APEX NIH STROKE SCALE
GROUP A PATIENT 1-6
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This Exam contains: APEX NIH Stroke Scale Group
✓ A Patient 1-6
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, Question 1
How to assess Level of Consciousness?
Correct Answer
1a. Deteremine if patient is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not
comprehend the questions will score 2. It is important that only the initial answer be graded and that the
examiner not "help" the patient with verbal or non-verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If the patient does not respond to command, the task
should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one or two
commands)
Question 2
What are the results?
Correct Answer
0 = Alert; keenly responsive.
1 = Not alert; but arousable by minor stimulation to obey,
answer, or respond.
2 = Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to
make movements (not stereotyped).
3 = Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic.
0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
0 = Performs both tasks correctly.
1 = Performs one task correctly.
2 = Performs neither task correctly.
Question 3
How to assess best gaze?
Correct Answer
Only horizontal eye movements will be tested.
Voluntary or reflexive (oculocephalic) eye movements will be scored, but caloric testing is not done. If the patient
has a conjugate deviation of the eyes that can be overcome by voluntary or reflexive activity, the score will be 1If
a patient has an isolated peripheral nerve paresis (CN III, IV or VI), score a 1
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GROUP A PATIENT 1-6
20+ (Fully Updated 2025-2026) Exam
Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
This Exam contains: APEX NIH Stroke Scale Group
✓ A Patient 1-6
✓ 100% Accurate Questions and Answers
✓ 100% Guarantee Pass - Verified by Experts
✓ Each Question Includes The Correct Answer
✓ Expert-Verified
Trusted by thousands of students and professionals worldwide Page 1 of 7
, Question 1
How to assess Level of Consciousness?
Correct Answer
1a. Deteremine if patient is alert, oriented x4
1b. The patient is asked the month and his/her age.
The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not
comprehend the questions will score 2. It is important that only the initial answer be graded and that the
examiner not "help" the patient with verbal or non-verbal cue.
1c. The patient is asked to open and close the
eyes and then to grip and release the non-paretic hand. If the patient does not respond to command, the task
should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one or two
commands)
Question 2
What are the results?
Correct Answer
0 = Alert; keenly responsive.
1 = Not alert; but arousable by minor stimulation to obey,
answer, or respond.
2 = Not alert; requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to
make movements (not stereotyped).
3 = Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic.
0 = Answers both questions correctly.
1 = Answers one question correctly.
2 = Answers neither question correctly
0 = Performs both tasks correctly.
1 = Performs one task correctly.
2 = Performs neither task correctly.
Question 3
How to assess best gaze?
Correct Answer
Only horizontal eye movements will be tested.
Voluntary or reflexive (oculocephalic) eye movements will be scored, but caloric testing is not done. If the patient
has a conjugate deviation of the eyes that can be overcome by voluntary or reflexive activity, the score will be 1If
a patient has an isolated peripheral nerve paresis (CN III, IV or VI), score a 1
Trusted by thousands of students and professionals worldwide Page 2 of 7
