Shadow Health Cardiac Assessment
Simulation Rochelle Joseph (DCE) | 2026
Update with complete solutions.
Section 1: Patient History and Chief Complaint
Question 1:
When asked about heart problems, what is Tina Jones's response?
A) Reports a history of congenital heart disease
B) Reports a history of heart attack
C) Denies heart problems
D) Reports a history of heart murmur
Correct Answer: C) Denies heart problems
Rationale: During the cardiovascular assessment, Tina Jones denies any history of heart
problems. This is an important baseline finding that helps establish that she does not
have pre-existing cardiac conditions that would complicate her current presentation .
Question 2:
What does Tina Jones report about her heartbeat?
A) Reports irregular heartbeat and palpitations
B) Reports normal heartbeat, denies palpitations and arrhythmia
C) Reports rapid heartbeat with palpitations
D) Reports skipped beats and irregular rhythm
Correct Answer: B) Reports normal heartbeat, denies palpitations and arrhythmia
Rationale: Tina Jones reports that her heartbeat is normal and denies experiencing
palpitations or arrhythmias. This is a key finding in her cardiovascular history
assessment .
,Question 3:
What does Tina Jones report about her blood pressure?
A) Denies ever having blood pressure checked
B) Reports last blood pressure check was 140 over 80 or 90, believes it is on the high
side of normal range
C) Reports normal blood pressure of 120/80
D) Reports high blood pressure diagnosed by a provider
Correct Answer: B) Reports last blood pressure check was 140 over 80 or 90,
believes it is on the high side of normal range
Rationale: Tina Jones reports her last blood pressure reading was 140/80-90 and
expresses concern that it may be on the high side of normal. This finding warrants
further assessment and monitoring .
Question 4:
When asked about a heart murmur, Tina Jones responds:
A) Reports a history of heart murmur diagnosed as a child
B) Reports a recent diagnosis of heart murmur
C) Denies heart murmur
D) Reports family history of heart murmur
Correct Answer: C) Denies heart murmur
Rationale: Tina Jones denies having a heart murmur. This is an important negative
finding in her cardiac history .
Question 5:
What does Tina Jones report about swelling?
A) Reports generalized edema in both legs
B) Denies swelling other than foot wound
C) Reports swelling in hands and feet
D) Reports abdominal swelling
Correct Answer: B) Denies swelling other than foot wound
Rationale: Tina Jones denies swelling, with the exception of the area around her foot
,wound. This helps differentiate localized swelling from systemic edema, which could
indicate cardiac issues .
Question 6:
When asked about blue skin or cyanosis, Tina Jones:
A) Reports episodes of blue fingertips
B) Reports blue lips during cold weather
C) Denies blue skin
D) Reports family history of cyanosis
Correct Answer: C) Denies blue skin
Rationale: Tina Jones denies any history of cyanosis or blue skin discoloration. This is an
expected finding indicating adequate oxygenation .
Question 7:
What cardiac tests does Tina Jones report having?
A) Reports having an echocardiogram
B) Reports having a stress test
C) Denies having a stress test, echocardiogram, or coronary artery CT scan
D) Reports having a coronary angiogram
Correct Answer: C) Denies having a stress test, echocardiogram, or coronary artery
CT scan
Rationale: Tina Jones denies having any cardiac diagnostic testing, including stress
tests, echocardiograms, or coronary artery CT scans .
Question 8:
What cardiac surgeries or procedures does Tina Jones report?
A) Reports having a heart catheterization
B) Reports having a pacemaker placed
C) Denies having heart catheterization, angioplasty/stent, or pacemaker
D) Reports having coronary bypass surgery
, Correct Answer: C) Denies having heart catheterization, angioplasty/stent, or
pacemaker
Rationale: Tina Jones denies any history of cardiac procedures including catheterization,
angioplasty, stents, or pacemaker placement .
Question 9:
When asked about chest pain, Tina Jones reports:
A) Reports frequent chest pain with exertion
B) Denies chest pain and denies angina
C) Reports chest pain relieved by rest
D) Reports crushing chest pain
Correct Answer: B) Denies chest pain and denies angina
Rationale: Tina Jones denies both chest pain and angina, which are important negative
findings in her cardiovascular assessment .
Question 10:
What does Tina Jones report about chest tightness?
A) Reports chest tightness during asthma exacerbations, denies current chest tightness
B) Reports constant chest tightness
C) Denies any chest tightness ever
D) Reports chest tightness only at night
Correct Answer: A) Reports chest tightness during asthma exacerbations, denies
current chest tightness
Rationale: Tina Jones reports that she experiences chest tightness during asthma
exacerbations but denies current chest tightness. This helps differentiate between
cardiac and respiratory causes of chest symptoms .
Question 11:
What breathing problems does Tina Jones report?
