NUR 6111 LIAM FITZGERALD SHADOW
HEALTH: TELEHEALTH FOLLOW-UP
SICK VISIT – MANAGEMENT OF
CARDIOVASCULAR CONDITIONS 200
Questions | Answers & Rationales
Exam Blueprint:
Telehealth Protocols & Legal/Ethical Considerations (10%) – 20 Qs
History Taking & Assessment Findings (20%) – 40 Qs
Diagnostics & Clinical Reasoning (15%) – 30 Qs
Heart Failure Pathophysiology & Differential Diagnosis (20%) – 40 Qs
Pharmacology & Treatment Management (20%) – 40 Qs
Patient Education & Follow-Up Care (15%) – 30 Qs
SECTION 1: TELEHEALTH PROTOCOLS & LEGAL/ETHICAL CONSIDERATIONS
(Questions 1–20)
1. Before initiating any telehealth visit, the provider must first ensure:
A) The patient has eaten breakfast
B) The patient is in a private location where HIPAA standards can be maintained and
technology is functioning
C) The patient has taken all scheduled medications
D) The patient has a blood pressure cuff available
Answer: B
Rationale: Before initiating a telehealth visit, the provider must first ensure patient
privacy and appropriate technology, including confirming the patient is in a confidential
location where HIPAA standards can be maintained .
2. Proper telehealth etiquette before beginning a visit includes:
,A) Immediately starting the exam upon connection
B) Confirming the patient can hear you and is ready for the visit
C) Speaking loudly at all times
D) Avoiding eye contact with the camera
Answer: B
Rationale: Proper telehealth etiquette requires the provider to confirm audio connectivity
and ensure the patient is prepared for the visit, which establishes clear communication
and sets expectations for the encounter .
3. It is important to inform the patient via telehealth that the visit is protected and
confidential. This statement is:
A) True
B) False
Answer: A
Rationale: Patients must be made aware of privacy protections during telehealth visits to
maintain trust and comply with legal and ethical standards for remote care delivery .
4. The first component of the telehealth protocol that should be documented is:
A) Review of systems
B) Physical assessment findings
C) Confirmation that the patient is in an appropriate environment for a visit
D) Medication reconciliation
Answer: C
Rationale: Confirming an appropriate environment ensures patient privacy and a safe
space for discussion of sensitive health information .
5. Before taking a history via telehealth, the provider should:
A) Assume the patient knows how to use the technology
B) Confirm the patient can hear the provider and is ready for the visit
C) Begin asking questions immediately
D) Skip the introductory protocol to save time
Answer: B
,Rationale: Confirming audio connectivity and patient readiness ensures effective
communication before the clinical encounter begins .
6. A patient being seen via telehealth should be informed that the visit is:
A) Recorded and stored permanently
B) A confidential, protected visit
C) Open to the public for educational purposes
D) Only private if the patient pays extra
Answer: B
Rationale: Informing the patient that the visit is confidential and protected acknowledges
privacy protections and helps establish trust .
7. To effectively provide care via telehealth, the provider must ensure they have:
A) A physical exam is never needed
B) The ability to obtain a history and assess the patient's environment
C) Only verbal communication skills
D) No need for technical troubleshooting
Answer: B
Rationale: Effective telehealth requires comprehensive history taking, assessment of
home environment, evaluation of medication adherence, and technical proficiency to
guide patients through self-assessments .
8. When documenting a telehealth encounter, the provider should include:
A) Only the chief complaint
B) Confirmation of patient identity, location, privacy, and technology functionality
C) The patient's insurance information only
D) A statement that no physical exam was performed
Answer: B
Rationale: Documentation should include verification of patient identity, location,
privacy, and technology functionality to establish the telehealth encounter's validity .
9. A combination of which types of questions will yield better patient data during a
telehealth interview?
A) Only closed-ended questions
, B) Only open-ended questions
C) A combination of open and closed questions
D) Leading questions only
Answer: C
Rationale: Open-ended questions gather narrative information, while closed-ended
questions clarify specific details; both are essential for comprehensive data collection .
10. To maintain patient confidentiality during telehealth, the patient should be:
A) In a public space with others present
B) In a private location where others cannot overhear
C) Using a shared computer in a library
D) On speakerphone in a crowded room
Answer: B
Rationale: Confidentiality requires a private location where the patient can speak freely
without risk of others overhearing protected health information.
SECTION 2: HISTORY TAKING & ASSESSMENT FINDINGS (Questions 21–60)
11. Mr. Fitzgerald reported taking his vital signs at home. He further reported:
A) Taking them at random times of the day
B) Taking them at the same time each day
C) Not knowing how to take them
D) Having no equipment
Answer: B
Rationale: Mr. Fitzgerald reported taking his vital signs daily at the same time each day,
which is essential for accurate trend monitoring .
