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NUR 6111 – SHADOW HEALTH TELEHEALTH
CARDIOVASCULAR EXAM – LIAM FITZGERALD 2026
COMPLETE (100) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
HEALTH
Prepare with confidence using the NUR 6111 Shadow Health Telehealth
Cardiovascular Exam – Liam Fitzgerald, designed to assess advanced
cardiovascular assessment skills in a virtual telehealth setting. It focuses on
patient history taking, heart and vascular assessment techniques,
interpretation of symptoms, and clinical decision-making. The simulation
strengthens diagnostic reasoning and telehealth communication skills in
cardiovascular care. Suitable for graduate nursing students completing
Shadow Health assignments and advanced health assessment coursework.
MULTIPLE CHOICE.
Subsection 1: Health History & Chief Complaint (Questions 1–15)
1. Liam Fitzgerald is a 61-year-old male presenting for a telehealth
cardiovascular visit. He reports intermittent substernal chest
pressure with exertion over the past 2 months. What is the most
appropriate initial question to assess his chief complaint?
A. "Do you have a history of heart attacks?"
B. "Tell me more about the chest pressure – what brings it on and what
makes it go away?"
C. "Are you anxious?"
D. "Do you need to go to the emergency room right now?"
Answer: B. "Tell me more about the chest pressure – what brings it
on and what makes it go away?"
Explanation: Open-ended questioning allows the patient to describe
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the characteristics of chest pain (provoking/palliating factors). This
aligns with the OLDCARTS mnemonic.
2. Liam describes his chest pressure as "a heavy feeling" in the
center of his chest that occurs when he walks up a hill or climbs
stairs. The pain subsides after 5 minutes of rest. This pattern is
most consistent with:
A. Stable angina (exertional, relieved by rest)
B. Unstable angina
C. Pericarditis
D. Gastroesophageal reflux disease (GERD)
Answer: A. Stable angina (exertional, relieved by rest)
Explanation: Stable angina is provoked by physical exertion or
emotional stress and relieved by rest or nitroglycerin. It suggests
underlying coronary artery disease (CAD).
3. Liam reports that his chest discomfort does NOT radiate to his
arms, jaw, or back. He denies nausea, diaphoresis, or shortness of
breath with these episodes. Which of the following statements is
true regarding atypical presentation of myocardial ischemia?
A. Women, diabetics, and older adults may present with atypical
symptoms without classic chest pain
B. Atypical presentation rules out cardiac disease
C. Only men have typical angina
D. Liam is too young for CAD
Answer: A. Women, diabetics, and older adults may present with
atypical symptoms without classic chest pain
Explanation: Atypical angina (lack of classic features) is common in
certain populations, but typical exertional pain with rest relief is still
highly suggestive of CAD.
4. Liam's past medical history includes hypertension,
hyperlipidemia, and type 2 diabetes. Which of these is the
strongest risk factor for coronary artery disease?
A. Hypertension
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B. Hyperlipidemia
C. Type 2 diabetes (diabetes increases CAD risk equivalent to having a
prior myocardial infarction in some guidelines)
D. Age
Answer: C. Type 2 diabetes (diabetes increases CAD risk equivalent
to having a prior myocardial infarction in some guidelines)
Explanation: Diabetes mellitus is a major CAD risk equivalent.
Patients with diabetes are at high risk for silent ischemia and poor
outcomes.
5. Liam takes metformin for diabetes, lisinopril for hypertension,
and atorvastatin for hyperlipidemia. He asks why he is on a statin if
his cholesterol is "not that high." The nurse explains that
atorvastatin in diabetes is used for:
A. Lowering triglycerides only
B. Primary prevention of cardiovascular events (reduces LDL, stabilizes
plaque, anti-inflammatory effects)
C. Weight loss
D. Blood pressure control
Answer: B. Primary prevention of cardiovascular events (reduces
LDL, stabilizes plaque, anti-inflammatory effects)
Explanation: Statins are indicated for cardiovascular risk reduction in
diabetic patients regardless of baseline LDL level (moderate- to high-
intensity statin).
