SHADOW HEALTH - TINA JONES,
HEALTH HISTORY EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Medications - ANS Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than
38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - ANS
Student: Hello! - ANS Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this
assignment and your objectives, just as a preceptor would in real life. Pay close attention to this
information as it will help guide your exam. At the end of this prebrief, you will answer a short
question about the upcoming assignment. During the simulation, you may return to these
instructions at any time by scrolling to the top of your transcript.
Student: What is the situation? - ANS Diana Shadow: Your patient is Tina Jones:, a 28-year-old
African American woman who has just been admitted to Shadow General Hospital for a painful
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,foot wound. Your role in this simulation is that of a healthcare provider who will take Ms. Jones'
health history, a key component of her admission process.
Student: What are my objectives in this assessment? - ANS Diana Shadow: A health history
requires you to ask questions related to Ms. Jones' past and present health, from her current
foot wound to her pre-existing conditions. You will also want to review Ms. Jones' systems,
psychosocial history, and family medical history. These assessments together will give you a
comprehensive picture of Ms. Jones' overall health. If you discover any disease states, ask about
symptoms and the patient's experiences of them. Your questioning should cover a broad array
of the symptoms' characteristics. Throughout the conversation, you should educate and
empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-
being. Regardless of whether you have assessed Ms. Jones previously, ask all questions that are
necessary for obtaining a complete health history. While you should communicate with patients
using accessible, everyday language, it is standard practice to use professional medical
terminology everywhere else, such as in documenting physical findings and nursing notes. You
may complete the exam activities in any order and move between them as needed. After
obtaining Ms. Jones' health history, you will complete an information processing activity. You
will identify and prioritize diagnoses, then create a plan to address the identified diagnoses.
Student: What else will this exam involve? - ANS Diana Shadow: You will complete nursing
tasks to protect the patients safety, privacy, and health. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary information
for healthcare professionals who will continue patient care. Besides Subjective Data Collection,
and Education and Empathy, there are activities within the simulation that provide valuable
practice for their real-world counterparts, but they are not automatically graded by the
simulation.
Student: How will I be evaluated? - ANS Diana Shadow: In this assignment, you will be
evaluated on your Subjective Data Collection, as well as your Education and Empathy. Your
success in Education and Empathy is based on whether you promptly respond after identifying a
moment worthy of therapeutic communication. The evaluation of your interview is dependent
on how you word your questions therapeutically and precisely and explore all relevant topics
with comprehensive breadth and depth. You will also be evaluated on your ability to collect data
and form nursing diagnoses in the information processing activity. This assignment takes on
average between 90 and 110 minutes. This exam may take longer than in real life, because in
this safe simulation, students of all experience levels can take time to hone and review their
skills. You can pause and resume the assignment at any time; your work is always saved
automatically.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Student: How does this assignment prepare me for the real world? - ANS Diana Shadow: In
this assessment, you will become familiarized with the structure and content of a health history
exam so that with real-life patients, you can: º ask effective and comprehensive questions º
obtain a thorough health history º evaluate the patient's risk of disease, infection, injury, and
complications º educate and empathize º reflect on your experience and identify areas to
improve º identify and prioritize nursing diagnoses º and develop a plan to address nursing
diagnoses.
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming
exam: Why is it important to obtain a patient's complete health history? - ANS Student:
Getting a complete health history enables the nurse to make informed judgments about the
client including formulating nursing diagnoses requiring nursing care, identifying collaborative
problems requiring interdisciplinary care, medical issues requiring immediate referral, and the
need for client teaching.
Diana Shadow: Time to begin. - ANS
Patient Exam - Vital Signs: - ANS Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood
glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory
rate: 18, O2 sat: 98%
Patient Exam - Interview: - ANS
Student: Hello, my name is Rachel and I am your nurse today. - ANS Tina Jones: Hey.
Student: Can you confirm your name? - ANS Tina Jones: Tina Jones:.
