NIH Stroke Scale – All Test Groups A-F
(patients 1-6) Answer key Updated With 100%
Correct Answers| ASSURED SUCCESS(2025)
How to assess Level of Consciousness? - ANSWER-1a.
Deteremine if patient is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for
being close. Aphasic and stuporous patients who do not
comprehend the questions will score 2. It is important
that only the initial answer be graded and that the
,examiner not "help" the patient with verbal or non-
verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If
the patient does not respond to command, the task
should be demonstrated to him or her (pantomime), and
the result scored (i.e., follows none, one or two
commands)
What are the results? - ANSWER-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.
, 0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
0 = Performs both tasks correctly.
1 = Performs one task correctly.
2 = Performs neither task correctly.
How to assess best gaze? - ANSWER-Only horizontal eye
movements will be tested.
Voluntary or reflexive (oculocephalic) eye movements
will be scored, but caloric testing is not done. If the
patient has a conjugate deviation of the eyes that can be
overcome by voluntary or reflexive activity, the score will
be 1If a patient has an isolated peripheral nerve paresis
(CN III, IV or VI), score a 1
What are the results? - ANSWER-0 = Normal.
(patients 1-6) Answer key Updated With 100%
Correct Answers| ASSURED SUCCESS(2025)
How to assess Level of Consciousness? - ANSWER-1a.
Deteremine if patient is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for
being close. Aphasic and stuporous patients who do not
comprehend the questions will score 2. It is important
that only the initial answer be graded and that the
,examiner not "help" the patient with verbal or non-
verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If
the patient does not respond to command, the task
should be demonstrated to him or her (pantomime), and
the result scored (i.e., follows none, one or two
commands)
What are the results? - ANSWER-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.
, 0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
0 = Performs both tasks correctly.
1 = Performs one task correctly.
2 = Performs neither task correctly.
How to assess best gaze? - ANSWER-Only horizontal eye
movements will be tested.
Voluntary or reflexive (oculocephalic) eye movements
will be scored, but caloric testing is not done. If the
patient has a conjugate deviation of the eyes that can be
overcome by voluntary or reflexive activity, the score will
be 1If a patient has an isolated peripheral nerve paresis
(CN III, IV or VI), score a 1
What are the results? - ANSWER-0 = Normal.
