
Section 9 Quick Reference Scoring Card 42
Section 10 Common Errors and Tips 43
,3|Page
About This Answer Key
This comprehensive answer key contains complete, verified answers for NIH Stroke Scale Test
Groups A through F (Patients 1-6) . Each entry includes:
• ✅ Patient number and test group
• ✅ Item scores for all 15 NIHSS items
• ✅ Total score calculation
• ✅ Detailed rationales explaining the scoring rationale
• ✅ Clinical pearls for accurate scoring
• ✅ Fully updated for 2025/2026 certification requirements
Perfect for:
• NIHSS certification seekers
• Healthcare providers (RNs, MDs, EMTs)
• Stroke team members
• Neurology residents and fellows
• Nursing students and clinical educators
SECTION 1: OVERVIEW OF THE NIH STROKE SCALE
, 4|Page
What is the NIH Stroke Scale?
The National Institutes of Health Stroke Scale (NIHSS) is a systematic assessment tool that
provides a quantitative measure of stroke-related neurologic deficit. It is used:
• To evaluate the severity of stroke
• To guide treatment decisions (e.g., tPA eligibility)
• To monitor patient progress over time
• To standardize communication among healthcare providers
NIHSS Item Summary
Item Description Score Range
1a Level of Consciousness (LOC) 0-3
1b LOC Questions (month, age) 0-2
1c LOC Commands (open/close eyes, grip/release) 0-2