12. When asked about respiratory symptoms, Mr. Fitzgerald denied all of the following
EXCEPT:
A) Cough
B) Wheezing
C) Shortness of breath
HEALTH: TELEHEALTH FOLLOW-UP
SICK VISIT – MANAGEMENT OF
CARDIOVASCULAR CONDITIONS 200
Questions | Answers & Rationales
Exam Blueprint:
Telehealth Protocols & Legal/Ethical Considerations (10%) – 20 Qs
History Taking & Assessment Findings (20%) – 40 Qs
Diagnostics & Clinical Reasoning (15%) – 30 Qs
Heart Failure Pathophysiology & Differential Diagnosis (20%) – 40 Qs
Pharmacology & Treatment Management (20%) – 40 Qs
Patient Education & Follow-Up Care (15%) – 30 Qs
SECTION 1: TELEHEALTH PROTOCOLS & LEGAL/ETHICAL CONSIDERATIONS
(Questions 1–20)
1. Before initiating any telehealth visit, the provider must first ensure:
A) The patient has eaten breakfast
B) The patient is in a private location where HIPAA standards can be maintained and
technology is functioning
C) The patient has taken all scheduled medications
D) The patient has a blood pressure cuff available
Answer: B
Rationale: Before initiating a telehealth visit, the provider must first ensure patient
privacy and appropriate technology, including confirming the patient is in a confidential
location where HIPAA standards can be maintained .
2. Proper telehealth etiquette before beginning a visit includes:
,A) Immediately starting the exam upon connection
B) Confirming the patient can hear you and is ready for the visit
C) Speaking loudly at all times
D) Avoiding eye contact with the camera
Answer: B
Rationale: Proper telehealth etiquette requires the provider to confirm audio connectivity
and ensure the patient is prepared for the visit, which establishes clear communication
and sets expectations for the encounter .
3. It is important to inform the patient via telehealth that the visit is protected and
confidential. This statement is:
A) True
B) False
Answer: A
Rationale: Patients must be made aware of privacy protections during telehealth visits to
maintain trust and comply with legal and ethical standards for remote care delivery .
4. The first component of the telehealth protocol that should be documented is:
A) Review of systems
B) Physical assessment findings
C) Confirmation that the patient is in an appropriate environment for a visit
D) Medication reconciliation
Answer: C
Rationale: Confirming an appropriate environment ensures patient privacy and a safe
space for discussion of sensitive health information .
5. Before taking a history via telehealth, the provider should:
A) Assume the patient knows how to use the technology
B) Confirm the patient can hear the provider and is ready for the visit
C) Begin asking questions immediately
D) Skip the introductory protocol to save time
Answer: B
,Rationale: Confirming audio connectivity and patient readiness ensures effective
communication before the clinical encounter begins .
6. A patient being seen via telehealth should be informed that the visit is:
A) Recorded and stored permanently
B) A confidential, protected visit
C) Open to the public for educational purposes
D) Only private if the patient pays extra
Answer: B
Rationale: Informing the patient that the visit is confidential and protected acknowledges
privacy protections and helps establish trust .
7. To effectively provide care via telehealth, the provider must ensure they have:
A) A physical exam is never needed
B) The ability to obtain a history and assess the patient's environment
C) Only verbal communication skills
D) No need for technical troubleshooting
Answer: B
Rationale: Effective telehealth requires comprehensive history taking, assessment of
home environment, evaluation of medication adherence, and technical proficiency to
guide patients through self-assessments .
8. When documenting a telehealth encounter, the provider should include:
A) Only the chief complaint
B) Confirmation of patient identity, location, privacy, and technology functionality
C) The patient's insurance information only
D) A statement that no physical exam was performed
Answer: B
Rationale: Documentation should include verification of patient identity, location,
privacy, and technology functionality to establish the telehealth encounter's validity .
9. A combination of which types of questions will yield better patient data during a
telehealth interview?
A) Only closed-ended questions
, B) Only open-ended questions
C) A combination of open and closed questions
D) Leading questions only
Answer: C
Rationale: Open-ended questions gather narrative information, while closed-ended
questions clarify specific details; both are essential for comprehensive data collection .
10. To maintain patient confidentiality during telehealth, the patient should be:
A) In a public space with others present
B) In a private location where others cannot overhear
C) Using a shared computer in a library
D) On speakerphone in a crowded room
Answer: B
Rationale: Confidentiality requires a private location where the patient can speak freely
without risk of others overhearing protected health information.
SECTION 2: HISTORY TAKING & ASSESSMENT FINDINGS (Questions 21–60)
11. Mr. Fitzgerald reported taking his vital signs at home. He further reported:
A) Taking them at random times of the day
B) Taking them at the same time each day
C) Not knowing how to take them
D) Having no equipment
Answer: B
Rationale: Mr. Fitzgerald reported taking his vital signs daily at the same time each day,
which is essential for accurate trend monitoring .
12. When asked about respiratory symptoms, Mr. Fitzgerald denied all of the following
EXCEPT:
A) Cough
B) Wheezing
C) Shortness of breath