6. Liam reports that he has been feeling well otherwise, but he
occasionally experiences "fluttering" in his chest, especially after
drinking coffee. He denies syncope or lightheadedness. The most
appropriate initial question is:
A. "Do you have a pacemaker?"
B. "Describe the fluttering – does it start and stop suddenly, or is it
constant?" (assess for palpitation quality)
C. "Do you want a prescription for an antiarrhythmic?"
D. "Are you making it up?"
Answer: B. "Describe the fluttering – does it start and stop
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suddenly, or is it constant?" (assess for palpitation quality)
Explanation: Palpitations may suggest atrial fibrillation, premature
ventricular contractions (PVCs), or supraventricular tachycardia (SVT).
Sudden onset/offset suggests SVT.
7. Liam has a 40-pack-year smoking history but quit 5 years ago.
He asks if he is still at risk for heart disease. The nurse responds:
A. "Once you quit, your risk becomes the same as a nonsmoker after 10–
15 years, but it never returns to baseline completely."
B. "There is no benefit to quitting."
C. "You are still at the same risk as when you smoked."
D. "Only current smokers have risk."
Answer: A. "Once you quit, your risk becomes the same as a
nonsmoker after 10–15 years, but it never returns to baseline
completely."
Explanation: Smoking cessation significantly reduces cardiovascular
risk over time. Risk drops by 50% within 1 year and continues to
decline.
8. Liam's blood pressure readings at home range from 130–
140/80–90 mmHg on lisinopril 20 mg daily. His goal BP according
to ACC/AHA guidelines (with diabetes) is:
A. <150/90 mmHg
B. <130/80 mmHg
C. <140/90 mmHg
D. <100/60 mmHg
Answer: B. <130/80 mmHg
Explanation: The ACC/AHA recommends BP <130/80 mmHg for
patients with diabetes or chronic kidney disease to reduce
cardiovascular events.
9. Liam reports that he has been less active because of fear that
chest pain will occur. He used to walk 30 minutes daily. This
behavior is called:
A. Illness behavior
NUR 6111 – SHADOW HEALTH TELEHEALTH
CARDIOVASCULAR EXAM – LIAM FITZGERALD 2026
COMPLETE (100) CURRENT TESTING QUESTIONS
AND CORRECT ANSWERS WITH DETAILED
EXPLANATIONS|GUARANTEED PASS.
HEALTH
Prepare with confidence using the NUR 6111 Shadow Health Telehealth
Cardiovascular Exam – Liam Fitzgerald, designed to assess advanced
cardiovascular assessment skills in a virtual telehealth setting. It focuses on
patient history taking, heart and vascular assessment techniques,
interpretation of symptoms, and clinical decision-making. The simulation
strengthens diagnostic reasoning and telehealth communication skills in
cardiovascular care. Suitable for graduate nursing students completing
Shadow Health assignments and advanced health assessment coursework.
MULTIPLE CHOICE.
Subsection 1: Health History & Chief Complaint (Questions 1–15)
1. Liam Fitzgerald is a 61-year-old male presenting for a telehealth
cardiovascular visit. He reports intermittent substernal chest
pressure with exertion over the past 2 months. What is the most
appropriate initial question to assess his chief complaint?
A. "Do you have a history of heart attacks?"
B. "Tell me more about the chest pressure – what brings it on and what
makes it go away?"
C. "Are you anxious?"
D. "Do you need to go to the emergency room right now?"
Answer: B. "Tell me more about the chest pressure – what brings it
on and what makes it go away?"
Explanation: Open-ended questioning allows the patient to describe
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the characteristics of chest pain (provoking/palliating factors). This
aligns with the OLDCARTS mnemonic.
2. Liam describes his chest pressure as "a heavy feeling" in the
center of his chest that occurs when he walks up a hill or climbs
stairs. The pain subsides after 5 minutes of rest. This pattern is
most consistent with:
A. Stable angina (exertional, relieved by rest)
B. Unstable angina
C. Pericarditis
D. Gastroesophageal reflux disease (GERD)
Answer: A. Stable angina (exertional, relieved by rest)
Explanation: Stable angina is provoked by physical exertion or
emotional stress and relieved by rest or nitroglycerin. It suggests
underlying coronary artery disease (CAD).
