NIH Stroke Scale
What is an accurate statement about NIHSS and hemorrhagic stroke? - Answer -
NIHSS scores predict 30-day mortality and disability outcomes for intracerebral
hemorrhage.
True or False: The patient should be in the supine position for Motor Leg assessment. -
Answer - TRUE
You are assessing your patient using the NIHSS. Your patient is intubated, and you
determine that section 10: Dysarthria is UN (i.e., untestable). What do you do next? -
Answer - Document the reason it is untestable.
When assessing Motor Arm function, which of the following considerations is correct? -
Answer - Assess the arm opposite the weak arm first.
What is the purpose of the NIHSS - Answer - To assess stroke severity using a
standardized tool administered the same way by every healthcare professional who
uses it.
Your patient with a stroke has an NIHSS score of 15. What is the most likely discharge
scenario for a patient with this NIHSS score? - Answer - Discharge to a long-term skilled
nursing care center
The healthcare professional is evaluating the Motor Leg function. The examiner
positions the leg in the correct position and then releases the leg. The leg slightly dips,
returns to a normal position, and the position is held up for 5 seconds. What is the
appropriate score? - Answer - 0 â€" No drift
What is item 2 (Best Gaze) designed to test? - Answer - Horizontal eye movement only
What is an accurate statement about NIHSS and hemorrhagic stroke? - Answer -
NIHSS scores predict 30-day mortality and disability outcomes for intracerebral
hemorrhage.
True or False: The patient should be in the supine position for Motor Leg assessment. -
Answer - TRUE
You are assessing your patient using the NIHSS. Your patient is intubated, and you
determine that section 10: Dysarthria is UN (i.e., untestable). What do you do next? -
Answer - Document the reason it is untestable.
When assessing Motor Arm function, which of the following considerations is correct? -
Answer - Assess the arm opposite the weak arm first.
What is the purpose of the NIHSS - Answer - To assess stroke severity using a
standardized tool administered the same way by every healthcare professional who
uses it.
Your patient with a stroke has an NIHSS score of 15. What is the most likely discharge
scenario for a patient with this NIHSS score? - Answer - Discharge to a long-term skilled
nursing care center
The healthcare professional is evaluating the Motor Leg function. The examiner
positions the leg in the correct position and then releases the leg. The leg slightly dips,
returns to a normal position, and the position is held up for 5 seconds. What is the
appropriate score? - Answer - 0 â€" No drift
What is item 2 (Best Gaze) designed to test? - Answer - Horizontal eye movement only
