11/11/25 5:14 PM EST
Character avatar. Hi. I’m Preceptor Diana. I will explain the details of this assignment and your
objectives, just as a preceptor would in real life. Pay close attention to this information as it will help
guide your exam. At the end of this prebrief, you will answer a short question about the upcoming
assignment. During the simulation, you may return to these instructions at any time by scrolling to the
top of your transcript.
Your Avatar. What is the situation? Question
11/11/25 5:16 PM EST
Character avatar. It’s 8 p.m. on Tina Jones’ first day as a patient here at Shadow General Hospital.
Your role in this simulation is that of a healthcare provider who will perform a full abdominal exam on
Ms. Jones. She’s spent the whole day in bed, so you will want to determine whether she has full
abdominal function and if bed rest has impacted her gastrointestinal health.
Your Avatar. What are my objectives in this assessment? Question
11/11/25 5:16 PM EST
Character avatar. In your interview with Ms. Jones, you will ask about her inputs and outputs (I’s
and O’s) and the overall health of her abdominal system so that you can identify any issues and
document findings accurately. 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. You
will also inquire into the health history of Ms. Jones’ family with regards to the abdominal system so you
can determine her genetic predisposition to any diseases. Regardless of whether you have assessed Tina
previously, ask all questions that are medically relevant to her abdominal system. In addition to
collecting subjective data, you will perform a physical exam on Ms. Jones’ abdominal system to gather
objective data about the system’s health and physiology. 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.
Your Avatar. What else will this exam involve? Question
11/11/25 5:16 PM EST
Character avatar. You will complete nursing tasks to protect the patients safety, privacy, and
health. You can document your findings, including vital signs, in the Electronic Health Record. This
record provides necessary information for healthcare professionals who will continue patient care.
Activities other than Subjective and Objective Data Collection, such as Documentation and Education
and Empathy, provide valuable practice for their real-world counterparts. However, they are not
automatically graded by the simulation.
Your Avatar. How will I be evaluated? Question
11/11/25 5:16 PM EST
Character avatar. In this assignment, you will be evaluated on your Subjective and Objective Data
Collection. The evaluation of your interview is dependent on how you word your questions
therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The
evaluation of your physical exam is based on how successfully you report on your physical findings by
selecting among clinical terms in the Electronic Health Record. This assignment takes on average
between 35 and 50 minutes. You can pause and resume the assignment at any time; your work is always
saved automatically.
Your Avatar. How does this assignment prepare me for the real world? Question
11/11/25 5:16 PM EST
Character avatar. In this assessment, you will become familiarized with the structure and content
of abdominal exams so that with real-life patients, you can: º ask effective and comprehensive questions
º use therapeutic language º evaluate the patient’s risk of disease, infection, injury, and complications º
and obtain and assess objective data.
Character avatar. In 1 or 2 sentences, answer this question to help prepare for the upcoming
exam: What effects can bed rest have on the abdominal system?
Character avatar. Time to begin.
Tina Jones. Hey.
Your Avatar. Can you please tell me your name and date of birth? Question
11/11/25 5:19 PM EST
Tina Jones. My name’s Tina Jones, and my birthday’s February 17th.
Your Avatar. Do you know where you are? Question
11/11/25 5:20 PM EST
Tina Jones. Yeah, I’m at Shadow General Hospital.
Your Avatar. What is todays date? Question
11/11/25 5:20 PM EST
Tina Jones. Um, today’s date is . . . [Ms. Jones reports the correct date and year.]
Your Avatar. Do you know why you are in the hospital? (Clarified to What brings you to the
hospital?.) Question
11/11/25 5:20 PM EST
Tina Jones. I got this scrape on my foot a while ago, and I thought it would heal up on its own, but
now it’s looking pretty nasty. And the pain is killing me! (Clarified to what brings me to the hospital.)
Your Avatar. What is your current pain level on a scale from 1 to 10? Question
11/11/25 5:22 PM EST
Tina Jones. Uh, it’s like a 6. Maybe more like a 7. It’s better than before, that’s for sure.
Your Avatar. Is it ok if I ask you some health assessment questions? (Clarified to I would like to ask
questions about your medical history?.) Question
11/11/25 5:23 PM EST
Tina Jones. Ok. What about? (Clarified to you would like to ask about my medical history.)
