NIHSS Q/A | 100 % Verified Answers, AlreAdy
GrAded A 2023/2024
How many areas are tested and scored in the NIHSS? - ANS-11
What are the 11 areas tested in the NIHSS in order? - ANS-1) Level of
Consciousness
2) Best Gaze
3) Visual Fields
4) Facial Palsy
5) Motor Arm
6) Motor Leg
7) Limb...
NIHSS Q/A | 100 % Verified Answers, AlreAdy
GrAded A 2023/2024
How many areas are tested and scored in the NIHSS? - ANS-11
What are the 11 areas tested in the NIHSS in order? - ANS-1) Level of
Consciousness
2) Best Gaze
3) Visual Fields
4) Facial Palsy
5) Motor Arm
6) Motor Leg
7) Limb Ataxia
8) Sensory
9) Language
10) Dysarthria
11) Extinction/Inattention
What would you score a patient who does not understand or is
comatose (score of 3 on 1a) and thus is unable to complete an
ataxia assessment? - ANS-0
What would you score a patient who has an amputation or joint
fusion and is unable to complete an ataxia assessment? - ANS-0
How would you assess sensory in an obtunded patient? - ANS-
Pinching/Noxious Stimuli and observe for reactions
Where do you assess sensory on a patient and how many areas
should you assess? - ANS-The proximal limbs (not the hands/feet)
As many places as needed (limbs, trunk, face) to accurately assess
hemi ensory loss.
, How should you ask the patient what they are feeling during the
sensory exam? - ANS-Ask if there is asymmetry or to compare the
right and left sides, DON'T ask if they feel "sharp" or "dull"
What if the patient has sensory loss due to other causes than
stroke? For example, peripheral neuropathy. - ANS-Only score
changes due to the stroke
How would you score sensory loss? - ANS-Is it normal? Yes = 0
Is there a total loss of sensation? Yes = 2
Everything else = 1
Should you ever not score sensory? - ANS-No
How would you score sensory on a patient who is comatose (scored
a 3 on section 1a)? - ANS-2
How do you score an intubated patient on language? - ANS-Ask
them to write down/point to images
How would you score a stuporous or comatose (score of 3 on item
1a) on language? - ANS-3
How would you approach scoring a patient on language
assessment? - ANS-Normal? Yes = 0
Mild Limitation? Yes = 1
Global Aphasia/Mute? Yes = 3
All other = 2
How would you assess a patients language with blindness? - ANS-
Place objects in the hand
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