NCLEX Neurologic and Sensory Systems Practice Exam 2026 - Free Neurologic and Sensory Systems Practice Questions and Study Guide

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Which assessment tool is used to determine the severity of a stroke?

The Glasgow Coma Scale

The National Institutes of Health Stroke Scale (NIHSS)

The National Institutes of Health Stroke Scale (NIHSS) is specifically designed to assess the severity of stroke and to provide a standardized method for evaluating acute stroke patients. It includes a series of questions and tasks that help assess various aspects of neurological function, such as level of consciousness, language capabilities, sensory loss, motor abilities, and coordination. By quantifying the degree of impairment, the NIHSS aids in guiding treatment decisions and determining patient outcomes, making it the preferred tool in clinical settings for stroke assessment.

In contrast, the Glasgow Coma Scale is used primarily to assess consciousness level in patients with head injuries or other neurological conditions, while the Braden Scale assesses a patient’s risk for developing pressure ulcers based on mobility, nutritional status, and skin condition. The Montreal Cognitive Assessment is designed to evaluate cognitive function and screen for mild cognitive impairment rather than to assess stroke severity. Each of these tools serves a distinct purpose, but only the NIHSS is tailored for recognizing and quantifying the impact of a stroke.

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The Braden Scale

The Montreal Cognitive Assessment

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