NIH Stroke Scale Test 1 Latest

NIH Stroke Scale Test 1 ( Latest – )

Get Ready for A++ Test with Latest Q&As & Answers!

• NIH stroke scale was developed to?

Answer: help clinicians objectively rate the sever ity of ischemic strokes

• Increasing NIH score indicates what?

Answer: more severe stroke and correlates with the size of the infarction

• 1-pt increase in score decreases the likelihood of an excellent outcome by?

Answer: 24% at 7 days

4. T/F: total NIHSS <4 generally have favorable clinical outcomes and a high

likelihood of functional independence regardless of treatment

Answer: True

• Rules for scoring

Answer:

-score what you see not what you think

-score the first response, not the best response (exception: item 9 best language)

-don't coach the pt

• LOC is divided into what three sections?

Answer:

-Responsiveness - are they re sponsive when you walk into the room 1 / 4

-LOC questions - ask the pt what the current month is and what their current age is

-LOC commands - ask the pt to blink their eyes and make the fist in both hands

7. LOC questions scoring:

Answer:

• - gets both questions right

1- gets only one question right, or there is a language barrier, or unable to speak due to trauma or intubated

2- gets both questions wrong, or they are inaudible

8. LOC responsiveness scoring:

Answer:

0-alert and completely responsive 1- not alert but arousal to minor stimulation 2- not alert, required repeated stimulation to arouse, or requires strong or painful stimuli

3- completely unresponsive or only unintentional reflexes

9. LOC commands scoring:

Answer:

• - perform both tasks correctly

1- performs only one task correctly 2- performs neither task correctly

• / 4

10. Horizontal extra ocular movements (Best gaze) scoring:

Answer: hold your finger about a foot in front of the pts face and ask them to follow it

slowly move it up and down and side to side 0- normal

1- partial gaze palsy; gaze is abnormal in one or both eyes, but forced deviation or total gaze paresis is not present

2- forced deviation

• Visual fields scoring

Answer: hold up a certain amount of fingers about a foot in front of, but slightly to the side, of the patients head as them how many fingers you're holding up

• - no visual loss

1- partial hemianopia

2- complete hemianopia

3- bilateral hemianopia

• Facial palsy

Answer: ask or use pantomime to encourage, the pt to show their teeth or raise their eyebrows and close their eyes

• - normal symmetry 1- minor paralysis

2- partial paralysis 3- complete paralysis of one or both sides

• / 4

• right and left arm motor drift

Answer: the arm is placed in the appropriate position (extend the arms palms down - if sitting) (extend to 45 degrees if laying down)

0- no drift 1- drift but drifts down before full 10 seconds doesn't hit the bed or other support 2-some effort against gravity; limb cannot get to or maintain but has some effort 3- no effort against gravity; limb falls 3- no movement

• Left and right leg motor drift

Answer: the leg is placed in the appropriate position - hold the leg at 30 degrees upward (always tested supine)

0- no drift 1-drift; leg falls by the end of the 5-second period but does not hit the bed 2- some effort against gravity - leg falls to the bed by 5 seconds 3- no effort against gravity

4- no movement

• limb ataxia (loss of full control of bodily movements)

Answer: hold your finger about two feet in front of the pts face

ask them to touch the tip of your finger wit their own finger then touch their nose repeat with other hand

0-absent 1-present with one limb 2-present in two limbs

• / 4