The goal of this course is to educate healthcare nurses about the NIHSS for the evaluation of neurological status in adult patients with acute stroke. After taking this course, you should be able to Identify nursing considerations related to the NIHSS, discuss the NIHSS validity as a predictor of outcomes and stroke severity in patients who had astroke and state how to perform a neurological assessment using the NIHSS. The NIH stroke scale can be performed by EMS professionals, physicians, and nurses who are NIH stroke scale certified.