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NIH Stroke Scale (NIHSS) Complete Answer Key 2025/2026 | Test Groups A–F (Patients 1–6) | Verified Rationales

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This is a comprehensive and verified answer key for the NIH Stroke Scale Certification, fully updated for the 2025/2026 exam cycle . It provides the complete solutions for Test Groups A, B, C, D, E, and F, covering all six patients in every group . Each entry is designed to help you pass with an A+ grade by including: Itemized scores for all 15 NIHSS items (LOC, Motor, Language, etc.) . Total score calculations and severity interpretations . Detailed rationales explaining the "why" behind every score to ensure clinical accuracy . Clinical pearls and tips for avoiding common scoring errors, such as reflexive responses or scoring ataxia when weakness is present . A Quick Reference Scoring Card for fast review . This resource is ideal for RNs, MDs, EMTs, Neurology residents, and nursing students preparing for their stroke team certification

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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

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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

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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

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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

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