NIHSS Score Administration and Interpretation 3

Question 1

NIHSS item 1a (Level of Consciousness) is scored on which range?

Accepted Answer

0-3

Answer

0-2

Answer

0-4

Answer

0-5

Question 2

What is the maximum combined score from the two motor arm items (5a and 5b) on the NIHSS?

Accepted Answer

8

Answer

4

Answer

6

Answer

10

Question 3

On NIHSS motor items, a score of 4 indicates which finding?

Accepted Answer

No movement

Answer

Mild drift but maintained against gravity

Answer

Some effort against gravity but cannot sustain

Answer

Limb falls to bed within 10 seconds

Question 4

Which two questions are asked during NIHSS item 1b (LOC Questions)?

Accepted Answer

Current month and patient's age

Answer

Name and home address

Answer

Current year and hospital name

Answer

Day of the week and date of birth

Question 5

In NIHSS item 1c (LOC Commands), which two actions is the patient asked to perform?

Accepted Answer

Open/close eyes and grip/release the non-paretic hand

Answer

Walk forward and raise both arms

Answer

Repeat a phrase and write their name

Answer

Count backward from 10 and point to objects

Question 6

How is LOC Questions item (1b) scored when a patient answers both questions correctly?

Accepted Answer

0

Answer

1

Answer

2

Answer

3

Question 7

Which NIHSS items require bilateral assessment, producing separate scores for the left and right sides?

Accepted Answer

Motor arm and motor leg

Answer

Facial palsy and best gaze

Answer

Language and sensory

Answer

Visual fields and limb ataxia