NIHSS National Institutes of Health Stroke Scale Exam Bundle

A nurse educator is teaching a group of nursing students about use of the NIHSS. The nurse educator is correct to tell the students that the NIHSS is a clinical tool that can be used to - Answer A,B,D Which of the following statements about NIHSS is not accurate? - Answer The NIHSS is a 10-item s...

What does NIHSS stand for? - Answer National Institute of Health Stroke Scale What are 6 important conventions to remember when scoring a NIHSS? - Answer Administer scale items in EXACT order Avoid coaching the patient Accept the patient's first effort Score only what the patient does Be con...

common signs of a stroke - Answer •Confusion •Slurred speech •Facial droop •Extremity weakness and/or numbness •Vision disturbance •Dysphasia •Ataxia FAST - Answer •FAST - rapid identification for lay people •Does not identify sensory impairment, vertigo or gait changes ...

What NIHSS measures - Answer measures severity of symptoms of stroke NIHSS areas of assessment - Answer Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language

NIHSSI - Answer The National Institutes of Health Stroke Scale International Important Conventions - Answer Administer scale items in their exact order Avoid coaching patient Accept patients first attempt Score only what patient does Be consistent Include all deficits in scoring 1A. Leve...

How many items on the NIH stroke scale? - Answer 11 NIH Stroke scale is - Answer an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cere...

What does the NIHSS scale assess? - Answer LOC, vision, motor strength, coordination, sensation, and language What is the highest score you can get on the NIHSS scale? - Answer 42 What does NIHSS stand for? - Answer National Institute of Health Stroke Scale The higher the score the ______ t...

Helpful for quickly assessing level of consciousness (LOC). - Answer GCS A 15-item neurologic evaluation assessment scale. It assesses not only LOC but also deficits and provides a standardized approach to neurologic examinations. - Answer NIHSS An NIHSS total score of _____ is normal - Answer...

rate what they actually do - Answer tips for scoring - Answer use patient's first response - ataxia - Answer lack of muscle coordination, reflects the affected coordination of one who has experienced a stroke Significance of NIH stroke scale - Answer necessary prognostic tool for discern...

1A - Level of consciousness (stimulate, rub, pinch) - Answer 0 - Alert; keenly responsive 1 - not alert, Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 3 - reflex movements only or totally unresponsive; Postures or unresponsive( use painful/noxious stimulus) 1B - As...

Level of consciousness - Answer Must choose a response if full eval is prevented by obstacles (end tube, etc). 0-3 LOC questions - Answer Pt is asked month and age. 0-2 LOC commands - Answer PT is asked to open/close eyes, grip and release non-involved hand 0-2 Best gaze - Answer Establ...

When should the NIHSS be administered? - Answer C. As soon as possible and if there is a sudden change in status What is one way that the NIHSS is reproducible? - Answer C. Use by certified professionals Correct Worsening scores in which of the following NIHSS categories is associated with neu...

1a LOC - Answer 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 1b LOC questions - Answer What month is it? What's your age? 0: answers both questions correctly 1: answer...