3. Liam reports that his chest discomfort does NOT radiate to his
arms, jaw, or back. He denies nausea, diaphoresis, or shortness of
breath with these episodes. Which of the following statements is
true regarding atypical presentation of myocardial ischemia?
A. Women, diabetics, and older adults may present with atypical
symptoms without classic chest pain
B. Atypical presentation rules out cardiac disease
C. Only men have typical angina
D. Liam is too young for CAD
Answer: A. Women, diabetics, and older adults may present with
atypical symptoms without classic chest pain
Explanation: Atypical angina (lack of classic features) is common in
certain populations, but typical exertional pain with rest relief is still
highly suggestive of CAD.
4. Liam's past medical history includes hypertension,
hyperlipidemia, and type 2 diabetes. Which of these is the
strongest risk factor for coronary artery disease?
A. Hypertension
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B. Hyperlipidemia
C. Type 2 diabetes (diabetes increases CAD risk equivalent to having a
prior myocardial infarction in some guidelines)
D. Age
Answer: C. Type 2 diabetes (diabetes increases CAD risk equivalent
to having a prior myocardial infarction in some guidelines)
Explanation: Diabetes mellitus is a major CAD risk equivalent.
Patients with diabetes are at high risk for silent ischemia and poor
outcomes.
5. Liam takes metformin for diabetes, lisinopril for hypertension,
and atorvastatin for hyperlipidemia. He asks why he is on a statin if
his cholesterol is "not that high." The nurse explains that
atorvastatin in diabetes is used for:
A. Lowering triglycerides only
B. Primary prevention of cardiovascular events (reduces LDL, stabilizes
plaque, anti-inflammatory effects)
C. Weight loss
D. Blood pressure control
Answer: B. Primary prevention of cardiovascular events (reduces
LDL, stabilizes plaque, anti-inflammatory effects)
Explanation: Statins are indicated for cardiovascular risk reduction in
diabetic patients regardless of baseline LDL level (moderate- to high-
intensity statin).
6. Liam reports that he has been feeling well otherwise, but he
occasionally experiences "fluttering" in his chest, especially after
drinking coffee. He denies syncope or lightheadedness. The most
appropriate initial question is:
A. "Do you have a pacemaker?"
B. "Describe the fluttering – does it start and stop suddenly, or is it
constant?" (assess for palpitation quality)
C. "Do you want a prescription for an antiarrhythmic?"
D. "Are you making it up?"
Answer: B. "Describe the fluttering – does it start and stop
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suddenly, or is it constant?" (assess for palpitation quality)
Explanation: Palpitations may suggest atrial fibrillation, premature
ventricular contractions (PVCs), or supraventricular tachycardia (SVT).
Sudden onset/offset suggests SVT.
7. Liam has a 40-pack-year smoking history but quit 5 years ago.
He asks if he is still at risk for heart disease. The nurse responds:
A. "Once you quit, your risk becomes the same as a nonsmoker after 10–
15 years, but it never returns to baseline completely."
B. "There is no benefit to quitting."
C. "You are still at the same risk as when you smoked."
D. "Only current smokers have risk."
Answer: A. "Once you quit, your risk becomes the same as a
nonsmoker after 10–15 years, but it never returns to baseline
completely."
Explanation: Smoking cessation significantly reduces cardiovascular
risk over time. Risk drops by 50% within 1 year and continues to
decline.
8. Liam's blood pressure readings at home range from 130–
140/80–90 mmHg on lisinopril 20 mg daily. His goal BP according
to ACC/AHA guidelines (with diabetes) is:
A. <150/90 mmHg
B. <130/80 mmHg
C. <140/90 mmHg
D. <100/60 mmHg
Answer: B. <130/80 mmHg
Explanation: The ACC/AHA recommends BP <130/80 mmHg for
patients with diabetes or chronic kidney disease to reduce
cardiovascular events.
9. Liam reports that he has been less active because of fear that
chest pain will occur. He used to walk 30 minutes daily. This
behavior is called:
A. Illness behavior