Student: What brings you in today? - ANS Tina Jones: I got this scrape on my foot a while ago,
and it got really infected. It's killing me.
Student: Where is your wound located? - ANS Tina Jones: It's on the ball of my foot.
Student: Which foot is injured? - ANS Tina Jones: My right foot.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - ANS Tina
Jones: Thanks a lot.
Student: Can you tell me how you scraped your foot? - ANS I was changing a light bulb, and I
had to use our little stepstool to reach it. My foot slid off the bottom step and it got all scraped
up. I didn't realize how sharp the edge was!
Student: Can you rate your current pain level on a scale of 0 to 10? - ANS Tina Jones: ...Like a
7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Can you describe the pain? - ANS Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
Student: Have you had any other symptoms? - ANS Tina Jones: I mean, it's all red and
swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on.
Student: When did you first notice the pus? - ANS Tina Jones: I noticed it about 2 days ago.
Student: What color was the pus? - ANS Tina Jones: It's... white or maybe off-white.
Student: Did your foot bleed? - ANS Tina Jones: It bled a little after I injured it.
Student: How have you been treating your foot? - ANS Tina Jones: I made sure to clean it and
keep it bandaged. And I put Neosporin on it.
Student: How have you treated the wound? - ANS Tina Jones: I've been taking Advil for my
foot for a few days.
Student: Was the Neosporin effective? - ANS Tina Jones: Well, I'm here, so I guess it didn't do
its job.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
HEALTH HISTORY EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
Medications - ANS Albuterol MDI, 2 puffs every 4 hours as needed for wheezing
Acetaminophen 325 mg tabs by mouth, 2 tabs every 4 hours as needed for fever greater than
38.6C /101.5F
Clindamycin 600mg/50ml every 6 hours intravenously
0.9 NaCl intravenously 100 ml/hr continuously x2 Liters
Lortab 5mg 1-2 tabs by mouth as needed for pain
Oxycodone 5mg 1 tab by mouth as needed
Insulin glargine 10 units at bedtime
Health History Tips & Tricks: - ANS
Student: Hello! - ANS Diana Shadow: Hi. I'm Preceptor Diana. I will explain the details of this
assignment and your objectives, just as a preceptor would in real life. Pay close attention to this
information as it will help guide your exam. At the end of this prebrief, you will answer a short
question about the upcoming assignment. During the simulation, you may return to these
instructions at any time by scrolling to the top of your transcript.
Student: What is the situation? - ANS Diana Shadow: Your patient is Tina Jones:, a 28-year-old
African American woman who has just been admitted to Shadow General Hospital for a painful
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,foot wound. Your role in this simulation is that of a healthcare provider who will take Ms. Jones'
health history, a key component of her admission process.
Student: What are my objectives in this assessment? - ANS Diana Shadow: A health history
requires you to ask questions related to Ms. Jones' past and present health, from her current
foot wound to her pre-existing conditions. You will also want to review Ms. Jones' systems,
psychosocial history, and family medical history. These assessments together will give you a
comprehensive picture of Ms. Jones' overall health. If you discover any disease states, ask about
symptoms and the patient's experiences of them. Your questioning should cover a broad array
of the symptoms' characteristics. Throughout the conversation, you should educate and
empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-
being. Regardless of whether you have assessed Ms. Jones previously, ask all questions that are
necessary for obtaining a complete health history. While you should communicate with patients
using accessible, everyday language, it is standard practice to use professional medical
terminology everywhere else, such as in documenting physical findings and nursing notes. You
may complete the exam activities in any order and move between them as needed. After
obtaining Ms. Jones' health history, you will complete an information processing activity. You
will identify and prioritize diagnoses, then create a plan to address the identified diagnoses.
