NUR 6111 LIAM FITZGERALD SHADOW HEALTH TELEHEALTH CARDIOVASCULAR EXAM —
2026/2027 | 50 QUESTIONS | COMPLETE EXAM-STYLE QUESTIONS WITH DETAILED RATIONALES |
100% VERIFIED | GRADED A+
NUR 6111 – Advanced Health Assessment: Telehealth Cardiovascular Module (Institution-Specific Graduate Nursing
Course / Shadow Health Digital Clinical Experience™) | Focus: Liam Fitzgerald Virtual Patient Case | Core Domains:
Telehealth Assessment Fundamentals (Technology Setup, Audio/Video Optimization, Virtual Rapport Building, Patient
Privacy/HIPAA in Remote Settings, Digital Consent Processes), Cardiovascular Health History Taking (Chief Complaint
Analysis: Chest Pain/Dyspnea/Palpitations; HPI Elaboration: OPQRST/OLD CARTS; Past Cardiac History: CAD, MI,
HF, Arrhythmias; Family History: Premature CVD; Social History: Smoking, Activity, Diet; Medication
Reconciliation), Virtual Cardiovascular Physical Assessment Techniques (Inspection: Skin Color, Edema, JVD via
Camera; Palpation Guidance: Patient Self-Palpation of Pulses, PMI Location; Auscultation: Heart Sound Identification
via Digital Stethoscope: S1/S2, Murmurs, Gallops, Rubs; Peripheral Vascular Assessment: Capillary Refill,
Temperature, Hair Distribution), Clinical Judgment in Telehealth (Recognizing Cues: Subtle Signs of Decompensation;
Analyzing Cues: Differentiating Cardiac vs. Non-Cardiac Symptoms; Prioritizing Hypotheses: ACS vs. Anxiety vs.
GERD; Generating Solutions: When to Escalate to In-Person Care), Documentation & Communication in Shadow
Health (SOAP Note Formatting for Telehealth, SBAR for Provider Handoff, Patient Education Documentation,
Platform-Specific Charting Requirements), Patient Education via Telehealth (Medication Adherence Strategies,
Symptom Monitoring Plans, Lifestyle Modification Counseling, Emergency Warning Signs Recognition), Legal/Ethical
Considerations in Virtual Care (Scope of Practice Limitations, Informed Consent for Telehealth, Mandatory Reporting,
Cultural Humility in Remote Interactions), Special Populations Considerations (Geriatric: Polypharmacy, Atypical
Presentations; Pediatric: Developmental Adaptation; Chronic Illness: HF, CAD Management), and Scenario-Based
Clinical Decision-Making with NGN-Aligned Critical Thinking Items | Shadow Health/NUR 6111/NGN–Aligned Format
Exam Structure
•
50
multiple-choice and Next Generation NCLEX-style questions (comprehensive practice exam count for NUR 6111 Liam
Fitzgerald Shadow Health Telehealth Cardiovascular assessment)
• Questions must be presented in
bold
• Single-best-answer, select-all-that-apply (SATA), bowtie, trend, and scenario-based telehealth cardiovascular items
• Focus on evidence-based virtual assessment techniques, cardiovascular clinical judgment, and advanced practice
reasoning aligned with NONPF Core Competencies and NCSBN Clinical Judgment Measurement Model (CJMM)
• Total testing time: Approximately
90–120 minutes
(computer-based, proctored format via institutional learning management system + Shadow Health platform)
• Passing score: Typically
,75–80%
required per graduate nursing program policy (38–40/50 correct)
• Shadow Health Integration: Questions simulate Digital Clinical Experience™ decision points, documentation
requirements, and feedback mechanisms
Introduction
This NUR 6111 Liam Fitzgerald Shadow Health Telehealth Cardiovascular Exam format for 2026/2027 reflects the
standardized competency assessment used to evaluate proficiency in advanced telehealth cardiovascular assessment
principles for graduate nursing students. Note: "Liam Fitzgerald" is a virtual patient case within the Shadow Health Digital
Clinical Experience™ platform, designed to simulate realistic telehealth cardiovascular assessment scenarios. The exam
measures knowledge of telehealth technology optimization, cardiovascular health history elicitation, virtual physical
assessment techniques, clinical judgment in remote settings, documentation standards, patient education strategies,
legal/ethical considerations, and scenario-based decision-making essential for safe, effective, evidence-based advanced
practice in telehealth environments. The comprehensive 50-question format provides extensive coverage of these critical
telehealth cardiovascular domains, aligned with current Shadow Health learning objectives, NONPF competencies, and
NGN standards.
