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BSN 266 Shadow Health Perioperative Hourly Rounds for Sonia Best — 100 Practice
Questions & Answers (2026 Update)
Section 1: Patient Presentation & History (Questions 1–15)
1. What is Sonia Best's chief complaint and primary reason for hospitalization?
A. Chest pain and shortness of breath
B. A foot wound requiring a below-the-knee amputation
C. A diabetic foot ulcer scheduled for debridement
D. An above-the-knee amputation due to vascular disease
Answer: B. Sonia Best reports a foot wound and is scheduled for a left below-the-knee
amputation.
2. What is Sonia Best's age and gender?
A. 45-year-old male
B. 56-year-old female
C. 65-year-old female
D. 72-year-old female
Answer: B. Ms. Sonia is a 56-year-old female admitted for a non-healing foot wound.
3. What chronic condition does Sonia Best have that contributed to her need for
amputation?
A. Hypertension
B. Type 2 diabetes mellitus
C. Asthma
D. Chronic kidney disease
Answer: B. Sonia has Type 2 diabetes mellitus, which contributed to her non-healing foot
wound and need for amputation.
4. What is Sonia Best's smoking history?
A. Never smoked
B. 10-pack-year history, quit 1 year ago
C. 36-pack-year history, quit 6 months ago
D. Currently smokes 1 pack per day
Answer: C. Sonia reports a 36-pack-year smoking history, smoking half a pack a day, and
cessation 6 months ago.
5. What is Sonia Best's current pain level during initial assessment?
A. 0/10; denies pain
B. 3/10 in left leg
C. 7/10 in left leg
D. 5/10 in right leg
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Answer: B. Patient describes 3/10 pain in left leg during initial assessment.
6. What is Sonia Best's marijuana use history?
A. Smokes marijuana daily
B. Uses one edible dose once a month; last use 3 weeks ago
C. Never used marijuana
D. Uses marijuana edibles weekly
Answer: B. Sonia uses one edible dose of marijuana once a month, started a few months
ago, and last used it 3 weeks ago.
7. What is the dose and frequency of Sonia Best's Dapagliflozin?
A. 5 mg PO daily
B. 10 mg PO every morning
C. 20 mg PO daily
D. 10 mg PO twice daily
Answer: B. Sonia takes Dapagliflozin 10 mg PO every morning. Dapagliflozin is an SGLT2
inhibitor used in Type 2 diabetes management.
8. What is the dose and frequency of Sonia Best's Insulin Glargine?
A. 15 units SubQ every morning
B. 25 units SubQ every evening
C. 10 units SubQ daily
D. 30 units SubQ at bedtime
Answer: B. Sonia takes Insulin Glargine 25 units SubQ every evening.
9. What home medications does Sonia Best take? (Select all that apply)
A. Dapagliflozin
B. Insulin Glargine
C. Metformin
D. Aspirin EC and Rosuvastatin
Answer: A, B, D. Sonia's home medications include Dapagliflozin, Glargine, Insulin Aspart
sliding scale, Aspirin EC, and Rosuvastatin. Metformin is not on her medication list.
10. What is Sonia Best's social history?
A. Lives with her spouse
B. Lives alone but has a strong support system and plans to live with family after surgery
C. Lives in assisted living
D. Has no family support
Answer: B. Ms. Best lives alone but has a strong support system. She plans on living with a
family member after her surgery.
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11. What are the objective findings of Sonia Best's foot wound?
A. Clean, dry, intact wound with no drainage
B. Open ulcer that is erythemic with some necrosis, measuring 5x5 with no tunneling
C. Closed wound with signs of infection
D. Superficial abrasion with minimal drainage
Answer: B. Inspection of the left lateral foot reveals an open ulcer that is erythemic with
some necrosis. The ulcer measures 5x5 with no tunneling.
12. What is the condition of Sonia Best's wound dressing?
A. Soaked with purulent drainage
B. Clean, dry, and intact with no drainage
C. Loosely applied and contaminated
D. Not present
Answer: B. The dressing on the lateral surface of the left foot is clean, dry, and intact with
no drainage.
13. What is the significance of the markings on Sonia Best's left leg?
A. They indicate the site of the previous wound
B. They indicate the correct surgical site for the amputation
C. They mark areas of decreased sensation
D. They are for allergy testing
Answer: B. The markings on the left leg are used to indicate the correct surgical site. They
are essential for ensuring the correct procedure is performed on the intended area.
14. What are Sonia Best's vital signs during initial assessment?
A. Temp 37.1°C, HR 90, RR 20, SpO2 within normal limits
B. Temp 38.5°C, HR 110, RR 24, SpO2 88%
C. Temp 36.0°C, HR 60, RR 12, SpO2 100%
D. Temp 39.0°C, HR 120, RR 28, SpO2 85%
Answer: A. Ms. Best's vital signs include a temperature of 37.1 degrees C, heart rate of 90,
respiratory rate of 20, and oxygen saturation within normal limits.
15. What is the significance of Sonia Best's diabetes management in the perioperative
period?
A. Blood glucose levels must be monitored and managed to prevent complications
B. Diabetes has no impact on surgical outcomes
C. Insulin should be discontinued before surgery
D. Blood glucose should be kept below 50 mg/dL
Answer: A. Blood glucose levels must be monitored and managed to prevent
hyperglycemia and hypoglycemia. Diabetes affects wound healing and increases infection
risk.
