This comprehensive resource includes NIH Stroke Scale testing Group A, containing six

NIH Stroke Scale | Group A (Patients 1–6) Complete, Real & Authentic | Updated Edition | 100% Correct & Solved Introduction This comprehensive resource includes NIH Stroke Scale testing Group A, containing six real patient evaluations (Patients 1–6) based on the latest standards . Every answer is accurate, verified, and reflective of actual clinical scenarios and expected NIHSS scoring outcomes.Answer Format All correct answers are clearly marked in bold and green for fast and efficient clinical review and exam preparation.Patient 1 Scenario: A 65-year-old male presents with sudden left-sided weakness, slurred speech, and facial droop. He is alert, follows commands, and answers questions appropriately.

• 1a. Level of Consciousness (LOC): Alert, responds fully. 0 (Normal).

• 1b. LOC Questions: Correctly states month and age. 0 (Answers both correctly).• 1c. LOC Commands: Follows both commands (close eyes, make fist). 0 (Performs both correctly).

• 2. Best Gaze: Normal eye movements. 0 (Normal).

• 3. Visual Fields: No visual field loss. 0 (Normal).

• 4. Facial Palsy: Right-sided facial droop, asymmetry with smile. 1 (Minor paralysis).• 5a. Left Arm Motor: Drifts within 10 seconds but does not hit bed. 1 (Drift).

• 5b. Right Arm Motor: Normal strength. 0 (No drift).

• 6a. Left Leg Motor: Drifts within 5 seconds. 1 (Drift).

• 6b. Right Leg Motor: Normal strength. 0 (No drift).

• 7. Limb Ataxia: No ataxia in finger-to-nose or heel-to-shin tests. 0 (Absent).• 8. Sensory: Reports decreased sensation on left side. 1 (Mild-to-moderate sensory loss).• 9. Best Language: Slurred speech but understandable. 1 (Mild-to-moderate aphasia).• 10. Dysarthria: Slurred speech, mildly impaired. 1 (Mild-to-moderate dysarthria).

• 11. Extinction/Inattention: No neglect observed. 0 (Normal).

Total Score: 6

Rationale: Scores reflect mild stroke with left-sided weakness, facial droop, sensory loss, and speech impairment. 1 / 2

Patient 2 Scenario: A 72-year-old female is unresponsive, with no speech or movement on the right side. She does not follow commands.

• 1a. LOC: Unresponsive to stimuli. 3 (Unresponsive).

• 1b. LOC Questions: Unable to answer. 2 (Answers neither correctly).

• 1c. LOC Commands: Does not follow commands. 2 (Performs neither correctly).

• 2. Best Gaze: Forced deviation to the left. 2 (Forced deviation).

• 3. Visual Fields: Unable to assess due to unresponsiveness. 2 (Complete

hemianopia).

• 4. Facial Palsy: Complete right-sided paralysis. 3 (Complete paralysis).

• 5a. Left Arm Motor: Normal strength. 0 (No drift).

• 5b. Right Arm Motor: No movement. 4 (No movement).

• 6a. Left Leg Motor: Normal strength. 0 (No drift).

• 6b. Right Leg Motor: No movement. 4 (No movement).

• 7. Limb Ataxia: Unable to test due to paralysis. 0 (Untestable).

• 8. Sensory: No response to pinprick on right side. 2 (Severe sensory loss).

• 9. Best Language: No speech output. 3 (Mute/global aphasia).

• 10. Dysarthria: Unable to assess due to no speech. 2 (Severe dysarthria).

• 11. Extinction/Inattention: Ignores right side stimuli. 2 (Profound inattention).

Total Score: 27

Rationale: Severe stroke with right-sided paralysis, unresponsiveness, and global deficits.Patient 3 Scenario: A 58-year-old male with mild confusion, normal strength, and slight word-finding difficulty.

• 1a. LOC: Alert but mildly confused. 1 (Not fully alert).

• 1b. LOC Questions: Answers one question correctly. 1 (One correct).

• 1c. LOC Commands: Follows both commands. 0 (Performs both correctly).

• 2. Best Gaze: Normal. 0 (Normal).

• 3. Visual Fields: Normal. 0 (Normal).

• / 2