, NUR 6111 Shadow Health Telehealth Follow Up Sick Visit:
Management of Cardiovascular Conditions Exam Prep
Document | 2026/2027 Edition | 150 Verified Questions
NUR 6111 Telehealth Cardiovascular Management Exam 2026-2027 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines |
Graded A+
This comprehensive exam preparation document covers the NUR 6111 Shadow Health Telehealth
Follow Up Sick Visit focused on the management of cardiovascular conditions. It includes 150 verified
questions with detailed rationales and answer explanations, designed to help nursing students master
telehealth assessment, diagnosis, and treatment of common cardiovascular issues. The content aligns
with the latest clinical guidelines and academic standards for the 2026/2027 academic year.
Key Features:
Telehealth cardiovascular assessment techniques
Management of hypertension, heart failure, and arrhythmias
Pharmacological and non-pharmacological treatment strategies
Patient education and follow-up care planning
Clinical reasoning and decision-making in virtual visits
Integration of evidence-based practice guidelines
Updates for 2026:
- Updated to reflect 2026 ACC/AHA hypertension guidelines
- Incorporated latest telehealth reimbursement and documentation standards
- Revised rationales to include new evidence on heart failure management
- Added questions on remote patient monitoring and digital health tools
- Enhanced distractor explanations for common clinical misconceptions
Abstract:
This exam preparation resource is meticulously designed for nursing students enrolled in NUR 6111, focusing on
the Shadow Health Telehealth Follow Up Sick Visit for cardiovascular conditions. The document contains 150
verified questions that simulate the telehealth environment, emphasizing the management of hypertension, heart
failure, coronary artery disease, and arrhythmias. Each question is accompanied by a comprehensive rationale
that explains the correct answer and clarifies why other options are incorrect, fostering deeper clinical
understanding. The content is aligned with the 2026/2027 academic year and incorporates the latest
evidence-based guidelines from the American College of Cardiology and American Heart Association. Key topics
include telehealth assessment protocols, medication management, lifestyle modifications, and patient education
strategies. This guide is an essential tool for students aiming to achieve a graded A+ on their exam, providing both
knowledge reinforcement and test-taking confidence.
Keywords:
NUR 6111, Shadow Health, Telehealth, Cardiovascular, Sick Visit, Exam Prep, Nursing, Management
Answer Format:
Each question is presented in a multiple-choice format with four options. The correct answer is clearly indicated,
followed by a detailed rationale explaining the clinical reasoning and evidence behind the choice. Distractor
explanations are provided to clarify why the other options are incorrect, addressing common misconceptions and
reinforcing key concepts.
Page 1
,Compliance Checklist:
Aligned with 2026/2027 academic year curriculum
Incorporates latest ACC/AHA clinical practice guidelines
Reflects current telehealth documentation and coding standards
Includes evidence-based rationales for all answers
Covers all major cardiovascular conditions in telehealth context
Designed to support graded A+ performance
Content Area Overview:
Content Area Questions Key Topics Weight
Telehealth Cardiovascular 1-30 History taking, vital signs, remote physical 20%
Assessment exam, symptom analysis
Hypertension Management 31-60 Pharmacotherapy, lifestyle modifications, 20%
monitoring, complications
Heart Failure Management 61-90 Medication titration, fluid management, 20%
patient education, follow-up
Coronary Artery Disease & 91-120 Angina management, antiarrhythmic drugs, 20%
Arrhythmias anticoagulation, lifestyle
Patient Education & Follow-Up 121-150 Self-monitoring, adherence, red flags, 20%
Care telehealth etiquette
Page 2
, Q1. During a telehealth follow-up for a patient with chronic systolic heart failure (HFrEF), the patient
reports new-onset dyspnea on exertion and orthopnea over the past 3 days. The patient's daily weights show
a 2.2 kg increase since the last visit 1 week ago. Vital signs: BP 142/88 mmHg, HR 92 bpm, SpO2 94% on
room air. Which of the following is the most appropriate initial nursing action?
A. Instruct the patient to double the dose of furosemide and return for a clinic visit in 48 hours.
B. Advise the patient to restrict fluid intake to 1 L daily and monitor symptoms for 24 hours.
C. Recommend immediate evaluation in the emergency department due to signs of acute decompensated heart
failure.
D. Schedule a same-day in-person clinic visit for intravenous diuretic therapy.
Correct Answer: C. Recommend immediate evaluation in the emergency department due to signs of acute
decompensated heart failure.
Rationale: The patient exhibits classic signs of acute decompensated heart failure (new dyspnea, orthopnea, rapid
weight gain, low SpO2). Telehealth cannot provide the necessary urgent interventions (e.g., IV diuretics, oxygen,
monitoring). Immediate ED evaluation is safest. Doubling furosemide (A) is inappropriate without recent labs and
may cause harm. Fluid restriction (B) is too passive. Same-day clinic visit (D) delays potential life-saving care.
