To always excuse appropriate clinical cares to each situation, promoting update and training of the nursing team, to carry through neurological the physical examination by means of the necessity presented for the patient, with emphasis in the evaluation of the level of conscience, pupils and motor force, whose intention is to detect signals of neurological deterioration precociously, deriving of the aggravation of the intracraniana pressure. As well as, the level of conscience concerning the mental state, that can be gifts or to disclose itself decurrent of the diminished cerebral perfuso. Soon, it has necessity to keep the gratings of the high beds objectifying itself to prevent the possible injuries in the patient, as the fall of the stream bed. Another very important action of nursing is evaluation of the respiratory standard which had to the risk of the patient to need orotraqueal intubao and ventilation, for compression or injury of the respiratory centers. The monitorizao of the digital hair glicosimetria for evaluation of the glicemia standards that must have lesser interventions if that 80mg/dl or greaters that 150mg/dl. as form to follow the possible effect of the used process of nursing stops with the patient, in order to stabilize its health and to make of its attendance in the sector of free emergency of damages extra-situacionais, fitting to the nurse to see and to analyze the results of the laboratoriais examinations, together with the medical team (18-20). FINAL CONSIDERAES the performance of the nurse in the room of emergency in the assistance the patients with AVC are necessary scientific knowledge, as well as, the evaluation and the correct understanding of the signals and decurrent symptoms of the AVC. Knowing itself that from the neurological evaluation, we must lead in guideline that the clinical manifestations of the patients are unstable, that is, citizens the instantaneous alterations that can confer certain importance as gradual worsenings of the conscience level and functional comprometimento of form to become irreversible. .