1
BSN 425 Pain (Edward Carter) Shadow Health Scenario Assessment — 100 Questions with
Answers
Section 1: Subjective Data Collection & Interview (Questions 1–20)
1. What is the most appropriate initial question to ask Edward Carter when beginning the
patient interview?
A) "Do you have any allergies?"
B) "What brought you to the hospital today?"
C) "Can you rate your pain on a scale of 0 to 10?"
D) "Have you fallen recently?"
Answer: B
Open-ended questions such as "What brought you here today?" establish the chief
complaint and allow the patient to describe their primary concern without bias or leading.
2. Edward reports that his current pain is a 1 on a 0–10 scale. What does this indicate?
A) Severe pain requiring immediate intervention
B) Mild pain that is well-controlled
C) No pain at all
D) Pain that is worsening rapidly
Answer: B
A score of 1 indicates very mild pain. Combined with his report that morphine has been
effective, this suggests the pain is currently well-controlled.
3. Edward states his pain before medication was a 9. Which action should the nurse take
FIRST?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
C) Ask about the quality and location of the pain
D) Notify the provider of severe pain
Answer: C
Before intervening, the nurse must complete a comprehensive pain assessment including
quality, location, aggravating/relieving factors, and duration.
4. Which of the following statements by Edward indicates he understands his
osteoarthritis management?
A) "I only take my naproxen when the pain is unbearable."
B) "I use moist heat and range of motion exercises for my joints."
C) "I avoid all physical activity to prevent pain."
D) "I stopped taking my blood pressure medication because it wasn't helping my joints."
, 2
Answer: B
Moist heat and range of motion exercises are appropriate non-pharmacological
interventions for osteoarthritis.
5. What is the top priority concept identified for Mr. Carter's care?
A) Infection control
B) Pain management
C) Fall prevention
D) Fluid balance
Answer: B
Assessment findings show Mr. Carter has had pain for the past month with a current pain
level of 9/10 before medication administration.
6. Which assessment finding indicates Mr. Carter's pain is impacting his functional
mobility? (Select all that apply)
A) Recent decline in ability to exercise
B) Recent decline in ability to ambulate
C) Dizziness
D) History of a recent fall
Answer: A, B, D
Mr. Carter reports a recent inability to walk and exercise, and a history of a recent fall.
7. How does Mr. Carter's osteoarthritis contribute to his pain? (Select all that apply)
A) It causes limited range of motion in his joints
B) It causes deep, aching, and grating sensations in his joints
C) It causes sharp, shooting pain
D) It causes burning sensations
Answer: A, B
Mr. Carter reports occasional deep, aching, and grating sensations in his joints which is
contributing to his pain.
8. What additional data is needed to better understand Mr. Carter's pain management?
A) Whether he uses ice and heat compresses and ROM exercises
B) Whether he uses any nonpharmacological pain management
C) Information about his Naproxen use and risk for GI bleeds
D) All of the above
Answer: D
Additional data needed includes nonpharmacological pain management and Naproxen use
which meets Beer's criteria and can pose a risk for GI bleeds.
9. Edward describes his pain as "aching" and "deep" and denies shooting or burning pain.
This quality is most consistent with:
, 3
A) Neuropathic pain
B) Somatic pain
C) Visceral pain
D) Referred pain
Answer: B
Somatic pain (from bones, joints, muscles) is often described as aching, throbbing, or deep.
10. When asked about his fall, Edward reports falling while getting out of bed and hitting
his back on the bed frame. This suggests the fall was likely due to:
A) Orthostatic hypotension
B) Cardiac arrhythmia
C) Mechanical/functional issues related to osteoarthritis
D) Medication adverse effect
Answer: C
Since he denies dizziness, syncope, or vertigo, the fall is most likely related to his underlying
osteoarthritis and difficulty with mobility/transfers.
11. Edward reports taking apixaban (Eliquis) 2.5 mg once daily for atrial fibrillation.
Apixaban is classified as:
A) Antiplatelet agent
B) Direct thrombin inhibitor
C) Factor Xa inhibitor (DOAC)
D) Vitamin K antagonist
Answer: C
Apixaban is a direct oral anticoagulant (DOAC) that inhibits Factor Xa.
12. Which of the following is the most serious potential adverse effect of apixaban that the
nurse should monitor for?
A) Constipation
B) Headache
C) Bleeding
D) Dry mouth
Answer: C
The most serious adverse effect of anticoagulants is bleeding.
13. Edward reports taking naproxen 220 mg twice daily for osteoarthritis. Naproxen is
classified as:
A) COX-2 selective inhibitor
B) Non-selective NSAID
C) Opioid analgesic
D) Corticosteroid
BSN 425 Pain (Edward Carter) Shadow Health Scenario Assessment — 100 Questions with
Answers
Section 1: Subjective Data Collection & Interview (Questions 1–20)
1. What is the most appropriate initial question to ask Edward Carter when beginning the
patient interview?
