BSN 425 Pain (Edward Carter) Shadow Health
Scenario Assessment Results | Turned In | 2026
Update with complete solutions.
BSN 425 Pain (Edward Carter) Shadow Health Scenario – Practice
SECTION 1: SUBJECTIVE DATA COLLECTION – INTERVIEW QUESTIONS
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?"
Correct Answer: B) "What brought you to the hospital today?"
Explanation: 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 . This is a fundamental therapeutic
communication technique that empowers the patient to share their story.
2. Edward Carter 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
,Correct Answer: B) Mild pain that is well-controlled
Explanation: On a standard 0-10 pain scale, 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 . This demonstrates the effectiveness of the current
pain management regimen.
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
Correct Answer: C) Ask about the quality and location of the pain
Explanation: Before intervening, the nurse must complete a comprehensive pain
assessment including quality, location, aggravating/relieving factors, and
duration . This ensures appropriate intervention selection.
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."
Correct Answer: B) "I use moist heat and range of motion exercises for my
joints."
,Explanation: Moist heat and range of motion exercises are appropriate non-
pharmacological interventions for osteoarthritis . NSAIDs like naproxen are most
effective when taken regularly, not PRN only.
5. What is the top priority concept identified for Mr. Carter's care?
A) Impaired mobility
B) Pain management
C) Skin integrity
D) Risk for falls
Correct Answer: B) Pain management
Explanation: Assessment findings show Mr. Carter has had pain for the past month
with a current pain level of 9/10 before medication administration. The
assessment also shows a recent decline in ability to exercise and ambulate, with a
recent fall and progressively worsening pain in his hip and knee . All these findings
reflect pain management as the top priority concept.
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) Report of dizziness
D) History of a recent fall
E) Difficulty transferring
Correct Answer: A, B, D
Explanation: Mr. Carter reports a recent inability to walk and exercise, and a
history of a recent fall . He does not report dizziness, difficulty with transferring,
bruising, or emotional distress. These findings directly correlate with pain-related
functional decline.
, 7. How does Mr. Carter's osteoarthritis contribute to his pain?
A) It causes limited range of motion in his joints
B) It is causing acute fractures
C) It causes deep, aching, and grating sensations in his joints
D) A and C
Correct Answer: D) A and C
Explanation: Mr. Carter's osteoarthritis causes a limited range of motion in his
joints. He 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 condition?
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
Correct Answer: D) All of the above
Explanation: Additional data needed includes whether the patient uses
nonpharmacological pain management such as ice, heat compresses, and ROM
exercises. The patient takes Naproxen which meets Beer's criteria and can pose a
risk for GI bleeds. Discussing alternative pain management medications may be
appropriate .
9. What diagnoses were identified in Mr. Carter's nursing care plan?
A) Toileting self-care deficit
B) Chronic pain
C) Risk for impaired skin integrity
D) All of the above
Scenario Assessment Results | Turned In | 2026
Update with complete solutions.
BSN 425 Pain (Edward Carter) Shadow Health Scenario – Practice
SECTION 1: SUBJECTIVE DATA COLLECTION – INTERVIEW QUESTIONS
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?"
Correct Answer: B) "What brought you to the hospital today?"
Explanation: 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 . This is a fundamental therapeutic
communication technique that empowers the patient to share their story.
2. Edward Carter 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
,Correct Answer: B) Mild pain that is well-controlled
Explanation: On a standard 0-10 pain scale, 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 . This demonstrates the effectiveness of the current
pain management regimen.
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
Correct Answer: C) Ask about the quality and location of the pain
Explanation: Before intervening, the nurse must complete a comprehensive pain
assessment including quality, location, aggravating/relieving factors, and
duration . This ensures appropriate intervention selection.
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."
Correct Answer: B) "I use moist heat and range of motion exercises for my
joints."
,Explanation: Moist heat and range of motion exercises are appropriate non-
pharmacological interventions for osteoarthritis . NSAIDs like naproxen are most
effective when taken regularly, not PRN only.
5. What is the top priority concept identified for Mr. Carter's care?
A) Impaired mobility
B) Pain management
C) Skin integrity
D) Risk for falls
Correct Answer: B) Pain management
Explanation: Assessment findings show Mr. Carter has had pain for the past month
with a current pain level of 9/10 before medication administration. The
assessment also shows a recent decline in ability to exercise and ambulate, with a
recent fall and progressively worsening pain in his hip and knee . All these findings
reflect pain management as the top priority concept.
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) Report of dizziness
D) History of a recent fall
E) Difficulty transferring
Correct Answer: A, B, D
Explanation: Mr. Carter reports a recent inability to walk and exercise, and a
history of a recent fall . He does not report dizziness, difficulty with transferring,
bruising, or emotional distress. These findings directly correlate with pain-related
functional decline.
, 7. How does Mr. Carter's osteoarthritis contribute to his pain?
A) It causes limited range of motion in his joints
B) It is causing acute fractures
C) It causes deep, aching, and grating sensations in his joints
D) A and C
Correct Answer: D) A and C
Explanation: Mr. Carter's osteoarthritis causes a limited range of motion in his
joints. He 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 condition?
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
Correct Answer: D) All of the above
Explanation: Additional data needed includes whether the patient uses
nonpharmacological pain management such as ice, heat compresses, and ROM
exercises. The patient takes Naproxen which meets Beer's criteria and can pose a
risk for GI bleeds. Discussing alternative pain management medications may be
appropriate .
9. What diagnoses were identified in Mr. Carter's nursing care plan?
A) Toileting self-care deficit
B) Chronic pain
C) Risk for impaired skin integrity
D) All of the above
