Page 1 of 138
Shadow Health: Unguided Intermediate
Patient Case Results – Objective Data BSN
315 Pharmacology - Nightingale College ||
Complete A+ Guide
1. A 58-year-old male patient reports feeling “generally
tired” for 2 weeks. Which vital sign finding is most
concerning for possible infection?
A) BP 118/76 mmHg
B) HR 88 bpm
C) Temperature 38.9°C (102°F)
D) SpO2 97%
Answer: C – Fever suggests infection; normal temp is 36–
38°C (96.8–100.4°F).
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2. During objective data collection, you note BP 154/92
mmHg in the right arm. What is your best next action?
A) Document as normal
B) Repeat in left arm after 5 minutes rest
C) Start antihypertensive immediately
D) Notify provider only if headache present
Answer: B – Confirm elevated BP by repeating in
contralateral arm after rest.
3. Patient’s BMI is 31.2 kg/m². This classifies as:
A) Normal weight
B) Overweight
C) Class I obesity
D) Class II obesity
Answer: C – BMI 30–34.9 = Class I obesity.
4. A patient on metoprolol has HR 48 bpm and BP 100/70.
Which symptom would indicate symptomatic bradycardia?
A) Warm, dry skin
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B) Dizziness when standing
C) Respiratory rate 20
D) Capillary refill 2 seconds
Answer: B – Dizziness suggests inadequate cerebral
perfusion.
5. You record a respiratory rate of 28 breaths/min in a
resting adult. This is:
A) Normal
B) Bradypnea
C) Tachypnea
D) Cheyne-Stokes
Answer: C – Normal adult RR is 12–20; >20 = tachypnea.
6. Pulse oximetry shows 89% on room air. Your immediate
action should be:
A) Apply supplemental oxygen
B) Recheck in 5 minutes
C) Document as normal for elderly
, Page 4 of 138
D) Check temperature first
Answer: A – SpO2 <90% is hypoxemia; oxygen indicated.
7. Orthostatic vital signs: supine BP 130/80, standing BP
100/60 with HR increase from 70 to 105. This indicates:
A) Normal response
B) Orthostatic hypotension
C) Autonomic dysfunction only
D) Hypervolemia
Answer: B – Drop in SBP ≥20 mmHg or HR rise >30 suggests
orthostatic hypotension.
8. A patient’s temperature is 35.2°C (95.4°F) orally. This is:
A) Normal
B) Hypothermia
C) Low-grade fever
D) Hyperthermia
Answer: B – Hypothermia = <36°C (96.8°F).
Shadow Health: Unguided Intermediate
Patient Case Results – Objective Data BSN
315 Pharmacology - Nightingale College ||
Complete A+ Guide
1. A 58-year-old male patient reports feeling “generally
tired” for 2 weeks. Which vital sign finding is most
concerning for possible infection?
A) BP 118/76 mmHg
B) HR 88 bpm
C) Temperature 38.9°C (102°F)
D) SpO2 97%
Answer: C – Fever suggests infection; normal temp is 36–
38°C (96.8–100.4°F).
,Page 2 of 138
2. During objective data collection, you note BP 154/92
mmHg in the right arm. What is your best next action?
A) Document as normal
B) Repeat in left arm after 5 minutes rest
C) Start antihypertensive immediately
D) Notify provider only if headache present
Answer: B – Confirm elevated BP by repeating in
contralateral arm after rest.
3. Patient’s BMI is 31.2 kg/m². This classifies as:
A) Normal weight
B) Overweight
C) Class I obesity
D) Class II obesity
Answer: C – BMI 30–34.9 = Class I obesity.
4. A patient on metoprolol has HR 48 bpm and BP 100/70.
Which symptom would indicate symptomatic bradycardia?
A) Warm, dry skin
,Page 3 of 138
B) Dizziness when standing
C) Respiratory rate 20
D) Capillary refill 2 seconds
Answer: B – Dizziness suggests inadequate cerebral
perfusion.
5. You record a respiratory rate of 28 breaths/min in a
resting adult. This is:
A) Normal
B) Bradypnea
C) Tachypnea
D) Cheyne-Stokes
Answer: C – Normal adult RR is 12–20; >20 = tachypnea.
6. Pulse oximetry shows 89% on room air. Your immediate
action should be:
A) Apply supplemental oxygen
B) Recheck in 5 minutes
C) Document as normal for elderly
, Page 4 of 138
D) Check temperature first
Answer: A – SpO2 <90% is hypoxemia; oxygen indicated.
7. Orthostatic vital signs: supine BP 130/80, standing BP
100/60 with HR increase from 70 to 105. This indicates:
A) Normal response
B) Orthostatic hypotension
C) Autonomic dysfunction only
D) Hypervolemia
Answer: B – Drop in SBP ≥20 mmHg or HR rise >30 suggests
orthostatic hypotension.
8. A patient’s temperature is 35.2°C (95.4°F) orally. This is:
A) Normal
B) Hypothermia
C) Low-grade fever
D) Hyperthermia
Answer: B – Hypothermia = <36°C (96.8°F).