Your Avatar. Where is your pain? Question
11/11/25 5:23 PM EST
Tina Jones. It mostly just hurts where my foot is scraped up.
Your Avatar. Do you have any abdominal pain? Question
11/11/25 5:24 PM EST
Tina Jones. No, my stomach’s been okay all day.
Your Avatar. Have you had any abdominal pain in the past? Question
11/11/25 5:24 PM EST
Tina Jones. No, my stomach has felt fine.
Your Avatar. When was the last meal you ate? Question
11/11/25 5:24 PM EST
Tina Jones. I had some chicken, and most of a baked potato and a roll.
Your Avatar. Is that a normal meal for you? Question
11/11/25 5:25 PM EST
Tina Jones. Oh, we try to make something easy. We eat a lot of frozen chicken breasts. We do
hamburgers that we make at home every so often. We make sure we have a vegetable, and we eat a lot
of potatoes. And we usually have rolls or something.
Your Avatar. Do you have any difficulty going to the bathroom? Question
11/11/25 5:25 PM EST
Tina Jones. No.
Your Avatar. When was your last bowel movement? Question
11/11/25 5:25 PM EST
Tina Jones. I think… yesterday morning.
Your Avatar. How often do you go to the bathroom? Question
11/11/25 5:26 PM EST
Tina Jones. I don’t know. Every hour or two when I’m awake?
Your Avatar. How is your diet? Question
11/11/25 5:26 PM EST
Tina Jones. I think my diet’s normal.
Your Avatar. Do you take any medications? Question
11/11/25 5:26 PM EST
Tina Jones. My only prescription is my inhaler.
Your Avatar. Do you take any antibiotics? Question
11/11/25 5:26 PM EST
Tina Jones. Yeah, they’ve got an antibiotic in there.
Your Avatar. Has it affected you going to the bathroom? (No matching questions found.)
Question
11/11/25 5:27 PM EST
Your Avatar. Do you eat a lot of fiber? Question
11/11/25 5:27 PM EST
Tina Jones. Um, I don’t really know…I don’t eat a lot of bran muffins or anything.
Your Avatar. How many meals do you eat a day? Question
11/11/25 5:27 PM EST
Tina Jones. I usually have three meals a day, unless I skip breakfast.
Your Avatar. Do you take any vitamins? Question
11/11/25 5:27 PM EST
Tina Jones. No, I don’t take any vitamins.
Your Avatar. How often do you urinate? Question
11/11/25 5:28 PM EST
Tina Jones. I don’t know. Every hour or two when I’m awake?
Your Avatar. Is this normal for you? (No matching questions found.) Question
11/11/25 5:28 PM EST
Your Avatar. What does your urine look like? Question
11/11/25 5:28 PM EST
Tina Jones. Um, light yellow or almost clear? The regular color.
Your Avatar. Does your urine smell? Question
11/11/25 5:28 PM EST
Tina Jones. No. Gross.
Your Avatar. are you ever constipated? Question
11/11/25 5:29 PM EST
Tina Jones. Not usually.
Your Avatar. Do you ever have diarrhea? Question
11/11/25 5:29 PM EST
Tina Jones. No, I don’t have any problems with diarrhea.
Your Avatar. Does it ever hurt when you poop? Question
11/11/25 5:30 PM EST
Tina Jones. No.
Your Avatar. Is there ever any blood in your poop? Question
11/11/25 5:30 PM EST
Tina Jones. Um, no.
Your Avatar. How often do you pass gas? Question
11/11/25 5:30 PM EST
Tina Jones. I haven’t been particularly gassy. [AUDIO COMING SOON]
Your Avatar. Do you ever have difficulty walking? Question
11/11/25 5:31 PM EST
Tina Jones. Definitely, I don’t want to try to walk on this right now. It would hurt way too much.
Your Avatar. Do you live alone? Question
11/11/25 5:31 PM EST
Tina Jones. I live at home with my mom and my sister, and we’re a pretty tight-knit family.
Your Avatar. Do you exercise? Question
11/11/25 5:32 PM EST
Tina Jones. I don’t have the energy to go to a gym or anything after work…I’m pretty exhausted by
the end of the day. But I’m on my feet all the time at work so I feel like that’s a little bit of exercise most
days at least.
Your Avatar. Do you smoke? Question
11/11/25 5:32 PM EST
Tina Jones. No, I’ve never smoked a cigarette in my life.
