NIH Stroke Scale (NIHSS) Answer Key 2025 | Groups A–F, Patients 1–6 | Linked to Official NIH Booklet

NIH Stroke Scale (NIHSS) – Official Summary for Clinical

Examination & Certification Preparation 2025-2026




Reference: National Institutes of Health (NIH) Stroke Scale |

Adapted for Educational Use

1. Level of Consciousness (1a, 1b, 1c)

1a. LOC

0: Alert

1: Drowsy

2: Obtunded

3: Coma/unresponsive

1b. Orientation Questions

Ask: “How old are you?” and “What month is it?”

0: Both correct

1: One correct

2: Neither correct

, 1c. Response to Commands

Instruct: “Open and close your eyes” and “Grip and release your

non-paretic hand.”

0: Both performed correctly

1: One performed correctly

2: Neither performed

2. Eye Movement & Visual Fields

2. Gaze

0: Normal

1: Partial gaze palsy

2: Forced deviation

3. Visual Fields

0: No loss

1: Partial hemianopia

2: Complete hemianopia

3: Bilateral hemianopia