Shadow Health Edward Carter With Verified
Study Solutions Rated A+
SECTION 1: Subjective Assessment (Interview Q&A) – 40 Questions
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?"
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.
2. Edward Carter reports that his current pain is a 1 on a 0-10 scale. What does
this indicate?
A) Severe pain requiring immediate intervention
B) Mild pain that is well-controlled
C) No pain at all
D) Pain that is worsening rapidly
Answer: B
Rationale: On a standard 0-10 pain scale, 1 indicates very mild pain. Combined
with his report that morphine has been effective, this suggests the pain is
currently well-controlled.
3. Edward states his pain before medication was a 9. Which action should the
nurse take first?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
C) Ask about the quality and location of the pain
D) Notify the provider of severe pain
Answer: C
Rationale: Before intervening, the nurse must complete a comprehensive pain
assessment including quality, location, aggravating/relieving factors, and
duration.
4. Which of the following statements by Edward indicates he understands his
osteoarthritis management?
A) "I only take my naproxen when the pain is unbearable."
B) "I use moist heat and range of motion exercises for my joints."
1
,C) "I avoid all physical activity to prevent pain."
D) "I stopped taking my blood pressure medication because it wasn't helping my
joints."
Answer: B
Rationale: Moist heat and ROM exercises are appropriate non-pharmacological
interventions for osteoarthritis. NSAIDs like naproxen are most effective when
taken regularly, not PRN only.
5. Edward reports that exercise exacerbates his pain and stiffness. This finding
is most consistent with:
A) Rheumatoid arthritis
B) Osteoarthritis
C) Fibromyalgia
D) Gout
Answer: B
Rationale: Osteoarthritis pain typically worsens with activity and improves with
rest. Rheumatoid arthritis often improves with activity.
6. When asked about his fall, Edward reports falling while getting out of bed and
hitting his back on the bed frame. He denies dizziness or syncope. This
suggests the fall was likely due to:
A) Orthostatic hypotension
B) Cardiac arrhythmia
C) Mechanical/functional issues related to osteoarthritis
D) Medication adverse effect
Answer: C
Rationale: Since he denies dizziness, syncope, or vertigo, the fall is most likely
related to his underlying osteoarthritis and difficulty with mobility/transfers.
7. Edward reports taking apixaban (Eliquis) 2.5 mg once daily for atrial
fibrillation. As his nurse, you understand that apixaban is a(n):
A) Antiplatelet agent
B) Direct thrombin inhibitor
C) Factor Xa inhibitor (DOAC)
D) Vitamin K antagonist
Answer: C
Rationale: Apixaban is a direct oral anticoagulant (DOAC) that inhibits Factor
Xa. It does not require routine INR monitoring.
8. Which of the following is the most serious potential adverse effect of
apixaban that the nurse should monitor for?
A) Constipation
B) Headache
C) Bleeding
D) Dry mouth
2
, Answer: C
Rationale: As an anticoagulant, the primary risk of apixaban is bleeding,
including gastrointestinal bleeding, intracranial hemorrhage, and excessive
bruising.
9. Edward states he takes verapamil 80 mg three times daily for rate control in
atrial fibrillation. Verapamil belongs to which drug class?
A) Beta blocker
B) Calcium channel blocker (non-dihydropyridine)
C) Potassium channel blocker
D) Digoxin
Answer: B
Rationale: Verapamil is a non-dihydropyridine calcium channel blocker used for
rate control in atrial fibrillation, hypertension, and angina.
10. Which of the following is a common side effect of verapamil that the nurse
should educate Edward about?
A) Diarrhea
B) Constipation
C) Urinary frequency
D) Insomnia
Answer: B
Rationale: Constipation is a very common side effect of verapamil due to
decreased gastrointestinal motility.
11. Edward reports taking Hyzaar (losartan 100 mg / hydrochlorothiazide 25
mg) once daily for hypertension. Hydrochlorothiazide is a:
A) Loop diuretic
B) Potassium-sparing diuretic
C) Thiazide diuretic
D) Osmotic diuretic
Answer: C
Rationale: Hydrochlorothiazide (HCTZ) is a thiazide diuretic. It works by
inhibiting sodium reabsorption in the distal convoluted tubule.
12. The nurse should monitor which laboratory value closely in a patient taking
hydrochlorothiazide?
A) Serum calcium
B) Serum magnesium
C) Serum potassium
D) Serum sodium
Answer: C
Rationale: Thiazide diuretics can cause hypokalemia (low potassium) due to
increased potassium excretion in the urine.