Your Avatar. Do you drink alcohol? Question
11/11/25 5:32 PM EST
Tina Jones. Very rarely.
Your Avatar. Do you eat a lot of fast food? Question
11/11/25 5:32 PM EST
Tina Jones. I probably have fast food a few times a week, usually when I’m on campus. Sometimes I
don’t bring a lunch, and I get so starving I have to get something from one of the places around campus.
Your Avatar. Have you ever had any surgery on your stomach? Question
11/11/25 5:33 PM EST
Tina Jones. No.
Your Avatar. Have you ever had an appendectomy? Question
11/11/25 5:33 PM EST
Tina Jones. Nope.
Your Avatar. Do you have any problems swallowing? Question
11/11/25 5:33 PM EST
Tina Jones. No.
Your Avatar. Have you noticed any distention in your stomach? (No matching questions found.)
Question
11/11/25 5:35 PM EST
Your Avatar. do you have any family history of abdominal issues? Question
11/11/25 5:36 PM EST
Tina Jones. No, no one in the family had problems with that.
Your Avatar. Do you do any illicit drugs? Question
11/11/25 5:36 PM EST
Tina Jones. Yeah, in high school and a little after that I smoked pot sometimes. But I haven’t done
anything like that in a long time.
Your Avatar. When was the last time you smoked pot? Question
11/11/25 5:36 PM EST
Tina Jones. I haven’t smoked pot since I was twenty or twenty-one.
Your Avatar. How old are you now? Question
11/11/25 5:36 PM EST
Tina Jones. I’m 28.
Your Avatar. Does you appendix ever hurt? (Clarified to Have you had problems with your
appendix?.) Question
11/11/25 5:37 PM EST
Tina Jones. No. (Clarified to if I have had any problems with my appendix.)
Your Avatar. Are your stools free formed? Question
11/11/25 5:37 PM EST
Tina Jones. Um, I guess so.
Your Avatar. Do you have any problems eating food? Question
11/11/25 5:38 PM EST
Tina Jones. No, I really try not to worry too much about what I eat.
Your Avatar. Do you have diabetes? Question
11/11/25 5:38 PM EST
Tina Jones. Yeah, I was diagnosed a few years ago.
Tina Jones. Thanks for telling me.
Your Avatar. Do you ever feel bloated? Question
11/11/25 5:39 PM EST
Tina Jones. No, I don’t feel bloated.
Your Avatar. Have you lost your appetite? Question
11/11/25 5:39 PM EST
Tina Jones. I’ve eaten a little less since hurting my foot, but before that I was eating more than
usual.
Your Avatar. HAve you ever had an infection? Question
11/11/25 5:40 PM EST
Tina Jones. I guess my foot wound is the only infection I can remember having.
Your Avatar. Do you have nausea? Question
11/11/25 5:40 PM EST
Tina Jones. No, I haven’t felt nauseous.
Your Avatar. Have you vomited recently? Question
11/11/25 5:40 PM EST
Tina Jones. No, I haven’t thrown up.
Your Avatar. Do you use over the counter medications? Question
11/11/25 5:41 PM EST
Tina Jones. I take Tylenol for a headache sometimes, or Advil for cramps, but not often.
Your Avatar. How many pills do you take at a time? Question
11/11/25 5:41 PM EST
Tina Jones. Well, two per dose, so six every day.
Your Avatar. What is the strength of the tylenol? Question
11/11/25 5:41 PM EST
Tina Jones. I take the extra-strength Tylenol, the gel kind. I think it’s 500 mg. It’s what we usually
have around the house. [AUDIO COMING SOON]
Your Avatar. Do you have difficulty chewing? Question
11/11/25 5:42 PM EST
Tina Jones. Nope.
Your Avatar. Do your gums bleed? Question
11/11/25 5:42 PM EST
Tina Jones. No.
Your Avatar. Do you have indigestion? Question
11/11/25 5:42 PM EST
Tina Jones. No, I have an iron stomach usually.
Your Avatar. Does your rectum itch? Question
11/11/25 5:43 PM EST
Tina Jones. No, thank goodness.
Your Avatar. Have you ever noticed bleeding from your rectum? Question
11/11/25 5:43 PM EST
Tina Jones. No. Yikes.
Your Avatar. Do you have any current abdominal pain? Question
11/11/25 5:43 PM EST
Tina Jones. No, my stomach’s been okay all day.
