SHADOW HEALTH - TINA JONES,
HEALTH HISTORY EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
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
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: 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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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: So
that you understand if there are any problems related to their chief complaint. Also, to help
treat their current condition.
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 Catlain, I am your nurse today. - ANS Tina Jones: Hey.
Student: Can you confirm your name? - ANS Tina Jones: Tina Jones:.
Student: Why did you come 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: What additional symptoms have you experienced? - 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: 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: Please describe the pain. - ANS Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Student: How did you hurt your foot? - ANS Tina Jones: 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: Has your foot been draining any liquids? - ANS Tina Jones: Yeah, there's definitely
pus.
Student: What color was the pus? - ANS Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - ANS Tina Jones: I've been taking Advil for my
foot for a few days.
Student: What did you do to treat your foot after your accident? - ANS Tina Jones: I made
sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - ANS Tina Jones: Well, I'm here, so I guess it
didn't do its job.
Student: Can you walk with your foot being injured? - ANS Tina Jones: No, I can't. I can't put
any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - ANS Tina Jones: I mean, I have
asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I take
care of the problem correctly. - ANS Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - ANS Tina Jones: I was diagnosed when I
was 24.
Student: What do you do to manage your asthma? - ANS Tina Jones: I try to avoid things that
give me breathing problems, but when my asthma starts to act up, I just use my inhaler.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Student: What medications did you take for your diabetes? - ANS Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - ANS Tina Jones: No, I don't take
anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? - ANS Tina Jones: I guess I
just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to
take pills and check my sugar. I feel a lot better now that I'm just eating healthier than I did
when I was taking the pills.
Student: Do you monitor your blood glucose? - ANS Tina Jones: I have a monitor at home,
but to be honest I don't really use it that often.
Student: How frequently do you urinate? - ANS Tina Jones: I don't know. Every hour or two
when I'm awake?
Student: What is your current diet? - ANS Tina Jones: It's pretty good, I think. I'm not a huge
health nut or anything.
Student: Have you had any change in appetite? - ANS Tina Jones: Yeah, lately I've definitely
been much hungrier than usual.
Student: Has your weight changed? - ANS Tina Jones: Yeah, I've lost some weight recently.
Student: Do you know why you lost weight? - ANS Tina Jones: I don't know what caused it, I
just lost weight.
Student: How often do you have asthma exacerbations? - ANS Tina Jones: I haven't had a full
attack in years. But my breathing definitely acts up. . .not always. Max twice a week.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
HEALTH HISTORY EXAM 2025/2026
QUESTIONS AND ANSWERS 100% PASS
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
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: 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
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,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: So
that you understand if there are any problems related to their chief complaint. Also, to help
treat their current condition.
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 Catlain, I am your nurse today. - ANS Tina Jones: Hey.
Student: Can you confirm your name? - ANS Tina Jones: Tina Jones:.
Student: Why did you come 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: What additional symptoms have you experienced? - 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: 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: Please describe the pain. - ANS Tina Jones: It's throbbing and like, sharp if I try to
put weight on it.
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,Student: How did you hurt your foot? - ANS Tina Jones: 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: Has your foot been draining any liquids? - ANS Tina Jones: Yeah, there's definitely
pus.
Student: What color was the pus? - ANS Tina Jones: It's... white or maybe off-white.
Student: How have you treated the wound? - ANS Tina Jones: I've been taking Advil for my
foot for a few days.
Student: What did you do to treat your foot after your accident? - ANS Tina Jones: I made
sure to clean it and keep it bandaged. And I put Neosporin on it.
Student: How effective was the Neosporin? - ANS Tina Jones: Well, I'm here, so I guess it
didn't do its job.
Student: Can you walk with your foot being injured? - ANS Tina Jones: No, I can't. I can't put
any weight on it without like, shooting pain.
Student: What preexisting medical conditions do you have? - ANS Tina Jones: I mean, I have
asthma and diabetes, but right I now I just care about my foot!
Student: I understand your foot hurts, but I need to know this information to make sure I take
care of the problem correctly. - ANS Tina Jones: Thanks.
Student: When were you diagnosed with diabetes? - ANS Tina Jones: I was diagnosed when I
was 24.
Student: What do you do to manage your asthma? - ANS Tina Jones: I try to avoid things that
give me breathing problems, but when my asthma starts to act up, I just use my inhaler.
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, Student: What medications did you take for your diabetes? - ANS Tina Jones: It was
metformin.
Student: Do you currently take medicine for your diabetes? - ANS Tina Jones: No, I don't take
anything for my diabetes anymore.
Student: What made you stop taking medication for your diabetes? - ANS Tina Jones: I guess I
just got sick of feeling sick and gassy all the time, and it was overwhelming, remembering to
take pills and check my sugar. I feel a lot better now that I'm just eating healthier than I did
when I was taking the pills.
Student: Do you monitor your blood glucose? - ANS Tina Jones: I have a monitor at home,
but to be honest I don't really use it that often.
Student: How frequently do you urinate? - ANS Tina Jones: I don't know. Every hour or two
when I'm awake?
Student: What is your current diet? - ANS Tina Jones: It's pretty good, I think. I'm not a huge
health nut or anything.
Student: Have you had any change in appetite? - ANS Tina Jones: Yeah, lately I've definitely
been much hungrier than usual.
Student: Has your weight changed? - ANS Tina Jones: Yeah, I've lost some weight recently.
Student: Do you know why you lost weight? - ANS Tina Jones: I don't know what caused it, I
just lost weight.
Student: How often do you have asthma exacerbations? - ANS Tina Jones: I haven't had a full
attack in years. But my breathing definitely acts up. . .not always. Max twice a week.
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
