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APEX NIH Stroke Scale Group A Patients 1–6 (Complete) | Verified Edition | Accurate Scoring Answers | 100% Correct and A+ Graded
Section 1: Introduction
This document provides the complete and verified scoring responses for APEX NIH Stroke Scale Group A Patients 1–6, updated for the academic year. It accurately reflects NIHSS scoring criteria across all assessment items, including level of consciousness, gaze, visual fields, facial palsy, limb motor function, ataxia, sensory, language, and neglect. Ideal for nursing students, clinical staff, and certification prep, this A+ graded answer set guarantees accuracy and alignment with NIH stroke assessment standards.
Section 2: Exam Questions and Answers
Patient 1
1a. Level of Consciousness: 0
Rationale: Patient is alert, responds appropriately to questions, and follows commands, indicating no impairment.
1b. LOC Questions (Month, Age): 0
Rationale: Patient correctly answers both questions (current month and age), showing intact orientation.
1c. LOC Commands (Open/Close Eyes, Grip Hand): 0
Rationale: Patient performs both commands correctly, demonstrating full compliance.
2. Best Gaze: 0
Rationale: Horizontal eye movements are normal, with no deviation or forced gaze.
3. Visual Fields: 0
Rationale: No visual field deficits; patient tracks objects in all quadrants.
4. Facial Palsy: 1
Rationale: Minor asymmetry on smiling (slight droop on one side), indicating minor paralysis.
5a. Motor Arm (Left): 3
Rationale: Left arm falls to bed within 5 seconds when held at 90 degrees, showing significant weakness. 1 / 2
5b. Motor Arm (Right): 0
Rationale: Right arm holds steady for 10 seconds, indicating no motor deficit.
6a. Motor Leg (Left): 1
Rationale: Left leg drifts downward within 5 seconds but does not hit the bed, indicating mild weakness.
6b. Motor Leg (Right): 0
Rationale: Right leg maintains position for 5 seconds, showing no deficit.
7. Limb Ataxia: 1
Rationale: Left-sided finger-to-nose test shows slight incoordination, consistent with ataxia.
8. Sensory: 2
Rationale: Severe sensory loss on left side to pinprick, indicating significant impairment.
9. Best Language: 0
Rationale: Patient names objects, reads sentences, and describes pictures accurately, showing no aphasia.
10. Dysarthria: 0
Rationale: Speech is clear and articulate, with no slurring.
11. Extinction and Inattention: 1
Rationale: Patient ignores left-sided stimuli when presented bilaterally, indicating mild neglect.
Total Score: 9
Patient 2
1a. Level of Consciousness: 0
Rationale: Patient is alert and responsive, with no impairment.
1b. LOC Questions (Month, Age): 2
Rationale: Patient answers both questions incorrectly (e.g., wrong month, wrong age), indicating disorientation.
1c. LOC Commands (Open/Close Eyes, Grip Hand): 0
Rationale: Patient follows both commands correctly.
2. Best Gaze: 0
Rationale: Normal horizontal eye movements, no deviation.
3. Visual Fields: 0
Rationale: No visual field deficits in any quadrant.
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