Your Avatar. Have you eaten or drank anything in the last 24 hours? Question
11/11/25 5:44 PM EST
Tina Jones. Last night around this time, I had some baked chicken and a dinner roll. Today I had . . .
a toast and jam for breakfast, a turkey sandwich for lunch, and beef and broccoli for dinner.
Your Avatar. Do you eat snacks? Question
11/11/25 5:44 PM EST
Tina Jones. I snack sometimes, yeah. I’ve been hungrier than usual lately, especially before all this.
Your Avatar. What are the proportions of food you eat? (Clarified to Are there foods you don’t like?.)
Question
11/11/25 5:44 PM EST
Tina Jones. I like most foods, but I’m not that big into fruit and vegetables. I’ll eat them, but I won’t
really enjoy it. Especially things that are slimy, like cooked peppers. (Clarified to if there are foods I
dislike.)
Your Avatar. What proportions do you eat? (No matching questions found.) Question
11/11/25 5:45 PM EST
Your Avatar. What size proportions do you eat? (Clarified to What size are the alcoholic drinks?.)
Question
11/11/25 5:45 PM EST
Tina Jones. I don’t know the number of ounces, but I usually order a regular-size rum and coke. I
never get a double or anything. (Clarified to what size the alcoholic drinks are.)
Your Avatar. Are you around second hand smoke? Question
11/11/25 5:45 PM EST
Tina Jones. Some of my friends smoke when we go out drinking. But I don’t smoke, and nobody at
home smokes.
Your Avatar. Do you drink energy drinks? Question
11/11/25 5:46 PM EST
Tina Jones. I’ve tried a few, but no. I don’t really like them.
Your Avatar. Do you drink coffee? Question
11/11/25 5:46 PM EST
Tina Jones. No, I never drink it.
Your Avatar. HAve you ever not been able to control your urine or poop? (Clarified to Do you have
trouble controlling urination?.) Question
11/11/25 5:46 PM EST
Tina Jones. Definitely not. (Clarified to if I have trouble controlling when I urinate.)
Your Avatar. Do you have trouble controlling your bowel movements? Question
11/11/25 5:47 PM EST
Tina Jones. I haven’t, like, gone to the bathroom on myself if that’s what you’re asking.
Your Avatar. How is your stress level? Question
11/11/25 5:47 PM EST
Tina Jones. I’m stressed out about being here in the hospital. I don’t like feeling like a burden, or
having to be taken care of. I’m definitely a lot less stressed now that my foot seems to be getting better.
Tina Jones. Thanks.
Your Avatar. Do yo think you are coping well? Question
11/11/25 5:48 PM EST
Tina Jones. Sometimes being stressed can make me kind of scattered, I guess. So I just try to stay
ahead of things and keep organized.
Your Avatar. Do you work with chemical irritants? Question
11/11/25 5:48 PM EST
Tina Jones. No, I like kids and all, but I’m working on my accounting degree.
Your Avatar. HAve you recently traveled anywhere? Question
11/11/25 5:48 PM EST
Tina Jones. No. I’ve been too busy with work and school to take any time off!
Your Avatar. Do you eat raw food? (No matching questions found.) Question
11/11/25 5:49 PM EST
Your Avatar. Do you eat raw products? Question
11/11/25 5:49 PM EST
Tina Jones. Sort of. I try to stay away from sweets and fast food. I’m not much of a salad person, but
I try not to eat, like, pizza and French fries every day.
Your Avatar. Do you take aspirin? Question
11/11/25 5:50 PM EST
Tina Jones. No, I only take Advil when my cramps get bad, and sometimes Tylenol for headaches.
Your Avatar. HAve you noticed any difference with your abdomen? Question
11/11/25 5:50 PM EST
Tina Jones. No, my stomach feels fine.
Your Avatar. HAve you had any liver problems? Question
11/11/25 5:51 PM EST
Tina Jones. No, I’ve never had any problems with my liver.
Your Avatar. Have you had any spleen problems? Question
11/11/25 5:51 PM EST
Tina Jones. Not that I know of.
Your Avatar. Have you had any pancreas problems? Question
11/11/25 5:51 PM EST
Tina Jones. No.
Your Avatar. Have you had any heart problems? Question
11/11/25 5:51 PM EST
Tina Jones. I’ve never had heart problems, thank God. I’ve been lucky.
