1|Page
NIH STROKE SCALE TRAINING AND
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
tips for scoring
use patient's first response
-
ataxia
lack of muscle coordination, reflects the affected coordination of one who has
experienced a stroke
Significance of NIH stroke scale
necessary prognostic tool for discerning deficits within different parts of body.
provides in common language to understand nature of stroke and severity amongst
interdisciplinary team.
is the NIH stroke scale a measure of disability?
no, it is a measuring tool of impairments.
, 2|Page
Relevance to medical specialties
emergency physicians, neurologists
- administer scale items in their - exact order
- avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
NIH level of consciousness item 1a
0 = alert
1 = not alert; aroused with minor verbal stimulation
2 = not alert; requires strong or painful stimulation
3 = reflex movements only or totally unresponsive coma
NIH level of consciousness item 1B
based on 2 questions
1) patient's age
2) month
0 = answers both questions correctly
1 = answers one question correctly
NIH STROKE SCALE TRAINING AND
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
tips for scoring
use patient's first response
-
ataxia
lack of muscle coordination, reflects the affected coordination of one who has
experienced a stroke
Significance of NIH stroke scale
necessary prognostic tool for discerning deficits within different parts of body.
provides in common language to understand nature of stroke and severity amongst
interdisciplinary team.
is the NIH stroke scale a measure of disability?
no, it is a measuring tool of impairments.
, 2|Page
Relevance to medical specialties
emergency physicians, neurologists
- administer scale items in their - exact order
- avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
NIH level of consciousness item 1a
0 = alert
1 = not alert; aroused with minor verbal stimulation
2 = not alert; requires strong or painful stimulation
3 = reflex movements only or totally unresponsive coma
NIH level of consciousness item 1B
based on 2 questions
1) patient's age
2) month
0 = answers both questions correctly
1 = answers one question correctly
