NUR 6111 Liam Fitzgerald Shadow Health Telehealth
Follow Up Sick Visit Cardiovascular Conditions
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100% Verified –
Pass Guaranteed – A+ Graded
Part I: Telehealth Visit Setup & Patient Engagement
Q1: As you prepare to initiate the video call with Liam Fitzgerald for his telehealth follow-up,
which of the following actions is the most critical first step to ensure the visit proceeds
smoothly?
A. Verifying that Liam has a list of his current medications written down.
B. Confirming Liam’s identity and date of birth to ensure you are speaking with the correct
patient. [CORRECT]
C. Immediately asking about his current blood pressure reading to save time.
D. Checking your own camera angle to ensure good lighting before the call connects.
Correct Answer: B
Rationale: Verifying the patient's identity is the absolute first priority in any clinical encounter,
telehealth or otherwise, to prevent privacy violations and medical errors. While lighting and
medication lists are important, safety begins with confirming you are treating the right person.
Q2: During the initial connection, Liam mentions that his video is freezing and the audio is
cutting out. What is the most appropriate response to maintain the therapeutic relationship and
address the technical issue?
A. Immediately hang up and call him on the phone to switch modalities.
B. Ask him to move closer to his Wi-Fi router and continue the video visit despite the freezing.
C. Stop the conversation, guide him through a quick troubleshooting step like restarting his
router or closing other apps, and agree to switch to a phone call if it doesn't resolve. [CORRECT]
D. Proceed with the video visit assuming you will catch the important parts of the history.
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Correct Answer: C
Rationale: It is best practice to attempt a quick fix to preserve the visual data, but have a low-
threshold backup plan. Switching to a phone call (A) is a good fallback, but trying to fix it first
respects his preference for video while maintaining patient safety.
Q3: Before taking Liam’s history, you must obtain informed consent specific to telehealth.
Which of the following elements must be explicitly included in this consent process?
A. An explanation that the video recording will be stored indefinitely for quality assurance.
B. A discussion of the limitations of the physical exam via telehealth and protocols for
emergency care. [CORRECT]
C. A waiver stating that the provider is not liable for misdiagnosis due to poor internet
connection.
D. Confirmation that Liam has paid his copay prior to the start of the medical discussion.
Correct Answer: B
Rationale: Patients must understand the limitations of remote care, specifically that you cannot
listen to their heart or lungs directly, and they must know what to do (e.g., call 911) if an
emergency arises during the virtual visit.
Q4: You notice that Liam is sitting in a dimly lit room, making it difficult to visualize his face or
assess for signs like pallor or diaphoresis. How do you handle this while building rapport?
A. "Mr. Fitzgerald, I can't see you well at all; you need to turn on a bright light right now."
B. "It would really help me examine you if we could get a little more light in the room. Could
you maybe move near a window or a lamp?" [CORRECT]
C. Ignore the lighting issue and rely solely on his subjective report of symptoms.
D. Ask him to send a high-resolution photograph of his face via the patient portal.
Correct Answer: B
Rationale: This response is collaborative and polite, which builds rapport, while directly
addressing a clinical barrier. Visual assessment is a key component of the telehealth exam, so
improving lighting is necessary.
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Q5: Liam asks, "Is this call secure? I don't want my neighbors hearing about my heart condition."
What is the most accurate and reassuring response regarding HIPAA compliance?
A. "As long as you are in a private room, this platform is fully encrypted and HIPAA-compliant,
so no one can intercept the data." [CORRECT]
B. "I assure you, it is very unlikely that anyone would hack this call."
C. "We are using a standard video chat app, so you should be fine as long as you speak quietly."
D. "I document everything in your electronic health record, which is secure, so the video part
doesn't matter much."
Correct Answer: A
Rationale: You must confirm that the platform being used is HIPAA-compliant (encrypted) and
place the responsibility for environmental privacy (neighbors/family hearing) on the patient's
physical location.
Q6: Midway through the visit, Liam’s young child runs into the room and creates a distraction.
How should you manage this to maintain engagement?
A. Pause the conversation and kindly ask Liam to step away to a private space or wait for a
moment until he is ready. [CORRECT]
B. Continue talking loudly so that Liam can still hear the instructions over the noise.
C. Immediately terminate the visit and reschedule, as the environment is not professional.
D. Mute your microphone until the noise stops.
Correct Answer: A
Rationale: Acknowledging the disruption and allowing the patient a moment to compose
themselves maintains respect and ensures you get their full attention for critical medical
information.
Q7: When assessing Liam’s functional status via telehealth, he says he feels "a bit winded" but
downplays it. Which communication technique is most effective to get an accurate objective
measure?