A) Reports wheezing, shortness of breath; denies waking at night unable to breathe,
Simulation Rochelle Joseph (DCE) | 2026
Update with complete solutions.
Section 1: Patient History and Chief Complaint
Question 1:
When asked about heart problems, what is Tina Jones's response?
A) Reports a history of congenital heart disease
B) Reports a history of heart attack
C) Denies heart problems
D) Reports a history of heart murmur
Correct Answer: C) Denies heart problems
Rationale: During the cardiovascular assessment, Tina Jones denies any history of heart
problems. This is an important baseline finding that helps establish that she does not
have pre-existing cardiac conditions that would complicate her current presentation .
Question 2:
What does Tina Jones report about her heartbeat?
A) Reports irregular heartbeat and palpitations
B) Reports normal heartbeat, denies palpitations and arrhythmia
C) Reports rapid heartbeat with palpitations
D) Reports skipped beats and irregular rhythm
Correct Answer: B) Reports normal heartbeat, denies palpitations and arrhythmia
Rationale: Tina Jones reports that her heartbeat is normal and denies experiencing
palpitations or arrhythmias. This is a key finding in her cardiovascular history
assessment .
,Question 3:
What does Tina Jones report about her blood pressure?
A) Denies ever having blood pressure checked
B) Reports last blood pressure check was 140 over 80 or 90, believes it is on the high
side of normal range
C) Reports normal blood pressure of 120/80
D) Reports high blood pressure diagnosed by a provider
Correct Answer: B) Reports last blood pressure check was 140 over 80 or 90,
believes it is on the high side of normal range
Rationale: Tina Jones reports her last blood pressure reading was 140/80-90 and
expresses concern that it may be on the high side of normal. This finding warrants
further assessment and monitoring .
Question 4:
When asked about a heart murmur, Tina Jones responds:
A) Reports a history of heart murmur diagnosed as a child
B) Reports a recent diagnosis of heart murmur
C) Denies heart murmur
D) Reports family history of heart murmur
Correct Answer: C) Denies heart murmur
Rationale: Tina Jones denies having a heart murmur. This is an important negative
finding in her cardiac history .
Question 5:
What does Tina Jones report about swelling?
A) Reports generalized edema in both legs
B) Denies swelling other than foot wound
C) Reports swelling in hands and feet
D) Reports abdominal swelling
Correct Answer: B) Denies swelling other than foot wound
Rationale: Tina Jones denies swelling, with the exception of the area around her foot
,wound. This helps differentiate localized swelling from systemic edema, which could
indicate cardiac issues .
Question 6:
When asked about blue skin or cyanosis, Tina Jones:
A) Reports episodes of blue fingertips
B) Reports blue lips during cold weather
C) Denies blue skin
D) Reports family history of cyanosis
Correct Answer: C) Denies blue skin
Rationale: Tina Jones denies any history of cyanosis or blue skin discoloration. This is an
expected finding indicating adequate oxygenation .
Question 7:
What cardiac tests does Tina Jones report having?
A) Reports having an echocardiogram
B) Reports having a stress test
C) Denies having a stress test, echocardiogram, or coronary artery CT scan
D) Reports having a coronary angiogram
Correct Answer: C) Denies having a stress test, echocardiogram, or coronary artery
CT scan
Rationale: Tina Jones denies having any cardiac diagnostic testing, including stress
tests, echocardiograms, or coronary artery CT scans .
Question 8:
What cardiac surgeries or procedures does Tina Jones report?
A) Reports having a heart catheterization
B) Reports having a pacemaker placed
C) Denies having heart catheterization, angioplasty/stent, or pacemaker
D) Reports having coronary bypass surgery
, Correct Answer: C) Denies having heart catheterization, angioplasty/stent, or
pacemaker
Rationale: Tina Jones denies any history of cardiac procedures including catheterization,
angioplasty, stents, or pacemaker placement .
Question 9:
When asked about chest pain, Tina Jones reports:
A) Reports frequent chest pain with exertion
B) Denies chest pain and denies angina
C) Reports chest pain relieved by rest
D) Reports crushing chest pain
Correct Answer: B) Denies chest pain and denies angina
Rationale: Tina Jones denies both chest pain and angina, which are important negative
findings in her cardiovascular assessment .
Question 10:
What does Tina Jones report about chest tightness?
A) Reports chest tightness during asthma exacerbations, denies current chest tightness
B) Reports constant chest tightness
C) Denies any chest tightness ever
D) Reports chest tightness only at night
Correct Answer: A) Reports chest tightness during asthma exacerbations, denies
current chest tightness
Rationale: Tina Jones reports that she experiences chest tightness during asthma
exacerbations but denies current chest tightness. This helps differentiate between
cardiac and respiratory causes of chest symptoms .
Question 11:
What breathing problems does Tina Jones report?
A) Reports wheezing, shortness of breath; denies waking at night unable to breathe,