Student: What else will this exam involve? - ANS Diana Shadow: You will complete nursing
tasks to protect the patients safety, privacy, and health. You can document your findings,
including vital signs, in the Electronic Health Record. This record provides necessary information
for healthcare professionals who will continue patient care. Besides Subjective Data Collection,
and Education and Empathy, there are activities within the simulation that provide valuable
practice for their real-world counterparts, but they are not automatically graded by the
simulation.
Student: How will I be evaluated? - ANS Diana Shadow: In this assignment, you will be
evaluated on your Subjective Data Collection, as well as your Education and Empathy. Your
success in Education and Empathy is based on whether you promptly respond after identifying a
moment worthy of therapeutic communication. The evaluation of your interview is dependent
on how you word your questions therapeutically and precisely and explore all relevant topics
with comprehensive breadth and depth. You will also be evaluated on your ability to collect data
and form nursing diagnoses in the information processing activity. This assignment takes on
average between 90 and 110 minutes. This exam may take longer than in real life, because in
this safe simulation, students of all experience levels can take time to hone and review their
skills. You can pause and resume the assignment at any time; your work is always saved
automatically.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Student: How does this assignment prepare me for the real world? - ANS Diana Shadow: In
this assessment, you will become familiarized with the structure and content of a health history
exam so that with real-life patients, you can: º ask effective and comprehensive questions º
obtain a thorough health history º evaluate the patient's risk of disease, infection, injury, and
complications º educate and empathize º reflect on your experience and identify areas to
improve º identify and prioritize nursing diagnoses º and develop a plan to address nursing
diagnoses.
Diana Shadow: In 1 or 2 sentences, answer this question to help prepare for the upcoming
exam: Why is it important to obtain a patient's complete health history? - ANS Student:
Getting a complete health history enables the nurse to make informed judgments about the
client including formulating nursing diagnoses requiring nursing care, identifying collaborative
problems requiring interdisciplinary care, medical issues requiring immediate referral, and the
need for client teaching.
Diana Shadow: Time to begin. - ANS
Patient Exam - Vital Signs: - ANS Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood
glucose: 238, Temperature: 102.4° F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory
rate: 18, O2 sat: 98%
Patient Exam - Interview: - ANS
Student: Hello, my name is Rachel and I am your nurse today. - ANS Tina Jones: Hey.
Student: Can you confirm your name? - ANS Tina Jones: Tina Jones:.
Student: What brings you in today? - ANS Tina Jones: I got this scrape on my foot a while ago,
and it got really infected. It's killing me.
Student: Where is your wound located? - ANS Tina Jones: It's on the ball of my foot.
Student: Which foot is injured? - ANS Tina Jones: My right foot.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Student: I'm sorry to hear that. I'm glad you came in to get your foot evaluated. - ANS Tina
Jones: Thanks a lot.
Student: Can you tell me how you scraped your foot? - ANS I was changing a light bulb, and I
had to use our little stepstool to reach it. My foot slid off the bottom step and it got all scraped
up. I didn't realize how sharp the edge was!
Student: Can you rate your current pain level on a scale of 0 to 10? - ANS Tina Jones: ...Like a
7. It hurts a lot, but whatever pain med the ER gave me is helping a little bit.
Student: Can you describe the pain? - ANS Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
Student: Have you had any other symptoms? - ANS Tina Jones: I mean, it's all red and
swollen, and there's pus, it feels hot, it hurts like hell... It's got all that going on.
Student: When did you first notice the pus? - ANS Tina Jones: I noticed it about 2 days ago.
Student: What color was the pus? - ANS Tina Jones: It's... white or maybe off-white.
Student: Did your foot bleed? - ANS Tina Jones: It bled a little after I injured it.
Student: How have you been treating your foot? - ANS Tina Jones: I made sure to clean it and
keep it bandaged. And I put Neosporin on it.
Student: How have you treated the wound? - ANS Tina Jones: I've been taking Advil for my
foot for a few days.
Student: Was the Neosporin effective? - ANS Tina Jones: Well, I'm here, so I guess it didn't do
its job.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
