Advanced Neurological: Rapid Response,
Stroke Scale, and Cranial Nerves
Frequently Tested Exam Questions With
Verified Multiple Choice and Conceptual Actual
100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. Purpose of NIHSS
A standardized tool used to assess the severity of a stroke, monitor
neurological progress, and guide treatment planning.
2. NIHSS Scoring Interpretation
Total score: 0–42
• 1–4: Mild stroke
• 5–14: Moderately severe
• 15–24: Severe
• >25: Very severe
3. Prognosis by Score
<6 → Good recovery potential
>16 → High risk of mortality
4. Level of Consciousness (LOC)
Evaluated from alert to unresponsive based on patient responsiveness.
5. Facial Palsy
Ask patient to show teeth or raise eyebrows
• Normal
, • Minor flattening
• Partial/total paralysis
6. Motor Function (Arms)
Have patient extend arms (90° sitting, 45° supine) and observe for drift or
drop.
7. Motor Function (Legs)
Ask patient to lift leg 30° and hold for 5 seconds, checking for drift or
weakness.
Ankle jerk - ANSWER Tested by tapping the Achilles tendon, which is located
@ the back of the ankle just above the heel. A normal response involves a brief
and quick plantar flexion of the foot.
Quadriceps (Patellar) reflex - ANSWER Have pt sitting position with leg
hanging freely. You want to strike the tendon just below the patella and above its
bony insertion on the tibia and watch for the leg to kick.
Mental Status Assessment - ANSWER A comprehensive exam- very detailed,
head to toe, can take 30-40 mins to complete.
Differential exam - ANSWER Usually looking @ x rays, cts, lab work not
actually looking at the pt.
Rapid exam - ANSWER Fast exam.
Stroke Scale, and Cranial Nerves
Frequently Tested Exam Questions With
Verified Multiple Choice and Conceptual Actual
100% Correct Detailed Answers
Guaranteed Pass!!Current Update!!
1. Purpose of NIHSS
A standardized tool used to assess the severity of a stroke, monitor
neurological progress, and guide treatment planning.
2. NIHSS Scoring Interpretation
Total score: 0–42
• 1–4: Mild stroke
• 5–14: Moderately severe
• 15–24: Severe
• >25: Very severe
3. Prognosis by Score
<6 → Good recovery potential
>16 → High risk of mortality
4. Level of Consciousness (LOC)
Evaluated from alert to unresponsive based on patient responsiveness.
5. Facial Palsy
Ask patient to show teeth or raise eyebrows
• Normal
, • Minor flattening
• Partial/total paralysis
6. Motor Function (Arms)
Have patient extend arms (90° sitting, 45° supine) and observe for drift or
drop.
7. Motor Function (Legs)
Ask patient to lift leg 30° and hold for 5 seconds, checking for drift or
weakness.
Ankle jerk - ANSWER Tested by tapping the Achilles tendon, which is located
@ the back of the ankle just above the heel. A normal response involves a brief
and quick plantar flexion of the foot.
Quadriceps (Patellar) reflex - ANSWER Have pt sitting position with leg
hanging freely. You want to strike the tendon just below the patella and above its
bony insertion on the tibia and watch for the leg to kick.
Mental Status Assessment - ANSWER A comprehensive exam- very detailed,
head to toe, can take 30-40 mins to complete.
Differential exam - ANSWER Usually looking @ x rays, cts, lab work not
actually looking at the pt.
Rapid exam - ANSWER Fast exam.