Answer Format
All correct answers must be presented in bold and green, each question must appear in bold, and all rationales explaining
telehealth assessment protocols, cardiovascular clinical judgment, virtual care strategies, and scenario-based reasoning
must be written in italic font.
1. You are initiating a telehealth cardiovascular assessment with Liam Fitzgerald. Before beginning the
clinical interview, which of the following actions is the highest priority to ensure compliance with
telehealth standards and patient safety?
A) Instructing the patient on how to use their digital stethoscope.
B) Verifying the patient's identity, physical location, and obtaining verbal consent for the telehealth visit.
C) Asking the patient to adjust their webcam to show their chest for inspection.
D) Immediately asking the patient to rate their chest pain on a scale of 0 to 10.
Answer:B) Verifying the patient's identity, physical location, and obtaining verbal consent for the
telehealth visit.
Rationale: In any telehealth encounter, the absolute first priority is establishing the patient's identity, confirming
their exact physical location (crucial for dispatching emergency services if the patient experiences a cardiac event
during the call), and obtaining informed consent for virtual care. Clinical assessments and technology instructions
follow this foundational legal and safety step.
2. Liam reports experiencing intermittent chest discomfort over the past week. Using the OLD CARTS
mnemonic, which question best addresses the "Character" of his symptom?
A) "Does the pain radiate to your jaw or left arm?"
, B) "What were you doing when the pain first started?"
C) "Can you describe what the discomfort feels like? Is it sharp, dull, or squeezing?"
D) "How long does the pain typically last when it occurs?"
Answer:C) "Can you describe what the discomfort feels like? Is it sharp, dull, or squeezing?"
Rationale: The "C" in OLD CARTS stands for Character. Asking the patient to describe the quality of the pain (e.g.,
sharp, dull, pressure, squeezing, burning) helps differentiate between ischemic cardiac pain (often described as
pressure or squeezing) and other etiologies like musculoskeletal or gastrointestinal pain.
3. During the virtual inspection phase of the cardiovascular exam, you want to assess Liam for jugular
venous distention (JVD). How should you instruct the patient to position himself and his camera?
A) "Please lie flat on your back and point the camera directly at your chest."
B) "Sit up straight, look directly at the camera, and take a deep breath."
C) "Please recline at a 30 to 45-degree angle, turn your head slightly to the left, and shine a penlight tangentially
across the right side of your neck."
D) "Stand up, lean forward slightly, and hold the camera close to your neck."
Answer:C) "Please recline at a 30 to 45-degree angle, turn your head slightly to the left, and shine a
penlight tangentially across the right side of your neck."
Rationale: Assessing JVD requires the patient to be positioned at a 30 to 45-degree angle. Turning the head slightly
away from the side being examined and using tangential lighting (which can be done by the patient or a family
member using a smartphone flashlight) highlights the pulsations and shadows of the internal jugular vein, making it
visible via webcam.
4. Liam states, "I sometimes feel like my heart is racing and skipping beats." Which of the following
follow-up questions is most critical for evaluating the hemodynamic impact of these palpitations?
A) "Do you drink coffee or energy drinks?"
B) "When you feel these skipped beats, do you also feel dizzy, lightheaded, or feel like you might pass out?"
C) "Does anyone in your family have a history of heart arrhythmias?"
D) "Have you been feeling more stressed or anxious lately?"
Answer:B) "When you feel these skipped beats, do you also feel dizzy, lightheaded, or feel like you
might pass out?"
Rationale: While all options are valid history questions, asking about dizziness, lightheadedness, or syncope assesses
for compromised cardiac output and hemodynamic instability associated with the arrhythmia. This is a critical cue
that helps prioritize the hypothesis of a dangerous dysrhythmia requiring immediate intervention.
5. You need to assess Liam's peripheral perfusion virtually. Which instruction is most appropriate to
guide the patient in self-assessing capillary refill?