Why Wrong:
A - Doubling a loop diuretic without recent renal function and electrolyte monitoring risks hypokalemia and
acute kidney injury.
B - Fluid restriction alone is insufficient for acute decompensation and delays critical intervention.
D - A clinic visit lacks the capability for continuous monitoring and immediate IV therapy, which are likely
needed.
Reference: Yancy, C.W., et al. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline
for the Management of Heart Failure. Circulation, 136(6), e137-e161.
Q2. A patient with atrial fibrillation (AF) on apixaban 5 mg BID is scheduled for an elective colonoscopy.
The patient's CHA2DS2-VASc score is 3, and renal function is normal (CrCl 80 mL/min). According to
current guidelines, what is the recommended periprocedural management of apixaban?
A. Hold apixaban 48 hours before the procedure and restart 12 hours after hemostasis is achieved.
B. Discontinue apixaban 24 hours before the procedure and administer a bridging dose of enoxaparin.
C. Continue apixaban without interruption as the bleeding risk is low.
D. Hold apixaban 72 hours before the procedure and restart 24 hours after the procedure.
Correct Answer: A. Hold apixaban 48 hours before the procedure and restart 12 hours after hemostasis is
achieved.
Rationale: For procedures with low bleeding risk (e.g., colonoscopy with polypectomy), apixaban should be held
for at least 48 hours prior in patients with normal renal function. Bridging (B) is not recommended for direct oral
anticoagulants (DOACs) due to increased bleeding risk without thromboembolic benefit. Continuing (C) increases
bleeding risk. Holding 72 hours (D) is excessive and may increase thromboembolic risk.
Why Wrong:
B - Bridging with enoxaparin is not indicated for DOACs; it increases bleeding without reducing stroke risk.
C - Continuing apixaban through a procedure with hemostatic risk elevates bleeding complications.
D - Holding for 72 hours unnecessarily prolongs the period without anticoagulation, raising stroke risk.
Reference: Douketis, J.D., et al. (2022). Perioperative Management of Antithrombotic Therapy: An American
College of Chest Physicians Clinical Practice Guideline. Chest, 162(5), e207-e243.
Q3. In a telehealth visit, a patient with hypertension reports missing doses of lisinopril due to a persistent dry
cough. The patient's BP is 148/92 mmHg. Which of the following medication adjustments is most appropriate
to improve adherence while maintaining blood pressure control?
A. Switch to losartan, an angiotensin receptor blocker (ARB), which has a lower incidence of cough.
B. Add hydrochlorothiazide 12.5 mg daily and continue lisinopril.
Page 3
Management of Cardiovascular Conditions Exam Prep
Document | 2026/2027 Edition | 150 Verified Questions
NUR 6111 Telehealth Cardiovascular Management Exam 2026-2027 QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% Verified Solutions | Updated Per Latest Guidelines |
Graded A+
This comprehensive exam preparation document covers the NUR 6111 Shadow Health Telehealth
Follow Up Sick Visit focused on the management of cardiovascular conditions. It includes 150 verified
questions with detailed rationales and answer explanations, designed to help nursing students master
telehealth assessment, diagnosis, and treatment of common cardiovascular issues. The content aligns
with the latest clinical guidelines and academic standards for the 2026/2027 academic year.
Key Features:
Telehealth cardiovascular assessment techniques
Management of hypertension, heart failure, and arrhythmias
Pharmacological and non-pharmacological treatment strategies
Patient education and follow-up care planning
Clinical reasoning and decision-making in virtual visits
Integration of evidence-based practice guidelines
Updates for 2026:
- Updated to reflect 2026 ACC/AHA hypertension guidelines
- Incorporated latest telehealth reimbursement and documentation standards
- Revised rationales to include new evidence on heart failure management
- Added questions on remote patient monitoring and digital health tools
- Enhanced distractor explanations for common clinical misconceptions
Abstract:
This exam preparation resource is meticulously designed for nursing students enrolled in NUR 6111, focusing on
the Shadow Health Telehealth Follow Up Sick Visit for cardiovascular conditions. The document contains 150
verified questions that simulate the telehealth environment, emphasizing the management of hypertension, heart
failure, coronary artery disease, and arrhythmias. Each question is accompanied by a comprehensive rationale
that explains the correct answer and clarifies why other options are incorrect, fostering deeper clinical
understanding. The content is aligned with the 2026/2027 academic year and incorporates the latest
evidence-based guidelines from the American College of Cardiology and American Heart Association. Key topics
include telehealth assessment protocols, medication management, lifestyle modifications, and patient education
strategies. This guide is an essential tool for students aiming to achieve a graded A+ on their exam, providing both
knowledge reinforcement and test-taking confidence.
Keywords:
NUR 6111, Shadow Health, Telehealth, Cardiovascular, Sick Visit, Exam Prep, Nursing, Management
Answer Format:
Each question is presented in a multiple-choice format with four options. The correct answer is clearly indicated,
followed by a detailed rationale explaining the clinical reasoning and evidence behind the choice. Distractor
explanations are provided to clarify why the other options are incorrect, addressing common misconceptions and
reinforcing key concepts.
