Turned In Complete Solutions | Latest 2026 Edition |
Nightingale College
SECTION I: PRE-OPERATIVE ASSESSMENT & PATIENT
BACKGROUND (Questions 1–30)
1. What is Sonia Best's marital status according to the simulation?
A. Married
B. Single
C. Divorced
D. Widowed
C. Divorced.
Sonia Best is divorced according to the simulation scenario documentation.
2. What is the primary reason for Sonia Best's hospital admission according to the
simulation scenario?
A. Chest pain and shortness of breath
B. A non-healing diabetic foot ulcer
,C. A fractured left femur
D. Complications from a previous surgery
B. A non-healing diabetic foot ulcer.
Sonia Best is admitted for a non-healing diabetic foot ulcer and is scheduled for a left
below-the-knee amputation. This establishes the clinical context for the perioperative
hourly rounds. Understanding the patient's primary surgical indication is essential for
planning postoperative monitoring and anticipating complications.
3. What is Sonia Best's age according to the simulation scenario?
A. 45 years old
B. 56 years old
C. 62 years old
D. 70 years old
B. 56 years old.
Sonia Best is a 56-year-old Bajan American cisgender woman who has undergone a
below-the-knee amputation due to a non-healing diabetic foot ulcer.
4. What is Sonia Best's gender?
A. Male
B. Female
C. Non-binary
D. Not specified
,B. Female.
Sonia Best is identified as a 56-year-old female patient in the Shadow Health simulation.
5. Sonia Best is scheduled for which type of amputation?
A. Right above-the-knee amputation
B. Left below-the-knee amputation
C. Right below-the-knee amputation
D. Left above-the-knee amputation
B. Left below-the-knee amputation.
Sonia is scheduled for a left below-the-knee amputation due to a non-healing diabetic
foot ulcer.
6. What is the underlying medical condition that led to Sonia Best's need for
amputation?
A. Peripheral artery disease
B. Diabetes mellitus with a non-healing foot ulcer
C. Osteomyelitis
D. Traumatic injury
B. Diabetes mellitus with a non-healing foot ulcer.
Sonia Best has a non-healing diabetic foot ulcer, which is the primary indication for her
below-the-knee amputation. She takes insulin glargine and aspart, as well as
dapagliflozin, for her diabetes management.
, 7. During the initial assessment, what is Sonia Best's reported pain level?
A. 0/10
B. 3/10 in left leg
C. 7/10 in left leg
D. 10/10
B. 3/10 in left leg.
Patient describes 3/10 pain in left leg during initial assessment. Later in the simulation,
she expresses significant pain rated 7/10.
8. Which medications is Sonia Best taking for her diabetes management?
A. Metformin and glipizide
B. Insulin glargine, insulin aspart, and dapagliflozin
C. Januvia and Jardiance
D. Lantus and Humalog only
B. Insulin glargine, insulin aspart, and dapagliflozin.
Sonia takes insulin glargine and aspart, as well as dapagliflozin, for her diabetes
management.