A) "Hold your hand up to the camera and tell me if your fingers feel cold."
2026/2027 | 50 QUESTIONS | COMPLETE EXAM-STYLE QUESTIONS WITH DETAILED RATIONALES |
100% VERIFIED | GRADED A+
NUR 6111 – Advanced Health Assessment: Telehealth Cardiovascular Module (Institution-Specific Graduate Nursing
Course / Shadow Health Digital Clinical Experience™) | Focus: Liam Fitzgerald Virtual Patient Case | Core Domains:
Telehealth Assessment Fundamentals (Technology Setup, Audio/Video Optimization, Virtual Rapport Building, Patient
Privacy/HIPAA in Remote Settings, Digital Consent Processes), Cardiovascular Health History Taking (Chief Complaint
Analysis: Chest Pain/Dyspnea/Palpitations; HPI Elaboration: OPQRST/OLD CARTS; Past Cardiac History: CAD, MI,
HF, Arrhythmias; Family History: Premature CVD; Social History: Smoking, Activity, Diet; Medication
Reconciliation), Virtual Cardiovascular Physical Assessment Techniques (Inspection: Skin Color, Edema, JVD via
Camera; Palpation Guidance: Patient Self-Palpation of Pulses, PMI Location; Auscultation: Heart Sound Identification
via Digital Stethoscope: S1/S2, Murmurs, Gallops, Rubs; Peripheral Vascular Assessment: Capillary Refill,
Temperature, Hair Distribution), Clinical Judgment in Telehealth (Recognizing Cues: Subtle Signs of Decompensation;
Analyzing Cues: Differentiating Cardiac vs. Non-Cardiac Symptoms; Prioritizing Hypotheses: ACS vs. Anxiety vs.
GERD; Generating Solutions: When to Escalate to In-Person Care), Documentation & Communication in Shadow
Health (SOAP Note Formatting for Telehealth, SBAR for Provider Handoff, Patient Education Documentation,
Platform-Specific Charting Requirements), Patient Education via Telehealth (Medication Adherence Strategies,
Symptom Monitoring Plans, Lifestyle Modification Counseling, Emergency Warning Signs Recognition), Legal/Ethical
Considerations in Virtual Care (Scope of Practice Limitations, Informed Consent for Telehealth, Mandatory Reporting,
Cultural Humility in Remote Interactions), Special Populations Considerations (Geriatric: Polypharmacy, Atypical
Presentations; Pediatric: Developmental Adaptation; Chronic Illness: HF, CAD Management), and Scenario-Based
Clinical Decision-Making with NGN-Aligned Critical Thinking Items | Shadow Health/NUR 6111/NGN–Aligned Format
Exam Structure
•
50
multiple-choice and Next Generation NCLEX-style questions (comprehensive practice exam count for NUR 6111 Liam
Fitzgerald Shadow Health Telehealth Cardiovascular assessment)
• Questions must be presented in
bold
• Single-best-answer, select-all-that-apply (SATA), bowtie, trend, and scenario-based telehealth cardiovascular items
• Focus on evidence-based virtual assessment techniques, cardiovascular clinical judgment, and advanced practice
reasoning aligned with NONPF Core Competencies and NCSBN Clinical Judgment Measurement Model (CJMM)
• Total testing time: Approximately
90–120 minutes
(computer-based, proctored format via institutional learning management system + Shadow Health platform)
• Passing score: Typically
,75–80%
required per graduate nursing program policy (38–40/50 correct)
• Shadow Health Integration: Questions simulate Digital Clinical Experience™ decision points, documentation
requirements, and feedback mechanisms
Introduction
This NUR 6111 Liam Fitzgerald Shadow Health Telehealth Cardiovascular Exam format for 2026/2027 reflects the
standardized competency assessment used to evaluate proficiency in advanced telehealth cardiovascular assessment
principles for graduate nursing students. Note: "Liam Fitzgerald" is a virtual patient case within the Shadow Health Digital
Clinical Experience™ platform, designed to simulate realistic telehealth cardiovascular assessment scenarios. The exam
measures knowledge of telehealth technology optimization, cardiovascular health history elicitation, virtual physical
assessment techniques, clinical judgment in remote settings, documentation standards, patient education strategies,
legal/ethical considerations, and scenario-based decision-making essential for safe, effective, evidence-based advanced
practice in telehealth environments. The comprehensive 50-question format provides extensive coverage of these critical
telehealth cardiovascular domains, aligned with current Shadow Health learning objectives, NONPF competencies, and
NGN standards.