BSN 266 Shadow Health Perioperative Hourly Rounds for Sonia Best — 100 Practice
Questions & Answers (2026 Update)
Section 1: Patient Presentation & History (Questions 1–15)
1. What is Sonia Best's chief complaint and primary reason for hospitalization?
A. Chest pain and shortness of breath
B. A foot wound requiring a below-the-knee amputation
C. A diabetic foot ulcer scheduled for debridement
D. An above-the-knee amputation due to vascular disease
Answer: B. Sonia Best reports a foot wound and is scheduled for a left below-the-knee
amputation.
2. What is Sonia Best's age and gender?
A. 45-year-old male
B. 56-year-old female
C. 65-year-old female
D. 72-year-old female
Answer: B. Ms. Sonia is a 56-year-old female admitted for a non-healing foot wound.
3. What chronic condition does Sonia Best have that contributed to her need for
amputation?
A. Hypertension
B. Type 2 diabetes mellitus
C. Asthma
D. Chronic kidney disease
Answer: B. Sonia has Type 2 diabetes mellitus, which contributed to her non-healing foot
wound and need for amputation.
4. What is Sonia Best's smoking history?
A. Never smoked
B. 10-pack-year history, quit 1 year ago
C. 36-pack-year history, quit 6 months ago
D. Currently smokes 1 pack per day
Answer: C. Sonia reports a 36-pack-year smoking history, smoking half a pack a day, and
cessation 6 months ago.
5. What is Sonia Best's current pain level during initial assessment?
A. 0/10; denies pain
B. 3/10 in left leg
C. 7/10 in left leg
D. 5/10 in right leg
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Answer: B. Patient describes 3/10 pain in left leg during initial assessment.
6. What is Sonia Best's marijuana use history?
A. Smokes marijuana daily
B. Uses one edible dose once a month; last use 3 weeks ago
C. Never used marijuana
D. Uses marijuana edibles weekly
Answer: B. Sonia uses one edible dose of marijuana once a month, started a few months
ago, and last used it 3 weeks ago.
7. What is the dose and frequency of Sonia Best's Dapagliflozin?
A. 5 mg PO daily
B. 10 mg PO every morning
C. 20 mg PO daily
D. 10 mg PO twice daily
Answer: B. Sonia takes Dapagliflozin 10 mg PO every morning. Dapagliflozin is an SGLT2
inhibitor used in Type 2 diabetes management.
8. What is the dose and frequency of Sonia Best's Insulin Glargine?
A. 15 units SubQ every morning
B. 25 units SubQ every evening
C. 10 units SubQ daily
D. 30 units SubQ at bedtime
Answer: B. Sonia takes Insulin Glargine 25 units SubQ every evening.
9. What home medications does Sonia Best take? (Select all that apply)
A. Dapagliflozin
B. Insulin Glargine
C. Metformin
D. Aspirin EC and Rosuvastatin
Answer: A, B, D. Sonia's home medications include Dapagliflozin, Glargine, Insulin Aspart
sliding scale, Aspirin EC, and Rosuvastatin. Metformin is not on her medication list.
10. What is Sonia Best's social history?
A. Lives with her spouse
B. Lives alone but has a strong support system and plans to live with family after surgery
C. Lives in assisted living
D. Has no family support
Answer: B. Ms. Best lives alone but has a strong support system. She plans on living with a
family member after her surgery.
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11. What are the objective findings of Sonia Best's foot wound?
A. Clean, dry, intact wound with no drainage
B. Open ulcer that is erythemic with some necrosis, measuring 5x5 with no tunneling
C. Closed wound with signs of infection
D. Superficial abrasion with minimal drainage
Answer: B. Inspection of the left lateral foot reveals an open ulcer that is erythemic with
some necrosis. The ulcer measures 5x5 with no tunneling.
12. What is the condition of Sonia Best's wound dressing?
A. Soaked with purulent drainage
B. Clean, dry, and intact with no drainage
C. Loosely applied and contaminated
D. Not present
Answer: B. The dressing on the lateral surface of the left foot is clean, dry, and intact with
no drainage.
13. What is the significance of the markings on Sonia Best's left leg?
A. They indicate the site of the previous wound
B. They indicate the correct surgical site for the amputation
C. They mark areas of decreased sensation
D. They are for allergy testing
Answer: B. The markings on the left leg are used to indicate the correct surgical site. They
are essential for ensuring the correct procedure is performed on the intended area.
14. What are Sonia Best's vital signs during initial assessment?
A. Temp 37.1°C, HR 90, RR 20, SpO2 within normal limits
B. Temp 38.5°C, HR 110, RR 24, SpO2 88%
C. Temp 36.0°C, HR 60, RR 12, SpO2 100%
D. Temp 39.0°C, HR 120, RR 28, SpO2 85%
Answer: A. Ms. Best's vital signs include a temperature of 37.1 degrees C, heart rate of 90,
respiratory rate of 20, and oxygen saturation within normal limits.
15. What is the significance of Sonia Best's diabetes management in the perioperative
period?
A. Blood glucose levels must be monitored and managed to prevent complications
B. Diabetes has no impact on surgical outcomes
C. Insulin should be discontinued before surgery
D. Blood glucose should be kept below 50 mg/dL
Answer: A. Blood glucose levels must be monitored and managed to prevent
hyperglycemia and hypoglycemia. Diabetes affects wound healing and increases infection
risk.
