SIM Scenario Exchange

Acute stroke assessment

Contributed on March 31, 2015, last updated June 29, 2022.



Julie Rivers, BScN, MAEd, Loyalist College

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This scenario is intended for students learning assessment of acute stroke and is based on recommendations of the Canadian Stroke Strategy (2014), RNAO Stroke Assessment (2011) and Ontarion Ministry of Helath Quality-Based procedures. This scenario focuses on the use of the Canadian Neurological Scale tool.

Learning Objectives:

The Student group will:

Demonstrate understanding of assessment of a person experiencing CVA

Carry out a focused neurological assessment of a patient who has a stroke using the Canadian Neurological Scale Tool
Assess vital signs and patient’s symptoms/concerns
Carry out appropriate interventions in response to assessment findings
Identify assessment findings which could lead to complications

Identify and consult appropriate resources while assessing, planning (including prior to lab), and implementing care.
Respond appropriately to family member question(s)
Participate in creating SBAR report at the end of the simulation

Simulation Modality:

Manikin-based, Standardized/simulated patients or real patients


Patient actor or high fidelity manikin


Scenario was first developed in 2007 and was peer reviewed and pilot tested prior to curriculum integration. Scenario was internally and externally peer reviewed in 2014 and updated with new references.


Rivers J. Acute stroke assessment. Simulation resource published by Simulation Canada; 2015. Available from

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Target Learners






Undergraduate / post-secondary

Fields / Disciplines:


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