Answer Format
All correct answers must be presented in bold and green, each question must appear in bold, and all rationales explaining
telehealth assessment protocols, cardiovascular clinical judgment, virtual care strategies, and scenario-based reasoning
must be written in italic font.
1. You are initiating a telehealth cardiovascular assessment with Liam Fitzgerald. Before beginning the
clinical interview, which of the following actions is the highest priority to ensure compliance with
telehealth standards and patient safety?
A) Instructing the patient on how to use their digital stethoscope.
B) Verifying the patient's identity, physical location, and obtaining verbal consent for the telehealth visit.
C) Asking the patient to adjust their webcam to show their chest for inspection.
D) Immediately asking the patient to rate their chest pain on a scale of 0 to 10.
Answer:B) Verifying the patient's identity, physical location, and obtaining verbal consent for the
telehealth visit.
Rationale: In any telehealth encounter, the absolute first priority is establishing the patient's identity, confirming
their exact physical location (crucial for dispatching emergency services if the patient experiences a cardiac event
during the call), and obtaining informed consent for virtual care. Clinical assessments and technology instructions
follow this foundational legal and safety step.
2. Liam reports experiencing intermittent chest discomfort over the past week. Using the OLD CARTS
mnemonic, which question best addresses the "Character" of his symptom?
A) "Does the pain radiate to your jaw or left arm?"
, B) "What were you doing when the pain first started?"
C) "Can you describe what the discomfort feels like? Is it sharp, dull, or squeezing?"
D) "How long does the pain typically last when it occurs?"
Answer:C) "Can you describe what the discomfort feels like? Is it sharp, dull, or squeezing?"
Rationale: The "C" in OLD CARTS stands for Character. Asking the patient to describe the quality of the pain (e.g.,
sharp, dull, pressure, squeezing, burning) helps differentiate between ischemic cardiac pain (often described as
pressure or squeezing) and other etiologies like musculoskeletal or gastrointestinal pain.
3. During the virtual inspection phase of the cardiovascular exam, you want to assess Liam for jugular
venous distention (JVD). How should you instruct the patient to position himself and his camera?
A) "Please lie flat on your back and point the camera directly at your chest."
B) "Sit up straight, look directly at the camera, and take a deep breath."
C) "Please recline at a 30 to 45-degree angle, turn your head slightly to the left, and shine a penlight tangentially
across the right side of your neck."
D) "Stand up, lean forward slightly, and hold the camera close to your neck."
Answer:C) "Please recline at a 30 to 45-degree angle, turn your head slightly to the left, and shine a
penlight tangentially across the right side of your neck."
Rationale: Assessing JVD requires the patient to be positioned at a 30 to 45-degree angle. Turning the head slightly
away from the side being examined and using tangential lighting (which can be done by the patient or a family
member using a smartphone flashlight) highlights the pulsations and shadows of the internal jugular vein, making it
visible via webcam.
4. Liam states, "I sometimes feel like my heart is racing and skipping beats." Which of the following
follow-up questions is most critical for evaluating the hemodynamic impact of these palpitations?
A) "Do you drink coffee or energy drinks?"
B) "When you feel these skipped beats, do you also feel dizzy, lightheaded, or feel like you might pass out?"
C) "Does anyone in your family have a history of heart arrhythmias?"
D) "Have you been feeling more stressed or anxious lately?"
Answer:B) "When you feel these skipped beats, do you also feel dizzy, lightheaded, or feel like you
might pass out?"
Rationale: While all options are valid history questions, asking about dizziness, lightheadedness, or syncope assesses
for compromised cardiac output and hemodynamic instability associated with the arrhythmia. This is a critical cue
that helps prioritize the hypothesis of a dangerous dysrhythmia requiring immediate intervention.
5. You need to assess Liam's peripheral perfusion virtually. Which instruction is most appropriate to
guide the patient in self-assessing capillary refill?
A) "Hold your hand up to the camera and tell me if your fingers feel cold."