Page 1
,Compliance Checklist:
Aligned with 2026/2027 academic year curriculum
Incorporates latest ACC/AHA clinical practice guidelines
Reflects current telehealth documentation and coding standards
Includes evidence-based rationales for all answers
Covers all major cardiovascular conditions in telehealth context
Designed to support graded A+ performance
Content Area Overview:
Content Area Questions Key Topics Weight
Telehealth Cardiovascular 1-30 History taking, vital signs, remote physical 20%
Assessment exam, symptom analysis
Hypertension Management 31-60 Pharmacotherapy, lifestyle modifications, 20%
monitoring, complications
Heart Failure Management 61-90 Medication titration, fluid management, 20%
patient education, follow-up
Coronary Artery Disease & 91-120 Angina management, antiarrhythmic drugs, 20%
Arrhythmias anticoagulation, lifestyle
Patient Education & Follow-Up 121-150 Self-monitoring, adherence, red flags, 20%
Care telehealth etiquette
Page 2
, Q1. During a telehealth follow-up for a patient with chronic systolic heart failure (HFrEF), the patient
reports new-onset dyspnea on exertion and orthopnea over the past 3 days. The patient's daily weights show
a 2.2 kg increase since the last visit 1 week ago. Vital signs: BP 142/88 mmHg, HR 92 bpm, SpO2 94% on
room air. Which of the following is the most appropriate initial nursing action?
A. Instruct the patient to double the dose of furosemide and return for a clinic visit in 48 hours.
B. Advise the patient to restrict fluid intake to 1 L daily and monitor symptoms for 24 hours.
C. Recommend immediate evaluation in the emergency department due to signs of acute decompensated heart
failure.
D. Schedule a same-day in-person clinic visit for intravenous diuretic therapy.
Correct Answer: C. Recommend immediate evaluation in the emergency department due to signs of acute
decompensated heart failure.
Rationale: The patient exhibits classic signs of acute decompensated heart failure (new dyspnea, orthopnea, rapid
weight gain, low SpO2). Telehealth cannot provide the necessary urgent interventions (e.g., IV diuretics, oxygen,
monitoring). Immediate ED evaluation is safest. Doubling furosemide (A) is inappropriate without recent labs and
may cause harm. Fluid restriction (B) is too passive. Same-day clinic visit (D) delays potential life-saving care.
Why Wrong:
A - Doubling a loop diuretic without recent renal function and electrolyte monitoring risks hypokalemia and
acute kidney injury.
B - Fluid restriction alone is insufficient for acute decompensation and delays critical intervention.
D - A clinic visit lacks the capability for continuous monitoring and immediate IV therapy, which are likely
needed.
Reference: Yancy, C.W., et al. (2017). 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline
for the Management of Heart Failure. Circulation, 136(6), e137-e161.
Q2. A patient with atrial fibrillation (AF) on apixaban 5 mg BID is scheduled for an elective colonoscopy.
The patient's CHA2DS2-VASc score is 3, and renal function is normal (CrCl 80 mL/min). According to
current guidelines, what is the recommended periprocedural management of apixaban?
A. Hold apixaban 48 hours before the procedure and restart 12 hours after hemostasis is achieved.
B. Discontinue apixaban 24 hours before the procedure and administer a bridging dose of enoxaparin.
C. Continue apixaban without interruption as the bleeding risk is low.
D. Hold apixaban 72 hours before the procedure and restart 24 hours after the procedure.
Correct Answer: A. Hold apixaban 48 hours before the procedure and restart 12 hours after hemostasis is
achieved.
Rationale: For procedures with low bleeding risk (e.g., colonoscopy with polypectomy), apixaban should be held
for at least 48 hours prior in patients with normal renal function. Bridging (B) is not recommended for direct oral
anticoagulants (DOACs) due to increased bleeding risk without thromboembolic benefit. Continuing (C) increases
bleeding risk. Holding 72 hours (D) is excessive and may increase thromboembolic risk.
Why Wrong:
B - Bridging with enoxaparin is not indicated for DOACs; it increases bleeding without reducing stroke risk.
C - Continuing apixaban through a procedure with hemostatic risk elevates bleeding complications.
D - Holding for 72 hours unnecessarily prolongs the period without anticoagulation, raising stroke risk.
Reference: Douketis, J.D., et al. (2022). Perioperative Management of Antithrombotic Therapy: An American
College of Chest Physicians Clinical Practice Guideline. Chest, 162(5), e207-e243.
Q3. In a telehealth visit, a patient with hypertension reports missing doses of lisinopril due to a persistent dry
cough. The patient's BP is 148/92 mmHg. Which of the following medication adjustments is most appropriate
to improve adherence while maintaining blood pressure control?
A. Switch to losartan, an angiotensin receptor blocker (ARB), which has a lower incidence of cough.
B. Add hydrochlorothiazide 12.5 mg daily and continue lisinopril.
Page 3