Your Avatar. Have you had any kidney problems? Question
11/11/25 5:51 PM EST
Tina Jones. No. As far as I know, I’ve never had anything wrong with my kidneys.
Your Avatar. Have you had any problems with your spleen? Question
11/11/25 6:57 PM EST
Tina Jones. Not that I know of.
Your Avatar. have you had any problems with your gallbladder? Question
11/11/25 6:57 PM EST
Tina Jones. No, as far as I know my gallbladder’s never had any problems.
Your Avatar. HAve you had a rash on your stomach? (No matching questions found.) Question
11/11/25 6:57 PM EST
Your Avatar. HAve you had any rashes? Question
11/11/25 6:58 PM EST
Tina Jones. I don’t usually get rashes, and I don’t have one right now.
Your Avatar. how often do you drink water? (Clarified to Do you drink water?.) Question
11/11/25 6:58 PM EST
Tina Jones. Yeah, I’ve had some water today; I’m not feeling thirsty now or anything. (Clarified to if I
drink water.)
Your Avatar. How much water do you drink daily? Question
11/11/25 6:58 PM EST
Tina Jones. I haven’t really been keeping track, but I drink a lot of water lately. I’ve been thirstier
than usual. Oh, and sometimes I’ll drink Diet Coke too . . .
Your Avatar. How much soda do you drink? Question
11/11/25 6:59 PM EST
Tina Jones. I have 3 or 4 diet cokes a day.
Your Avatar. HAve you ever had kidney stones? Question
11/11/25 6:59 PM EST
Tina Jones. No. As far as I know, I’ve never had anything wrong with my kidneys.
Your Avatar. Anyone in your family have liver problems? Question
11/11/25 6:59 PM EST
Tina Jones. No, not that I know of.
Your Avatar. Anyone in you family have appendix problems> (Clarified to Have you had problems
with your appendix?.) Question
11/11/25 7:00 PM EST
Tina Jones. No. (Clarified to if I have had any problems with my appendix.)
Your Avatar. Do you still have your appendix? Question
11/11/25 7:00 PM EST
Tina Jones. Yeah, still got it.
Your Avatar. Anyone in your family smoke? Question
11/11/25 7:01 PM EST
Tina Jones. No, nobody at home smokes.
Your Avatar. Anyone in your family have any alcohol problems? Question
11/11/25 7:01 PM EST
Tina Jones. One person in the family, my dad’s brother, has an alcohol problem, but we never see
him.
Your Avatar. Does anyone in your family have pancreas problems? Question
11/11/25 7:01 PM EST
Tina Jones. My baby sister has asthma, too, but no one else in the family has lung problems, I don’t
think.
Your Avatar. Anyone in your family have any bowel problems? Question
11/11/25 7:02 PM EST
Tina Jones. No.
Your Avatar. Anyone in your family have kidney problems? Question
11/11/25 7:02 PM EST
Tina Jones. No, not that I know of.
Your Avatar. Anyone in your family smoke? Question
11/11/25 7:02 PM EST
Tina Jones. No, nobody at home smokes.
Your Avatar. Anyone in your family have cancer? Question
11/11/25 7:02 PM EST
Tina Jones. Um, Grandpa Jones died of colon cancer.
Tina Jones. Thanks.
Your Avatar. How old was he when he died? (No matching questions found.) Question
11/11/25 7:03 PM EST
Your Avatar. How old was Grandpa Jones when he died? Question
11/11/25 7:03 PM EST
Tina Jones. Let me think. He died when I was really little… I think he was in his mid-sixties. He died
of colon cancer.
Your Avatar. Do you have any colon problems? Question
11/11/25 7:04 PM EST
Tina Jones. Not that I know of, no.
Your Avatar. Do you have any children? Question
11/11/25 7:04 PM EST
Tina Jones. I don’t have any kids.
Your Avatar. When was your last menstrual cycle? Question
11/11/25 7:04 PM EST
Tina Jones. I think it was just about a month ago.
Your Avatar. Are they regular? (No matching questions found.) Question
11/11/25 7:05 PM EST
Your Avatar. Are your periods regular? Question
11/11/25 7:05 PM EST
Tina Jones. It’s not regular. Sometimes it’s every month, but sometimes it’s more like every two
months. I don’t write it down or anything. I probably get…six periods a year.
