NIHSS GROUP C CERTIFICATION 2025/2026 – 200+ PRACTICE QUESTIONS & SCORING GUIDE WITH RATIONALES

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Master NIHSS Group C certification with our

updated 2025/2026 scoring guide. Learn how

to assess and score Patients 1–6 using the

official NIH Stroke Scale. Most Searched

Keywords (High Intent) NIHSS Group C

answer key NIH Stroke Scale Group C 2025

NIH

1. Item 1a (LOC): The patient wakes up readily, answers

questions correctly, and follows commands. Score?

 A) 0

 B) 1

 C) 2

 D) 3

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Answer: A) 0

*Rationale: Alert and fully responsive = 0.*

2. Item 1b (LOC Questions): He knows his age and the current

month. Score?

 A) 0

 B) 1

 C) 2

Answer: A) 0

*Rationale: Answers both correctly = 0.*

3. Item 1c (LOC Commands): He opens/closes eyes and makes

a fist on command. Score?

 A) 0

 B) 1

 C) 2

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Answer: A) 0

*Rationale: Performs both correctly = 0.*

4. Item 2 (Best Gaze): Eyes move fully horizontally. No

conjugate deviation. Score?

 A) 0

 B) 1

 C) 2

Answer: A) 0

*Rationale: Normal gaze = 0.*

5. Item 3 (Visual Fields): No visual loss to double simultaneous

stimulation. Score?

 A) 0

 B) 1

 C) 2