A) "Do you have any allergies?"
B) "What brought you to the hospital today?"
C) "Can you rate your pain on a scale of 0 to 10?"
D) "Have you fallen recently?"
Answer: B
Open-ended questions such as "What brought you here today?" establish the chief
complaint and allow the patient to describe their primary concern without bias or leading.
2. Edward reports that his current pain is a 1 on a 0–10 scale. What does this indicate?
A) Severe pain requiring immediate intervention
B) Mild pain that is well-controlled
C) No pain at all
D) Pain that is worsening rapidly
Answer: B
A score of 1 indicates very mild pain. Combined with his report that morphine has been
effective, this suggests the pain is currently well-controlled.
3. Edward states his pain before medication was a 9. Which action should the nurse take
FIRST?
A) Administer another dose of morphine immediately
B) Document the pain level and continue monitoring
C) Ask about the quality and location of the pain
D) Notify the provider of severe pain
Answer: C
Before intervening, the nurse must complete a comprehensive pain assessment including
quality, location, aggravating/relieving factors, and duration.
4. Which of the following statements by Edward indicates he understands his
osteoarthritis management?
A) "I only take my naproxen when the pain is unbearable."
B) "I use moist heat and range of motion exercises for my joints."
C) "I avoid all physical activity to prevent pain."
D) "I stopped taking my blood pressure medication because it wasn't helping my joints."
, 2
Answer: B
Moist heat and range of motion exercises are appropriate non-pharmacological
interventions for osteoarthritis.
5. What is the top priority concept identified for Mr. Carter's care?
A) Infection control
B) Pain management
C) Fall prevention
D) Fluid balance
Answer: B
Assessment findings show Mr. Carter has had pain for the past month with a current pain
level of 9/10 before medication administration.
6. Which assessment finding indicates Mr. Carter's pain is impacting his functional
mobility? (Select all that apply)
A) Recent decline in ability to exercise
B) Recent decline in ability to ambulate
C) Dizziness
D) History of a recent fall
Answer: A, B, D
Mr. Carter reports a recent inability to walk and exercise, and a history of a recent fall.
7. How does Mr. Carter's osteoarthritis contribute to his pain? (Select all that apply)
A) It causes limited range of motion in his joints
B) It causes deep, aching, and grating sensations in his joints
C) It causes sharp, shooting pain
D) It causes burning sensations
Answer: A, B
Mr. Carter reports occasional deep, aching, and grating sensations in his joints which is
contributing to his pain.
8. What additional data is needed to better understand Mr. Carter's pain management?
A) Whether he uses ice and heat compresses and ROM exercises
B) Whether he uses any nonpharmacological pain management
C) Information about his Naproxen use and risk for GI bleeds
D) All of the above
Answer: D
Additional data needed includes nonpharmacological pain management and Naproxen use
which meets Beer's criteria and can pose a risk for GI bleeds.
9. Edward describes his pain as "aching" and "deep" and denies shooting or burning pain.
This quality is most consistent with:
, 3
A) Neuropathic pain
B) Somatic pain
C) Visceral pain
D) Referred pain
Answer: B
Somatic pain (from bones, joints, muscles) is often described as aching, throbbing, or deep.
10. When asked about his fall, Edward reports falling while getting out of bed and hitting
his back on the bed frame. This suggests the fall was likely due to:
A) Orthostatic hypotension
B) Cardiac arrhythmia
C) Mechanical/functional issues related to osteoarthritis
D) Medication adverse effect
Answer: C
Since he denies dizziness, syncope, or vertigo, the fall is most likely related to his underlying
osteoarthritis and difficulty with mobility/transfers.
11. Edward reports taking apixaban (Eliquis) 2.5 mg once daily for atrial fibrillation.
Apixaban is classified as:
A) Antiplatelet agent
B) Direct thrombin inhibitor
C) Factor Xa inhibitor (DOAC)
D) Vitamin K antagonist
Answer: C
Apixaban is a direct oral anticoagulant (DOAC) that inhibits Factor Xa.
12. Which of the following is the most serious potential adverse effect of apixaban that the
nurse should monitor for?
A) Constipation
B) Headache
C) Bleeding
D) Dry mouth
Answer: C
The most serious adverse effect of anticoagulants is bleeding.
13. Edward reports taking naproxen 220 mg twice daily for osteoarthritis. Naproxen is
classified as:
A) COX-2 selective inhibitor
B) Non-selective NSAID
C) Opioid analgesic
D) Corticosteroid
