NIHSS Study Guide 2026

Everything you need to pass the NIHSS exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 NIHSS Exam Format at a Glance

50
Questions
60 min
Time Limit
80.00%
Passing Score

📚 NIHSS Topics to Study (68)

✍️ Sample NIHSS Questions & Answers

1. What is the maximum possible score for NIHSS Item 8 (Sensory)?
2

The maximum score for NIHSS Item 8 is 2, representing severe to total sensory loss on the affected side.

2. How is LOC Questions item (1b) scored when a patient answers both questions correctly?
0

A score of 0 on item 1b indicates the patient correctly stated both the current month and their own age.

3. Which of the following deficits is assessed under the "Motor Arm" section of the NIHSS?
Arm movement and strength

The "Motor Arm" section evaluates the movement and strength of the arms.

4. A patient in the NIHSS Group B category is BEST described as someone who:
Has a known communication barrier, altered consciousness, intubation, or significant aphasia that limits the standard exam

Group B patients are those whose neurological deficits or medical status (e.g., intubation, profound aphasia, altered consciousness) create barriers to the standard NIHSS examination format. Group A patients are cooperative and able to follow standard instructions.

5. Which of the following conditions can cause a score of 2 on the NIHSS Best Gaze item?
Horizontal forced deviation uncorrectable by oculocephalic maneuver

A score of 2 requires forced deviation or total gaze paresis not overcome by the oculocephalic maneuver.

6. A Group A patient scenario includes a patient who is intubated and cannot speak. How should Item 9 (Best Language) be scored?
Assess by writing and gesture only and score accordingly

NIHSS instructs examiners to use all available responses including writing; the score should reflect actual language function, not just speech.

🎯 Free NIHSS Practice Tests

📖 NIHSS Guides & Articles

Your NIHSS Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation
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