3
Study Solutions Rated A+
SECTION 1: Subjective Assessment (Interview Q&A) – 40 Questions
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?"
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.
2. Edward Carter reports that his current pain is a 1 on a 0-10 scale. What does
this indicate?
A) Severe pain requiring immediate intervention
B) Mild pain that is well-controlled
C) No pain at all
D) Pain that is worsening rapidly
Answer: B
Rationale: On a standard 0-10 pain scale, 1 indicates very mild pain. Combined
with his report that morphine has been effective, this suggests the pain is
currently well-controlled.
3. Edward states his pain before medication was a 9. Which action should the
nurse take first?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
C) Ask about the quality and location of the pain
D) Notify the provider of severe pain
Answer: C
Rationale: Before intervening, the nurse must complete a comprehensive pain
assessment including quality, location, aggravating/relieving factors, and
duration.
4. Which of the following statements by Edward indicates he understands his
osteoarthritis management?
A) "I only take my naproxen when the pain is unbearable."
B) "I use moist heat and range of motion exercises for my joints."
1
,C) "I avoid all physical activity to prevent pain."
D) "I stopped taking my blood pressure medication because it wasn't helping my
joints."
Answer: B
Rationale: Moist heat and ROM exercises are appropriate non-pharmacological
interventions for osteoarthritis. NSAIDs like naproxen are most effective when
taken regularly, not PRN only.
5. Edward reports that exercise exacerbates his pain and stiffness. This finding
is most consistent with:
A) Rheumatoid arthritis
B) Osteoarthritis
C) Fibromyalgia
D) Gout
Answer: B
Rationale: Osteoarthritis pain typically worsens with activity and improves with
rest. Rheumatoid arthritis often improves with activity.
6. When asked about his fall, Edward reports falling while getting out of bed and
hitting his back on the bed frame. He denies dizziness or syncope. This
suggests the fall was likely due to:
A) Orthostatic hypotension
B) Cardiac arrhythmia
C) Mechanical/functional issues related to osteoarthritis
D) Medication adverse effect
Answer: C
Rationale: Since he denies dizziness, syncope, or vertigo, the fall is most likely
related to his underlying osteoarthritis and difficulty with mobility/transfers.
7. Edward reports taking apixaban (Eliquis) 2.5 mg once daily for atrial
fibrillation. As his nurse, you understand that apixaban is a(n):
A) Antiplatelet agent
B) Direct thrombin inhibitor
C) Factor Xa inhibitor (DOAC)
D) Vitamin K antagonist
Answer: C
Rationale: Apixaban is a direct oral anticoagulant (DOAC) that inhibits Factor
Xa. It does not require routine INR monitoring.
8. Which of the following is the most serious potential adverse effect of
apixaban that the nurse should monitor for?
A) Constipation
B) Headache
C) Bleeding
D) Dry mouth
2
, Answer: C
Rationale: As an anticoagulant, the primary risk of apixaban is bleeding,
including gastrointestinal bleeding, intracranial hemorrhage, and excessive
bruising.
9. Edward states he takes verapamil 80 mg three times daily for rate control in
atrial fibrillation. Verapamil belongs to which drug class?
A) Beta blocker
B) Calcium channel blocker (non-dihydropyridine)
C) Potassium channel blocker
D) Digoxin
Answer: B
Rationale: Verapamil is a non-dihydropyridine calcium channel blocker used for
rate control in atrial fibrillation, hypertension, and angina.
10. Which of the following is a common side effect of verapamil that the nurse
should educate Edward about?
A) Diarrhea
B) Constipation
C) Urinary frequency
D) Insomnia
Answer: B
Rationale: Constipation is a very common side effect of verapamil due to
decreased gastrointestinal motility.
11. Edward reports taking Hyzaar (losartan 100 mg / hydrochlorothiazide 25
mg) once daily for hypertension. Hydrochlorothiazide is a:
A) Loop diuretic
B) Potassium-sparing diuretic
C) Thiazide diuretic
D) Osmotic diuretic
Answer: C
Rationale: Hydrochlorothiazide (HCTZ) is a thiazide diuretic. It works by
inhibiting sodium reabsorption in the distal convoluted tubule.
12. The nurse should monitor which laboratory value closely in a patient taking
hydrochlorothiazide?
A) Serum calcium
B) Serum magnesium
C) Serum potassium
D) Serum sodium
Answer: C
Rationale: Thiazide diuretics can cause hypokalemia (low potassium) due to
increased potassium excretion in the urine.
3
