NSG 223 JUNETTA COOPER VSIM
COMPLETE BUNDLE | DOCUMENTATION
ASSIGNMENT, CLINICAL JUDGMENT
WORKSHEET & SBAR DEBRIEFING |
2026/2027 – HERZING UNIVERSITY
[QUESTION 1-200] AND ANSWERS
UPDATED 2026/2027 | 100% VERIFIED
| DETAILED RATIONALES – PASS
GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
I can create this as an original practice question bank, but I can’t truthfully label it
as “100% verified,” an actual exam, or guarantee a passing grade. I’ll instead base the
questions on publicly available information about the Junetta Cooper vSim/NSG 223
case and relevant nursing principles. Herzing describes NSG 223 as Medical-Surgical
Nursing II, emphasizing complex health alterations, clinical judgment, collaboration,
communication, professionalism, and patient advocacy. (herzing.edu)
INTRODUCTION
The Junetta Cooper vSim case is a clinical simulation used in Herzing University's
NSG 223 Medical-Surgical Nursing II coursework. Publicly available course
materials identify Cooper as an older adult patient with coronary artery disease and
angina, with the simulation emphasizing assessment, recognition of worsening chest
discomfort, medication management, clinical judgment, documentation, and
communication through SBAR. (Studocu)
This practice bank is designed for nursing students preparing to demonstrate higher-
level clinical reasoning rather than simple recall. Questions focus on recognizing
important cues, analyzing cardiovascular findings, prioritizing hypotheses, generating
appropriate nursing interventions, taking action, evaluating outcomes, documenting
care, medication safety, patient education, and constructing effective SBAR
communication. The NSG 223 course specifically develops students' ability to care
for patients with complex medical and surgical problems while applying
pathophysiology and psychosocial knowledge. (herzing.edu)
1
,Use these questions to strengthen your ability to identify the most clinically
significant finding, determine the safest nursing action, distinguish expected from
concerning findings, and communicate changes effectively.
CORE DOMAINS TESTED
1.
Cardiovascular Assessment — Assessment of chest pain, vital signs, ECG
findings, oxygenation, circulation, and symptoms associated with coronary
artery disease.
2.
3.
Angina and Coronary Artery Disease — Recognition and management of
myocardial ischemia, including assessment of recurrent or changing chest
discomfort.
4.
5.
Clinical Judgment — Recognizing cues, analyzing cues, prioritizing
hypotheses, generating solutions, taking action, and evaluating outcomes.
6.
7.
Medication Safety — Nursing considerations associated with antianginal
therapy, including sublingual nitroglycerin and analgesic therapy.
8.
9.
Patient Assessment and Reassessment — Establishing baseline findings and
determining whether interventions have produced the intended response.
10.
11.
Documentation — Accurate, objective, timely documentation of assessments,
interventions, patient responses, and changes in condition.
12.
13.
2
, SBAR Communication — Communicating the situation, relevant background,
clinical assessment, and appropriate recommendation to another healthcare
professional.
14.
15.
Cardiac Catheterization Preparation — Patient education, assessment,
safety considerations, and preparation for diagnostic evaluation of coronary
artery disease.
16.
17.
Prioritization and Patient Safety — Determining which findings require
immediate attention and which interventions should occur first.
18.
19.
Patient Education and Advocacy — Explaining treatments, recognizing
warning signs, supporting informed decisions, and communicating patient
needs to the healthcare team.
20.
Publicly available NSG 223 materials specifically identify Junetta Cooper among the
course's virtual clinical experiences and describe associated pre-simulation/post-
simulation clinical judgment activities and feedback-log work. (Nursing Hero)
QUESTIONS 1-100
Q1: A 75-year-old patient with a history of hypertension, hyperlipidemia, and
coronary artery disease is being cared for during a simulated clinical encounter. The
patient reports new chest tightness while resting. Which assessment finding should the
nurse prioritize?
A) Temperature of 98.6°F (37°C)
B) Character, location, severity, and onset of the chest discomfort
C) Patient's preferred sleeping position
D) Patient's most recent bowel movement
Rationale: B is correct because new chest discomfort in a patient with known
coronary artery disease requires immediate characterization to determine whether
myocardial ischemia may be occurring. The nurse should establish onset, location,
quality, severity, duration, radiation, precipitating factors, and associated symptoms.
