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NUR 6111 Liam Fitzgerald Shadow Health Telehealth
Follow Up Sick Visit Cardiovascular Conditions Exam
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100% Verified –
Pass Guaranteed – A+ Graded
SECTION 1: CARDIOVASCULAR ASSESSMENT FINDINGS (6 Questions)
Q1: During a telehealth visit, a 72-year-old male with HFrEF reports new-onset bilateral
pitting edema and jugular venous distension (JVD). What is the priority nursing action?
A. Advise the patient to reduce sodium intake to <1,500 mg/day
B. Assess for orthopnea, paroxysmal nocturnal dyspnea (PND), and recent weight changes
[CORRECT]
C. Schedule a routine echocardiogram in 1 month
D. Recommend over-the-counter diuretic use
Correct Answer: B
Rationale: New edema/JVD in HF suggests fluid overload; telehealth assessment must prioritize
symptom characterization (orthopnea, PND, weight) to guide diuretic adjustment.
Q2: A patient with atrial fibrillation reports palpitations and irregular pulse. Which telehealth
assessment is critical?
A. Ask the patient to describe the rhythm as "fast or slow"
B. Instruct the patient to perform a Valsalva maneuver
C. Guide the patient to measure radial pulse for 60 seconds and report irregularity [CORRECT]
D. Advise the patient to take an extra dose of metoprolol
Correct Answer: C
Rationale: A 60-second pulse count detects irregular rhythm (e.g., AFib), which requires
provider notification for anticoagulation review.
Q3: A 65-year-old female with hypertension reports sudden onset of severe headache and
blurred vision. What is the next step?
A. Recommend acetaminophen for pain
B. Direct the patient to the nearest emergency department immediately [CORRECT]
C. Schedule a telehealth follow-up in 3 days
D. Advise the patient to double the amlodipine dose
Correct Answer: B
, 2
Rationale: Sudden headache with visual changes suggests hypertensive emergency; telehealth
triage requires immediate EMS activation.
Q4: During a video visit, a patient with aortic stenosis demonstrates exertional syncope. What is
the most concerning implication?
A. Need for increased fluid intake
B. Progression to critical aortic stenosis requiring valve replacement [CORRECT]
C. Benign vasovagal episode
D. Dehydration
Correct Answer: B
Rationale: Exertional syncope in aortic stenosis indicates severe outflow obstruction and high
risk of sudden cardiac death.
Q5: A patient with heart failure reports weight gain of 5 pounds in 3 days despite adherence to
diuretics. What is the priority telehealth action?
A. Increase furosemide dose independently
B. Assess for dietary sodium intake, urine output, and signs of worsening congestion
[CORRECT]
C. Schedule a non-urgent office visit
D. Advise the patient to stop all fluids
Correct Answer: B
Rationale: Rapid weight gain suggests diuretic resistance or non-adherence; telehealth
assessment must evaluate clinical context before adjusting meds.
Q6: A telehealth patient with coronary artery disease describes substernal chest pressure
radiating to the jaw during exertion. What is the priority?
A. Reassure the patient it is likely musculoskeletal
B. Instruct the patient to rest and take nitroglycerin; if unresolved after 3 doses, call 911
[CORRECT]
C. Schedule a stress test in 2 weeks
D. Advise the patient to avoid all physical activity
Correct Answer: B
Rationale: Exertional chest pain with radiation suggests angina; telehealth management includes
nitroglycerin trial and EMS activation if unresponsive.
SECTION 2: TELEHEALTH VISIT PROTOCOL & COMMUNICATION (5 Questions)
Q7: During a telehealth visit, the patient’s audio is intermittent. What is the correct
troubleshooting sequence?
A. End the visit and document "technical difficulties"
B. Switch to telephone-only mode and complete the assessment [CORRECT]
NUR 6111 Liam Fitzgerald Shadow Health Telehealth
Follow Up Sick Visit Cardiovascular Conditions Exam
Actual Exam 2026/2027 – Complete Exam-Style
Questions with Detailed Rationales | 100% Verified –
Pass Guaranteed – A+ Graded
SECTION 1: CARDIOVASCULAR ASSESSMENT FINDINGS (6 Questions)
Q1: During a telehealth visit, a 72-year-old male with HFrEF reports new-onset bilateral
pitting edema and jugular venous distension (JVD). What is the priority nursing action?
A. Advise the patient to reduce sodium intake to <1,500 mg/day
B. Assess for orthopnea, paroxysmal nocturnal dyspnea (PND), and recent weight changes
[CORRECT]
C. Schedule a routine echocardiogram in 1 month
D. Recommend over-the-counter diuretic use
Correct Answer: B
Rationale: New edema/JVD in HF suggests fluid overload; telehealth assessment must prioritize
symptom characterization (orthopnea, PND, weight) to guide diuretic adjustment.
Q2: A patient with atrial fibrillation reports palpitations and irregular pulse. Which telehealth
assessment is critical?
A. Ask the patient to describe the rhythm as "fast or slow"
B. Instruct the patient to perform a Valsalva maneuver
C. Guide the patient to measure radial pulse for 60 seconds and report irregularity [CORRECT]
D. Advise the patient to take an extra dose of metoprolol
Correct Answer: C
Rationale: A 60-second pulse count detects irregular rhythm (e.g., AFib), which requires
provider notification for anticoagulation review.
Q3: A 65-year-old female with hypertension reports sudden onset of severe headache and
blurred vision. What is the next step?
A. Recommend acetaminophen for pain
B. Direct the patient to the nearest emergency department immediately [CORRECT]
C. Schedule a telehealth follow-up in 3 days
D. Advise the patient to double the amlodipine dose
Correct Answer: B
, 2
Rationale: Sudden headache with visual changes suggests hypertensive emergency; telehealth
triage requires immediate EMS activation.
Q4: During a video visit, a patient with aortic stenosis demonstrates exertional syncope. What is
the most concerning implication?
A. Need for increased fluid intake
B. Progression to critical aortic stenosis requiring valve replacement [CORRECT]
C. Benign vasovagal episode
D. Dehydration
Correct Answer: B
Rationale: Exertional syncope in aortic stenosis indicates severe outflow obstruction and high
risk of sudden cardiac death.
Q5: A patient with heart failure reports weight gain of 5 pounds in 3 days despite adherence to
diuretics. What is the priority telehealth action?
A. Increase furosemide dose independently
B. Assess for dietary sodium intake, urine output, and signs of worsening congestion
[CORRECT]
C. Schedule a non-urgent office visit
D. Advise the patient to stop all fluids
Correct Answer: B
Rationale: Rapid weight gain suggests diuretic resistance or non-adherence; telehealth
assessment must evaluate clinical context before adjusting meds.
Q6: A telehealth patient with coronary artery disease describes substernal chest pressure
radiating to the jaw during exertion. What is the priority?
A. Reassure the patient it is likely musculoskeletal
B. Instruct the patient to rest and take nitroglycerin; if unresolved after 3 doses, call 911
[CORRECT]
C. Schedule a stress test in 2 weeks
D. Advise the patient to avoid all physical activity
Correct Answer: B
Rationale: Exertional chest pain with radiation suggests angina; telehealth management includes
nitroglycerin trial and EMS activation if unresponsive.
SECTION 2: TELEHEALTH VISIT PROTOCOL & COMMUNICATION (5 Questions)
Q7: During a telehealth visit, the patient’s audio is intermittent. What is the correct
troubleshooting sequence?
A. End the visit and document "technical difficulties"
B. Switch to telephone-only mode and complete the assessment [CORRECT]
