SHADOW HEALTH TINA JONES CARDIOVASCULAR
2026: COMPLETE CARDIAC ASSESSMENT, SOAP
NOTES, NCLEX PRACTICE QUESTIONS, AND CHEAT
SHEET
Questions 1–50: History Taking & Subjective Data
1. Tina Jones is a 28-year-old African American female. What is her chief
complaint related to the cardiovascular system?
A. "I have chest pain when I walk upstairs."
B. "I feel like my heart is skipping beats."
C. "I have had episodes of rapid heartbeat."
D. "My feet are swollen."
Correct Answer: C
Rationale: Tina reports episodes of rapid heartbeat (palpitations) that started
about one month ago. This is the primary cardiovascular complaint she
presents with.
2. When asked about heart problems, Tina reports:
A. A history of heart failure
B. A history of myocardial infarction
C. Denies any heart problems
D. A history of congenital heart disease
Correct Answer: C
Rationale: Tina denies any history of heart problems when asked.
,3. How does Tina describe her heartbeat?
A. Irregular and skipping
B. Normal heartbeat with normal rate
C. Slow and bounding
D. Fast with palpitations
Correct Answer: B
Rationale: Tina reports a normal heartbeat and normal heart rate. She denies
palpitations and denies arrhythmia.
4. Tina's last blood pressure check was:
A. 110/70
B. 120/80
C. 140/80 or 140/90
D. 160/100
Correct Answer: C
Rationale: Tina reports her last blood pressure check was 140 over 80 or 90.
5. Tina believes her current blood pressure is:
A. Normal
B. Low
C. On the high side of normal range
D. Dangerously high
Correct Answer: C
Rationale: Tina reports belief that her current blood pressure is on the high
side of normal range.
,6. When asked about a heart murmur, Tina:
A. Reports a history of heart murmur
B. Denies heart murmur
C. Is unsure if she has a heart murmur
D. Reports a family history of heart murmur
Correct Answer: B
Rationale: Tina denies having a heart murmur.
7. Regarding swelling, Tina reports:
A. Swelling in both feet
B. Swelling in her hands
C. Denies swelling other than foot wound
D. Swelling in her ankles
Correct Answer: C
Rationale: Tina denies swelling other than her foot wound.
8. When asked about blue skin (cyanosis), Tina:
A. Reports blue discoloration in her fingers
B. Reports blue discoloration in her toes
C. Denies blue skin
D. Reports blue skin during cold weather
Correct Answer: C
Rationale: Tina denies having blue skin.
, 9. Which cardiac test does Tina deny having?
A. Stress test
B. Echocardiogram
C. Coronary artery CT scan
D. All of the above
Correct Answer: D
Rationale: Tina denies having a stress test, an echocardiogram, and a coronary
artery CT scan.
10. Regarding cardiac surgeries, Tina denies:
A. Heart catheterization
B. Angioplasty or stent
C. Pacemaker
D. All of the above
Correct Answer: D
Rationale: Tina denies having a heart catheterization, angioplasty or stent, and
a pacemaker.
11. When asked about chest pain, Tina:
A. Reports chest pain with exertion
B. Reports chest pain at rest
C. Denies chest pain
D. Reports chest pain radiating to her arm
Correct Answer: C
Rationale: Tina denies chest pain and denies angina.
2026: COMPLETE CARDIAC ASSESSMENT, SOAP
NOTES, NCLEX PRACTICE QUESTIONS, AND CHEAT
SHEET
Questions 1–50: History Taking & Subjective Data
1. Tina Jones is a 28-year-old African American female. What is her chief
complaint related to the cardiovascular system?
A. "I have chest pain when I walk upstairs."
B. "I feel like my heart is skipping beats."
C. "I have had episodes of rapid heartbeat."
D. "My feet are swollen."
Correct Answer: C
Rationale: Tina reports episodes of rapid heartbeat (palpitations) that started
about one month ago. This is the primary cardiovascular complaint she
presents with.
2. When asked about heart problems, Tina reports:
A. A history of heart failure
B. A history of myocardial infarction
C. Denies any heart problems
D. A history of congenital heart disease
Correct Answer: C
Rationale: Tina denies any history of heart problems when asked.
,3. How does Tina describe her heartbeat?
A. Irregular and skipping
B. Normal heartbeat with normal rate
C. Slow and bounding
D. Fast with palpitations
Correct Answer: B
Rationale: Tina reports a normal heartbeat and normal heart rate. She denies
palpitations and denies arrhythmia.
4. Tina's last blood pressure check was:
A. 110/70
B. 120/80
C. 140/80 or 140/90
D. 160/100
Correct Answer: C
Rationale: Tina reports her last blood pressure check was 140 over 80 or 90.
5. Tina believes her current blood pressure is:
A. Normal
B. Low
C. On the high side of normal range
D. Dangerously high
Correct Answer: C
Rationale: Tina reports belief that her current blood pressure is on the high
side of normal range.
,6. When asked about a heart murmur, Tina:
A. Reports a history of heart murmur
B. Denies heart murmur
C. Is unsure if she has a heart murmur
D. Reports a family history of heart murmur
Correct Answer: B
Rationale: Tina denies having a heart murmur.
7. Regarding swelling, Tina reports:
A. Swelling in both feet
B. Swelling in her hands
C. Denies swelling other than foot wound
D. Swelling in her ankles
Correct Answer: C
Rationale: Tina denies swelling other than her foot wound.
8. When asked about blue skin (cyanosis), Tina:
A. Reports blue discoloration in her fingers
B. Reports blue discoloration in her toes
C. Denies blue skin
D. Reports blue skin during cold weather
Correct Answer: C
Rationale: Tina denies having blue skin.
, 9. Which cardiac test does Tina deny having?
A. Stress test
B. Echocardiogram
C. Coronary artery CT scan
D. All of the above
Correct Answer: D
Rationale: Tina denies having a stress test, an echocardiogram, and a coronary
artery CT scan.
10. Regarding cardiac surgeries, Tina denies:
A. Heart catheterization
B. Angioplasty or stent
C. Pacemaker
D. All of the above
Correct Answer: D
Rationale: Tina denies having a heart catheterization, angioplasty or stent, and
a pacemaker.
11. When asked about chest pain, Tina:
A. Reports chest pain with exertion
B. Reports chest pain at rest
C. Denies chest pain
D. Reports chest pain radiating to her arm
Correct Answer: C
Rationale: Tina denies chest pain and denies angina.
