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The NIHSS certification test is not timed and may be repeated as many times as desired to obtain a passing score or to improve your score. A score of 93% or greater is required for successful completion to become NIH Stroke Scale certified and to receive the appropriate certificate.
Each Group contains six (6) patients. The evaluation of one complete group is considered sufficient for a course completion certificate.
1a: Level of Consciousness (LOC) Instructions A 3 is scored only if the patient makes no movement (other than reflexive posturing) in response to noxious stimulation. Scale Definition. 0 = Alert; keenly responsive. 1 = Not alert; but arousable by minor stimulation to obey, answer, or respond.
0 = Alert; keenly responsive. 1 = Not alert, but arousable by minor stimulation to obey, answer, or respond. 2 = Not alert, requires repeated stimulation to attend, or is obtunded and requires strong or painful stimulation to make movements (not stereotyped).
0:04 2:53 Neglect NIH test - YouTube YouTube Start of suggested clip End of suggested clip Because the patient responded normally to double simultaneous stimulation with both visual andMoreBecause the patient responded normally to double simultaneous stimulation with both visual and somatosensory stimuli. There is no evidence for neglect and the score is zero.
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This is roughly similar to the approach taken to each of the 15 individual questions on the NIHSS; however, allowing a number of acceptable individual answers has been shown to lead to a very wide range in acceptable total scores.
0 = no stroke. 14 = minor stroke. 515 = moderate stroke. 1520 = moderate/severe stroke.
Extinction and Inattention (formerly Neglect): If the patient has a severe visual loss preventing visual double simultaneous stimulation, and the cutaneous stimuli are normal, the score is normal. If the patient has aphasia but does appear to attend to both sides, the score is normal.

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