Edward Carter Shadow Health Intermediate Patient Case Results Nightingale
BSN 315 Pharmacology II Shadow Health Edward Carter Case (Kidney Stone &
Back Pain)
SECTION 1: Patient Presentation & Chief Complaint (Questions 1–20)
1. What is the most appropriate initial question to ask Edward Carter when
beginning the patient interview?
A) "Do you have any allergies?"
B) "What brought you to the hospital today?"
C) "Can you rate your pain on a scale of 0 to 10?"
D) "Have you fallen recently?"
Correct Answer: B
,Rationale: Open-ended questions like "What brought you here?" establish the
chief complaint and allow the patient to describe their primary concern without
bias or leading .
2. Edward Carter was admitted to Shadow General Hospital for which three
primary symptoms?
A) Headache, nausea, and vomiting
B) Back pain, blood in urine, and increased urinary frequency
C) Chest pain, shortness of breath, and palpitations
D) Joint pain, fatigue, and fever
Correct Answer: B
Rationale: The case summary identifies Edward Carter as a 65-year-old African
American man admitted for back pain, hematuria (blood in urine), and increased
urinary frequency—classic symptoms of a kidney stone .
,3. Which condition is Edward Carter's presentation most consistent with?
A) Urinary tract infection
B) Nephrolithiasis (kidney stone)
C) Bladder cancer
D) Prostatitis
Correct Answer: B
Rationale: The triad of acute flank/back pain, hematuria, and increased urinary
frequency is the hallmark presentation of nephrolithiasis (kidney stones) .
4. Edward Carter reports that before medication, his pain was a 9 on a 0-10 scale.
This indicates:
A) Mild pain
, B) Moderate pain
C) Severe pain
D) No pain
Correct Answer: C
Rationale: On a standard 0-10 pain scale, 0 = no pain, 1-3 = mild pain, 4-6 =
moderate pain, and 7-10 = severe pain. A score of 9 indicates severe pain
requiring immediate intervention .
5. If Edward's pain before medication was a 9, what action should the nurse take
first?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
BSN 315 Pharmacology II Shadow Health Edward Carter Case (Kidney Stone &
Back Pain)
SECTION 1: Patient Presentation & Chief Complaint (Questions 1–20)
1. What is the most appropriate initial question to ask Edward Carter when
beginning the patient interview?
A) "Do you have any allergies?"
B) "What brought you to the hospital today?"
C) "Can you rate your pain on a scale of 0 to 10?"
D) "Have you fallen recently?"
Correct Answer: B
,Rationale: Open-ended questions like "What brought you here?" establish the
chief complaint and allow the patient to describe their primary concern without
bias or leading .
2. Edward Carter was admitted to Shadow General Hospital for which three
primary symptoms?
A) Headache, nausea, and vomiting
B) Back pain, blood in urine, and increased urinary frequency
C) Chest pain, shortness of breath, and palpitations
D) Joint pain, fatigue, and fever
Correct Answer: B
Rationale: The case summary identifies Edward Carter as a 65-year-old African
American man admitted for back pain, hematuria (blood in urine), and increased
urinary frequency—classic symptoms of a kidney stone .
,3. Which condition is Edward Carter's presentation most consistent with?
A) Urinary tract infection
B) Nephrolithiasis (kidney stone)
C) Bladder cancer
D) Prostatitis
Correct Answer: B
Rationale: The triad of acute flank/back pain, hematuria, and increased urinary
frequency is the hallmark presentation of nephrolithiasis (kidney stones) .
4. Edward Carter reports that before medication, his pain was a 9 on a 0-10 scale.
This indicates:
A) Mild pain
, B) Moderate pain
C) Severe pain
D) No pain
Correct Answer: C
Rationale: On a standard 0-10 pain scale, 0 = no pain, 1-3 = mild pain, 4-6 =
moderate pain, and 7-10 = severe pain. A score of 9 indicates severe pain
requiring immediate intervention .
5. If Edward's pain before medication was a 9, what action should the nurse take
first?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
