*NURSING > EXAM > NIH Stroke Scale Test 5 ( Latest 2023 – 2024 ) Get Ready for A++ Test with Latest Q&As & Answers! (All)
1. Score for large strokes Answer: > 10 (however, if it is a brainstem stroke it can have a low score and still be a largestroke) 2. Lowest score Highest score Answer: Lowest score is 0 Highest s... core is 42 3. Components of *Eyes* Answer: Gaze - voluntary gaze direction (non-comatose) - vestibule-ocular reflex (comatose) Visual fields - confrontation, all 4 quadrants (non-comatose) - threat (comatose) 4. Components of *LOC* Answer: Arousal Questions - name - month Commands - open eyes - grip/release 5. Components of *Face* Answer: Facial droop 6. Components of *Motor Strength* Answer: Arm strength - raise arms 45° (supine) - raise arms 90° (sitting) Leg strength - raise legs 30° (always test supine) 7. Components of *Limb Ataxia* Answer: Finger’nose & Heel’shin 8. Components of *Sensory* Answer: Pinprick - all 4 limbs; up to elbow 9. Components of *Language* Answer: Aphasia - describe picture; name objects (w/ adequate vision) - describe large objects in room or ask questions (w/ inadequate vision) 10. Components of *Dysarthria* Answer: Character of speech - read sentences / words (w/ adequate vision) - repeat "methodist episcopal" (w/ inadequate vision) [Show More]
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