A is incorrect because the normal temperature is not the priority finding in this
situation. C is incorrect because sleeping position does not immediately address the
3
COMPLETE BUNDLE | DOCUMENTATION
ASSIGNMENT, CLINICAL JUDGMENT
WORKSHEET & SBAR DEBRIEFING |
2026/2027 – HERZING UNIVERSITY
[QUESTION 1-200] AND ANSWERS
UPDATED 2026/2027 | 100% VERIFIED
| DETAILED RATIONALES – PASS
GUARANTEED A+ GRADED | INSTANT
DOWNLOAD
I can create this as an original practice question bank, but I can’t truthfully label it
as “100% verified,” an actual exam, or guarantee a passing grade. I’ll instead base the
questions on publicly available information about the Junetta Cooper vSim/NSG 223
case and relevant nursing principles. Herzing describes NSG 223 as Medical-Surgical
Nursing II, emphasizing complex health alterations, clinical judgment, collaboration,
communication, professionalism, and patient advocacy. (herzing.edu)
INTRODUCTION
The Junetta Cooper vSim case is a clinical simulation used in Herzing University's
NSG 223 Medical-Surgical Nursing II coursework. Publicly available course
materials identify Cooper as an older adult patient with coronary artery disease and
angina, with the simulation emphasizing assessment, recognition of worsening chest
discomfort, medication management, clinical judgment, documentation, and
communication through SBAR. (Studocu)
This practice bank is designed for nursing students preparing to demonstrate higher-
level clinical reasoning rather than simple recall. Questions focus on recognizing
important cues, analyzing cardiovascular findings, prioritizing hypotheses, generating
appropriate nursing interventions, taking action, evaluating outcomes, documenting
care, medication safety, patient education, and constructing effective SBAR
communication. The NSG 223 course specifically develops students' ability to care
for patients with complex medical and surgical problems while applying
pathophysiology and psychosocial knowledge. (herzing.edu)
1
,Use these questions to strengthen your ability to identify the most clinically
significant finding, determine the safest nursing action, distinguish expected from
concerning findings, and communicate changes effectively.
CORE DOMAINS TESTED
1.
Cardiovascular Assessment — Assessment of chest pain, vital signs, ECG
findings, oxygenation, circulation, and symptoms associated with coronary
artery disease.
2.
3.
Angina and Coronary Artery Disease — Recognition and management of
myocardial ischemia, including assessment of recurrent or changing chest
discomfort.
4.
5.
Clinical Judgment — Recognizing cues, analyzing cues, prioritizing
hypotheses, generating solutions, taking action, and evaluating outcomes.
6.
7.
Medication Safety — Nursing considerations associated with antianginal
therapy, including sublingual nitroglycerin and analgesic therapy.
8.
9.
Patient Assessment and Reassessment — Establishing baseline findings and
determining whether interventions have produced the intended response.
10.
11.
Documentation — Accurate, objective, timely documentation of assessments,
interventions, patient responses, and changes in condition.
12.
13.
2
, SBAR Communication — Communicating the situation, relevant background,
clinical assessment, and appropriate recommendation to another healthcare
professional.
14.
15.
Cardiac Catheterization Preparation — Patient education, assessment,
safety considerations, and preparation for diagnostic evaluation of coronary
artery disease.
16.
17.
Prioritization and Patient Safety — Determining which findings require
immediate attention and which interventions should occur first.
18.
19.
Patient Education and Advocacy — Explaining treatments, recognizing
warning signs, supporting informed decisions, and communicating patient
needs to the healthcare team.
20.
Publicly available NSG 223 materials specifically identify Junetta Cooper among the
course's virtual clinical experiences and describe associated pre-simulation/post-
simulation clinical judgment activities and feedback-log work. (Nursing Hero)
QUESTIONS 1-100
Q1: A 75-year-old patient with a history of hypertension, hyperlipidemia, and
coronary artery disease is being cared for during a simulated clinical encounter. The
patient reports new chest tightness while resting. Which assessment finding should the
nurse prioritize?
A) Temperature of 98.6°F (37°C)
B) Character, location, severity, and onset of the chest discomfort
C) Patient's preferred sleeping position
D) Patient's most recent bowel movement
Rationale: B is correct because new chest discomfort in a patient with known
coronary artery disease requires immediate characterization to determine whether
myocardial ischemia may be occurring. The nurse should establish onset, location,
quality, severity, duration, radiation, precipitating factors, and associated symptoms.
A is incorrect because the normal temperature is not the priority finding in this
situation. C is incorrect because sleeping position does not immediately address the
3
