EXAM
Exam Solution
vc
NIHSS Certification Test Questions 2026 A+ GRADE ASS
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URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
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(20BED)
QUESTION 1 vc
You have a student on rotation in your department when a patient with a suspected stro
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ke arrives. The student asks you how to properly perform the NIH Stroke Scale (NIHSS) s
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ensory function evaluation. You explain that this scale assessment item includes -
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ANSWER
Bilateral peripheral bare-skin pinprick testing with a needle on the sides of the face-
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particularly in front of the ears, above the wrist and ankles, below the knees, and on the trunk.
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QUESTION 2 vc
When you are assessing the NIH Stroke Scale (NIHSS) item for level of consciousness on
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patients who have a pre-existing stroke with a verbal expressive deficit, you would
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Allow the patient to attempt to speak, speak slowly, or use gestures or body language , or write their re
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sponses to demonstrate their best response
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QUESTION 3 vc
What is the primary purpose of the NIH Stroke Scale (NIHSS)?
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ANSWER
To determine the degree of neurological impairments in stroke patients
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QUESTION 4 vc
What does the NIH Stroke Scale (NIHSS) measure?
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, ANSWER
The severity of neurological deficits in stroke patients
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QUESTION 5 vc
You are assessing the dysarthria item in the NIH Stroke Scale (NIHSS) and the patient wa
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s intubated on the way to the emergency department. When scoring this item, you would
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-
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ANSWER
Record a score of "UN" and explain why this score was given
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QUESTION 6 vc
You are administering the NIH Stroke Scale (NIHSS), and the patient is struggling with th
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e finger-nose-
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finger test for limb ataxia assessment and their arm appears extremely weak. Your BEST
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action is to -
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ANSWER
Record a score of 0 for this scale item and move on to the next scale assessment item
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QUESTION 7 vc
Which statement is TRUE regarding assessing facial palsy in the NIHSS?
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ANSWER
The test is performed to evaluate for facial symmetry
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QUESTION 8 vc
Which patient NIH Stroke Scale (NIHSS) score is more likely to predict better functional
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outcomes and prognosis? vc vc
ANSWER
3
QUESTION 9 vc
What does a higher score on the NIH Stroke Scale (NIHSS) indicate?
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ANSWER
Exam Solution
vc
NIHSS Certification Test Questions 2026 A+ GRADE ASS
vc vc vc vc vc vc vc
URED COMPLETE SOLUTIONS AND VERIFIED ANSWERS
vc vc vc vc vc vc
(20BED)
QUESTION 1 vc
You have a student on rotation in your department when a patient with a suspected stro
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ke arrives. The student asks you how to properly perform the NIH Stroke Scale (NIHSS) s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ensory function evaluation. You explain that this scale assessment item includes -
vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Bilateral peripheral bare-skin pinprick testing with a needle on the sides of the face-
vc vc vc vc vc vc vc vc vc vc vc vc vc
particularly in front of the ears, above the wrist and ankles, below the knees, and on the trunk.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 2 vc
When you are assessing the NIH Stroke Scale (NIHSS) item for level of consciousness on
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
patients who have a pre-existing stroke with a verbal expressive deficit, you would
vc vc vc vc vc vc vc vc vc vc vc vc
ANSWER
Allow the patient to attempt to speak, speak slowly, or use gestures or body language , or write their re
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
sponses to demonstrate their best response
vc vc vc vc vc
QUESTION 3 vc
What is the primary purpose of the NIH Stroke Scale (NIHSS)?
vc vc vc vc vc vc vc vc vc vc
ANSWER
To determine the degree of neurological impairments in stroke patients
vc vc vc vc vc vc vc vc vc
QUESTION 4 vc
What does the NIH Stroke Scale (NIHSS) measure?
vc vc vc vc vc vc vc
, ANSWER
The severity of neurological deficits in stroke patients
vc vc vc vc vc vc vc
QUESTION 5 vc
You are assessing the dysarthria item in the NIH Stroke Scale (NIHSS) and the patient wa
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
s intubated on the way to the emergency department. When scoring this item, you would
vc vc vc vc vc vc vc vc vc vc vc vc vc vc v
-
c
ANSWER
Record a score of "UN" and explain why this score was given
vc vc vc vc vc vc vc vc vc vc vc
QUESTION 6 vc
You are administering the NIH Stroke Scale (NIHSS), and the patient is struggling with th
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
e finger-nose-
vc
finger test for limb ataxia assessment and their arm appears extremely weak. Your BEST
vc vc vc vc vc vc vc vc vc vc vc vc vc v
action is to -
c vc vc vc
ANSWER
Record a score of 0 for this scale item and move on to the next scale assessment item
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
QUESTION 7 vc
Which statement is TRUE regarding assessing facial palsy in the NIHSS?
vc vc vc vc vc vc vc vc vc vc
ANSWER
The test is performed to evaluate for facial symmetry
vc vc vc vc vc vc vc vc
QUESTION 8 vc
Which patient NIH Stroke Scale (NIHSS) score is more likely to predict better functional
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
outcomes and prognosis? vc vc
ANSWER
3
QUESTION 9 vc
What does a higher score on the NIH Stroke Scale (NIHSS) indicate?
vc vc vc vc vc vc vc vc vc vc vc
ANSWER