Neuro
Code Stroke
NIHSS
Core and Quality
MISC
200

These are the types of hemorrhagic strokes?

What are Intracranial (Intracerebral/Intraparenchymal)

and Subarachnoid hemorrhages?


200

This is the current timeframe from LKW to activate a code stroke?

What is less than 24 hours?

200

3 occasions when you would perform an NIHSS?

What is 

•Prior to TNK, •Within 12 hours of arrival (for non tNK), •When ordered by the MD, •At RN handoff, •-When there is an acute change in neuro status

200

True or False? It's not a medication error to give an oral medication via NGT. 

What is False?


200

This is considered up to 220/120. 

What is permissive hypertension?

400

These are the 3 types of aphasia to assess for?

What is Receptive, Expressive, Global?

400

This is the gold standard to diagnose an ICH?

What is a noncontrast CT?

400

True or False- arms are tested separately to assess motor on the NIHSS?

What is true?

400

You need to perform a neuro assessment on a hemorrhagic stroke pt this often. 

What is every hour?

400

This is the maximum time we should take to transfer out an LVO. 

What is 120 minutes?

500

This is what the CT perfusion (aidoc) shows us?

What is the amount of penumbra versus the core infarct?

500

Elevated blood pressures post TNK or on an acute hemorrhagic stroke should be treated within this timeframe. 

What is 5-10 minutes?

500

True or False- You can complete a NIHSS without any supplies. 

What is false?

The cards are required


500

This is the recommended blood pressure for hemorrhagic strokes. 

What is 100-140?

500

True or False- A patient has to say the correct number of the finger you’re holding up in the visual fields section. 

What is False? 

The test is checking to see if they can see in that quadrant, not say the right word. Ask them when it wiggles helps with aphasic or confused patients

800

These are the sub-types of ischemic strokes?

What is Embolic, Hypoperfusion, Small vessel, Large vessel, and Cryptogenic?

800

This is the first call when you think your inpatient is having a stroke. 

What is the operator at 911?

800

These 3 sections can be documented as “untestable”

What is motor, ataxia, and dysarthria?


800

Stroke education must be _____ to meet Joint Commission standards. 

What is personalized?

800

When you do an NIHSS, this is the only part of a full neurological assessment that isn't performed. 

Pupils!

The NIHSS allows you to gather the information for all other parts of the neuro

1000

This type of stroke is more likely to show up with neglect and visuospatial symptoms. 

What is a right hemisphere stroke?

1000

This is the current time from LKW to give TNK. Later this year it will likely be extended to this time. 

What is 4.5 hours?

What is up to 9 hours on selected patients?

1000

These 2 sections are scored as normal when the patient won’t follow commands. 

What is Ataxia and Inattention?

Score only if you see it

1000

This is where I can find the stroke performance improvement measures for 2026. 

What is the purple sheet in the stroke resource binder? (Stroke resource SharePoint is also correct)

1000

The patient's eyes follow you around the room.  

What is how you test gaze on a confused patient?