Madison Clark Sim 3 Activity Report: Pediatric Complex| ADVANCED PRACTICE SERIES Latest Update with complete solution

Overview Score Patient ADVANCED PRACTICE SERIES® Activity Report: Pediatric Complex Attempts Progress Madison Clark Time Per Attempt #1 100% 29 mins Score #2 16/20 (80%) 100% 13 mins Final 20/20 (100%) * Eligibility for CEUs requires a minimum total score of 80%, combined across all five complete patient encounters. Once 80% or higher is achieved in total, across all five patient encounters, a "Survey and Certificate" button will appear on your activity report. Notes Patient Notes 20/20 (100%) Madison Clark 1 Danielle Kwock American Sentinel University Saturday, December 13, 2025 Time Spent: 42 mins 2 NONPF Core Behaviors Your performance has been mapped to the NONPF Nurse Practitioner Core Competencies. An overview of your strongest and weakest Core Behaviors has been included below, calculated from all completed patients within the simulation (up to 5). Top 3 Behaviors Demonstrating Competence 100% Collaborates in interprofessional teams discussions regarding ethical risks, benefits, and outcomes, as indicated. 100% Student expresses integration of physiologic, behavioral, social, and diagnostic data to justify clinical reasoning and decision making. 100% Analyses pharmacological interventions for adverse, contraindicated, and synergistic effects. Top 3 Behaviors Needing Attention 50% Expresses comprehension of pathophysiological processes. 50% Identifies physical, behavioral, and social health risks. 0% Uses appropriate screening tools for actual and potential problems appropriate to care environment. Danielle Kwock American Sentinel University Saturday, December 13, 2025 Time Spent: 42 mins Patient: Madison Clark The Activity Report contains details on the most recent attempt. A summary of previous attempts, if applicable, are provided in the report Overview section. Summary Section Vitals Points Inquiry 1/1 Review of Systems (ROS) 1/1 2/2 Assessment 2/2 Diagnostics 5/5 Final Diagnosis 2/2 Plan of Care 5/5 Billing 2/2 Total 20/20 (100%) Completion of a brief survey is required to receive the CE Certificate. Your feedback is important for enhancing user experience and achievement of outcomes for future learners. To access, click on the "Survey and Certificate" button to the right of this prompt. EHR Vitals Knowledge Check: Which area of Information or Vital Signs is a TOP priority? Points Heart Rate: Slight tachycardia (standardized norm 60-100) is abnormal and should be investigated (American Academy of Pediatrics, 2023) 1/1 Inquiry Knowledge Check: Which area of the Inquiry, excluding CC or HPI, is a TOP priority? Past Medical History (PMH): History of severe encephalitis is significant (Messacar, 2024) Inquiry Transcript 1/1 Question Category Response (CC) What brings you in today? Learner SME Madison: About four different times over the last week, I have had a problem with my left hand twitching and my left eye twitching at the same time. I also feel like I’m really afraid, but I don’t know what I’m afraid of. (HPI) When did your symptoms start? Madison: I noticed the first time at school four days ago. It stopped after a couple of 3 Danielle Kwock American Sentinel University Saturday, December 13, 2025 Time Spent: 42 mins minutes. Madison: I was just sitting at my desk in history class Can you describe what you Friday, and it happened twice. Then it happened again (HPI) were doing just before you Sunday morning at breakfast. I was just eating my had the episodes of this morning I was in twitching? cereal, sitting at the table. Then theater and the same thing happened. I couldn’t make it stop. Madison: The second time it happened, my friend (HPI) Did you do anything that reached over and held my hand, but it just kept helped? Emma moving. My eye was twitching too. It was like I could tell it was happening but couldn’t do anything. Mom: The episode I saw was the outside of her left Can you tell me exactly hand. It was the little finger and ring finger up to the (HPI) where the twitching started, wrist. Also, she had twitching all the way around her and did it change as the left eye. I don’t remember it changing at any point. episode went on? Madison: It was really scary. I had this anxious feeling right before the twitching started. Mom: Madison had viral encephalitis at age 15, right (PMH) What medical history do birthday. She was critically ill for several you have? before her weeks, discharged from the hospital five months ago and from rehab four months ago. Madison: No, but they had me on a lot of drugs. Mom: Did anyone ever tell you Madison was in a drug induced coma for 10 days. She (PMH) that you had a seizure when had a bad reaction to one of the sedation drugs, but you were very sick with once they stopped that medication, she didn’t have any encephalitis? other problems. I don’t remember anyone saying anything about seizures. Mom: She had her tonsils out when she was two. She (PSH) Do you have any surgical tube in her stomach when she was in the history? had a feeding hospital with the encephalitis and at the beginning of rehab, but they took that out and it is all healed now. What medications, if any, both prescribed and over- Medications the-counter do you take? Madison: I take stuff for my allergies. Mom: Cetirizine. How long have you been taking them? 4 Danielle Kwock American Sentinel University Saturday, December 13, 2025 Time Spent: 42 mins Health Madison: Physical therapy at rehab taught me yoga and Practices / Do you participate in any Pilates, so I keep up with that. Mom: One of the nurses Preventative holistic wellness practices? taught me some meditation techniques when Madison Health was in the ICU, so I have been helping her with those. (FMH) Tell me about your family Mom: For the most part, we are a healthy bunch. My medical history. mom has type 2 diabetes, but she keeps on top of it. Mom: Madison typically splits her time between my house with her stepfather and two brothers, and her Psychosocial Tell me about your living father’s house with her stepmother and twin baby Habits situation. sisters. Madison: It isn’t hard since dad bought a house across the street. They didn’t know how to deal with our crazy big family at rehab. Inquiry Section Subjective Data Chief Complaint (CC) History of Present Illness (HPI) Past Medical History (PMH) Past Surgical History (PSH) Health Practices/Preventative Health Family Medical History (FMH) Psychosocial Habits Medications Review of Systems (ROS) Knowledge Check: Which Review of Systems (ROS) area is a TOP priority? 2/2 Neurologic: Twitching episodes (American Academy of Pediatrics, 2023) Assessment Knowledge Check: Which area of Physical Assessment is a TOP priority? Neuro: Note that present neuro exam is within standardized norms and consider intermittent causes of abnormalities (American Academy of