Your Avatar. Do you have any spotting? Question
11/11/25 7:05 PM EST
Tina Jones. No, no spotting.
Your Avatar. Do you have any cysts? Question
11/11/25 7:05 PM EST
Tina Jones. I don’t think I have problems in that area. I just get really bad periods, that’s all.
Your Avatar. How much do you bleed during your period? Question
11/11/25 7:06 PM EST
Tina Jones. When I get it, it seems pretty heavy for like, four or five days.
Your Avatar. Do you take any blood thinners? Question
11/11/25 7:06 PM EST
Tina Jones. No, I’m not taking anything for my stomach. It’s fine.
Your Avatar. Do you have any lumps in your stomach? (Clarified to Do you have lumps anywhere on
your body?.) Question
11/11/25 7:06 PM EST
Tina Jones. Well, I’m sure you can tell I get zits. But nothing else, no. Some moles, I guess. (Clarified
to if there are lumps on my body.)
Your Avatar. Do you have any throat pain? Question
11/11/25 7:07 PM EST
Tina Jones. No, my throat doesn’t hurt.
Your Avatar. Are you gassy? Question
11/11/25 7:08 PM EST
Tina Jones. No.
Your Avatar. Do you have any food intolerance? Question
11/11/25 7:09 PM EST
Tina Jones. I can eat just about anything.
Your Avatar. DO you have heartburn? Question
11/11/25 7:09 PM EST
Tina Jones. No.
Your Avatar. Do you have gerd? Question
11/11/25 7:09 PM EST
Tina Jones. No, not that I know of.
Your Avatar. Do you ever wake up at night to urinate? (Clarified to Do you have to wake up at night
to urinate?.) Question
11/11/25 7:10 PM EST
Tina Jones. Yeah, I definitely get up more than once during the night. (Clarified to if I have to wake
up to urinate at night.)
Your Avatar. How long age did your urination increase? Question
11/11/25 7:10 PM EST
Tina Jones. I don’t have that problem.
Your Avatar. How long ago did you start to pee more? (Clarified to How long have you noticed
needing to pee more often?.) Question
11/11/25 7:10 PM EST
Tina Jones. I guess it started. . . maybe a few months ago? (Clarified to how long I have been
urinating more frequently.)
Your Avatar. Anything else happen at the same time? (No matching questions found.)Question
11/11/25 7:11 PM EST
Your Avatar. Any blood in your urine? Question
11/11/25 7:11 PM EST
Tina Jones. I don’t think so… My pee hasn’t been red or anything.
Your Avatar. IS your thirst increased? (Clarified to Have you been feeling more thirsty lately?.)
Question
11/11/25 7:11 PM EST
Tina Jones. Yeah, I have been really thirsty lately. (Clarified to if I have been more thirsty lately.)
Your Avatar. What is your typical breakfast? Question
11/11/25 7:12 PM EST
Tina Jones. I usually have either cereal or toast, or if I pick something up on my way to work, I’ll get
a muffin or some pumpkin bread.
Your Avatar. What is your typical lunch? Question
11/11/25 7:13 PM EST
Tina Jones. I usually either make a sandwich and bring it with me, or I get a sandwich somewhere.
And I have chips or pretzels with it. Or *maybe* French fries, but I try not to get them too often.
Your Avatar. What is your typical dinner Question
11/11/25 7:13 PM EST
Tina Jones. Oh, we try to make something easy. We eat a lot of frozen chicken breasts. We do
hamburgers that we make at home every so often. We make sure we have a vegetable, and we eat a lot
of potatoes. And we usually have rolls or something.
Your Avatar. Has your appetite increased? Question
11/11/25 7:13 PM EST
Tina Jones. I’ve definitely been eating a lot more lately.
Your Avatar. When did this start? (No matching questions found.) Question
11/11/25 7:13 PM EST
Your Avatar. When did your appetite increase? Question
11/11/25 7:14 PM EST
Tina Jones. About a month ago, I think.
Your Avatar. What is your typical snack? Question
11/11/25 7:14 PM EST
Tina Jones. Well, if I’m at home, I would have pretzels or chips. Or crackers, whatever we had
around. If I’m on my way to work or campus… sometimes I stop and get a small thing of French fries at
Sonic.
Your Avatar. How often do you drink alcohol? Question
11/11/25 7:14 PM EST
Tina Jones. Very rarely.
