NIH Stroke Scale Questions and
Answers (100% Certified)
How many items on the NIH stroke scale? - correct answrs: 11
NIH Stroke scale is - correct answrs: an 11-item clinical evaluation instrument widely used in clinical
trials and practice to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) -
correct answrs: levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome after - correct
answrs: treatment
Should the patient be coached? Should you go back and rethink a particular assessment? - correct
answrs: NO
Having what when using NIH scale is important? - correct answrs: reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY -
correct answrs: rate only what they actually do
use patient"s first response? - correct answrs: YES - DO NOT USE SUMMARY OF RESPONSES
,re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test,
that's probably...
3) Important to know if ataxia is present or not and if present in _____ or _______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - correct answrs: 1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate... - correct answrs: that they have
loss of sensation
if patient has sensory loss from neuropathy, do you count thatt? - correct answrs: no, but you do if
there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be subjective as to
whether it is one of which classification? - correct answrs: mild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a history of... -
correct answrs: what happened
dysarthria is interesting because there are many cultural things about slurred ________? - correct
answrs: speech.
Score is associated with prognosis? - correct answrs: YES
Is NIH scale a measure of disability? - correct answrs: NO. The NIH scale is a measure of impairments.
, The NIH scale creates a common currency so that everybody understands the patient's level of... -
correct answrs: deficit, by giving a number that communicates to other professionals how sick the
patient is
how much time to budget to perorm NIH scale - correct answrs: 7-10 mins
What effort should be recorded? Do not do what? - correct answrs: The patient's first effort. Don't go
back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s ______s - correct
answrs: -order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - correct answrs: -examiner's overall impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping,
occasionally pinching
NIH Item 1a Scoring:
0
1
Answers (100% Certified)
How many items on the NIH stroke scale? - correct answrs: 11
NIH Stroke scale is - correct answrs: an 11-item clinical evaluation instrument widely used in clinical
trials and practice to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) -
correct answrs: levels of:
consciousness
vision
motor function (facial and extremities)
cerebellar function
sensation
language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome after - correct
answrs: treatment
Should the patient be coached? Should you go back and rethink a particular assessment? - correct
answrs: NO
Having what when using NIH scale is important? - correct answrs: reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY -
correct answrs: rate only what they actually do
use patient"s first response? - correct answrs: YES - DO NOT USE SUMMARY OF RESPONSES
,re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test,
that's probably...
3) Important to know if ataxia is present or not and if present in _____ or _______ limbs
4) if patient very weak or paralyzed, the ataxia score is... - correct answrs: 1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate... - correct answrs: that they have
loss of sensation
if patient has sensory loss from neuropathy, do you count thatt? - correct answrs: no, but you do if
there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be subjective as to
whether it is one of which classification? - correct answrs: mild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a history of... -
correct answrs: what happened
dysarthria is interesting because there are many cultural things about slurred ________? - correct
answrs: speech.
Score is associated with prognosis? - correct answrs: YES
Is NIH scale a measure of disability? - correct answrs: NO. The NIH scale is a measure of impairments.
, The NIH scale creates a common currency so that everybody understands the patient's level of... -
correct answrs: deficit, by giving a number that communicates to other professionals how sick the
patient is
how much time to budget to perorm NIH scale - correct answrs: 7-10 mins
What effort should be recorded? Do not do what? - correct answrs: The patient's first effort. Don't go
back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that may be from _________s ______s - correct
answrs: -order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - correct answrs: -examiner's overall impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping,
occasionally pinching
NIH Item 1a Scoring:
0
1