Your Avatar. How much alcohol do you drink at a time? Question
11/11/25 7:15 PM EST
Tina Jones. Never any more than 2 or 3.
Your Avatar. How many days a week do you drink? Question
11/11/25 7:15 PM EST
Tina Jones. At most I drink 1 or 2 days on the weekend, but it’s not like I’m drinking every week.
Your Avatar. Any recent weight loss? Question
11/11/25 7:16 PM EST
Tina Jones. Well, I think I’ve lost some weight this month. [AUDIO COMING SOON]
Your Avatar. How much weight did you lose?Question
11/11/25 7:16 PM EST
Tina Jones. I think I lost about ten pounds. [AUDIO COMING SOON]
Your Avatar. Any excessive burping? Question
11/11/25 7:16 PM EST
Tina Jones. No.
Your Avatar. Any ulcers? Question
11/11/25 7:16 PM EST
Tina Jones. I just have this scrape on my foot that still hasn’t healed up.
Your Avatar. Any family history of bowel issues? Question
11/11/25 7:17 PM EST
Tina Jones. No.
Tina Jones. Thanks.
Your Avatar. Is it okay to start the physical examination? (Clarified to May I start your physical exam
now?.) Question
11/11/25 7:17 PM EST
Tina Jones. Sure. (Clarified to if nurse can start my physical exam.)
Your Avatar. Do you have any questions for me? Question
11/11/25 7:29 PM EST
Tina Jones. I can’t think of any questions right now. I’m too tired.
Your Avatar. Get some rest, and let us know if you need anything. (No matching questions found.)
Question
11/11/25 7:30 PM EST
Tina Jones. Thanks.
Your Avatar. I will see you later. (No matching questions found.) Question
11/11/25 7:30 PM EST
Your Avatar. HAve a great day. Question
11/11/25 7:30 PM EST
Tina Jones. Alright, thanks.
Your Avatar. I am finished. (No matching questions found.) Question
11/11/25 7:31 PM EST
Subjective Data Collection: 24 of 24 (100.0%)
Hover To Reveal…
Hover over the Patient Data items below to reveal important information, including Pro Tips and Example
Questions.
• Found:
Indicates an item that you found.
• Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these topics as essential components of a strong, thorough interview with this patient.
Patient Data
Not Scored
A combination of open and closed questions will yield better patient data. The following details are facts of the
patient’s case.
Relevant Medical History
•
Finding:
Asked about current stomach and bowels
•
Finding:
Denies current abdominal issues
(Found)
Pro Tip: Asking Tina whether she is currently experiencing any stomach or bowel difficulties helps you
determine her ability to receive an interview and her need for immediate care.
Example Question:
Do you have any current abdominal issues?
•
Finding:
Asked about typical bowel habits
•
Finding:
Reports a bowel movement every two days
(Available)
Pro Tip: Asking Tina how often she has bowel movements is significant in understanding her gastrointestinal
symptoms, as the bowels can cause or be caused by numerous conditions.
Example Question:
How often do you have a bowel movement?
•
Finding:
Reports last bowel movement was yesterday morning
(Found)
Pro Tip: Asking Tina when her last bowel movement was is significant in understanding her gastrointestinal
symptoms, as a long period of time between bowel movements can indicate an underlying condition and
potential discomfort.
Example Question:
When was your last bowel movement?
•
Finding:
Asked about constipation
•
Finding:
Denies constipation
(Found)
Pro Tip: Asking Tina about any constipation she experiences is significant in understanding her
gastrointestinal symptoms, as constipation can be uncomfortable and point to an underlying condition.
Example Question:
Have you been constipated?
•
Finding:
Denies hard stools
(Available)
Pro Tip: Asking Tina about any hard stools she experiences is significant in understanding her
gastrointestinal symptoms, as hard stools can be uncomfortable and point to an underlying condition.
Example Question:
Have you had hard stools?
•
Finding:
Denies straining during bowel movement
(Found)
Pro Tip: Asking Tina about any straining she experiences during bowel movements is significant in
understanding her gastrointestinal symptoms, as straining can be uncomfortable and point to an underlying
condition.
Example Question:
Do you strain during a bowel movement?
•
Finding:
Asked about diarrhea
•
Finding:
Denies diarrhea
(Found)
Pro Tip: Asking Tina whether she is currently experiencing any diarrhea helps you determine her ability to
receive an interview and her need for immediate care.
Example Question:
Do you have diarrhea?
•
Finding:
Followed up on stool characteristics
•
Finding:
Reports stool is formed
(Found)
Pro Tip: Asking Tina if her stools are formed is significant in understanding her gastrointestinal symptoms
and any potential conditions.
Example Question:
Are your stools formed?
•
Finding:
Reports color is medium-brown
(Available)
Pro Tip: Asking Tina what colors her stools are is significant in understanding her gastrointestinal symptoms
and any potential conditions.
Example Question:
What color are your stools?
•
Finding:
Denies blood in stool
(Found)
Pro Tip: Asking Tina if her stools contain blood is significant in understanding her gastrointestinal symptoms
and any potential conditions.
Example Question:
Do you notice blood in your stool?
•
Finding:
Denies mucus in stool
(Available)
Pro Tip: Asking Tina if her stools contain mucus is significant in understanding her gastrointestinal symptoms
and any potential conditions.
Example Question:
Do you notice mucus in your stool?
•
Finding:
Asked about gassiness
•
Finding:
Denies excessive gassiness
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like gas, details the way her individual symptoms and pain manifest.
Example Question:
Have you been feeling gassy?
•
Finding:
Denies bloating
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like bloating, details the way her individual symptoms and pain manifest.
Example Question:
Have you been experiencing bloating?
•
Finding:
Asked about nausea
•
Finding:
Denies nausea
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like nausea, details the way her individual symptoms and pain manifest.
Example Question:
Have you been having nausea?
•
Finding:
Asked about vomiting
•
Finding:
Denies vomiting
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like vomiting, details the way her individual symptoms and pain manifest.
Example Question:
Have you been vomiting recently?
•
Finding:
Asked about food intolerance
•
Finding:
Denies food intolerance
(Found)
Pro Tip: Certain foods can cause people to become ill depending on their personal physiology. Asking Tina
whether there are foods she can’t tolerate allows you to determine her need for follow-up tests or diet
recommendations.
Example Question:
Are there any foods that make you sick?
•
Finding:
Asked about appetite changes
•
Finding:
Reports recent increase in appetite
(Found)
Pro Tip: Pain can have a substantial effect on diet and appetite. Asking Tina if her appetite has increased
will illustrate the ways in which her symptoms are manifesting.
Example Question:
Has your appetite increased?
•
Finding:
Reports appetite increase started about a month ago
(Found)
Pro Tip: Pain can have a substantial effect on diet and appetite. Asking Tina when her appetite increased
will illustrate the ways in which her symptoms are manifesting.
Example Question:
When did your appetite increase?
•
Finding:
Asked about GERD and heartburn
•
Finding:
Denies heartburn
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like heartburn, details the way her individual symptoms and pain manifest.
Example Question:
Do you have heartburn?
•
Finding:
Denies chest pain
(Available)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like chest pain, details the way her individual symptoms and pain manifest.
Example Question:
Do you ever get chest pain?
•
Finding:
Denies history of GERD
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing,
like GERD, details the way her individual symptoms and pain manifest.
Example Question:
Have you ever had GERD?
•
Finding:
Asked about urinary problems
•
Finding:
Reports increased urination
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she has been urinating more than
usual can help you to determine the cause of Tina’s symptoms.
Example Question:
Have you been urinating more frequently?
•
Finding:
Reports waking up to urinate during the night
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she has to wake up to urinate can
help you to determine the cause of Tina’s symptoms.
Example Question:
Are you waking up in the middle of the night to urinate?
•
Finding:
Denies incontinence
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she is having bladder control
problems can help you to determine the cause of Tina’s symptoms.
Example Question:
Are you having bladder control problems?
•
Finding:
Denies painful or difficult urination
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if urination has been difficult for her can
help you to determine the cause of Tina’s symptoms.
Example Question:
Has urinating been difficult for you?
•
Finding:
Asked frequency and duration of increased urination
•
Finding:
Reports urinating every hour or two during the day
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina how many times she urinates during the
day can help you to determine the cause of Tina’s symptoms.
Example Question:
How many times do you urinate during the day?
•
Finding:
Reports waking up to pee more than once per night
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina how frequently she has to wake up to
urinate can help you to determine the cause of Tina’s symptoms.
Example Question:
How often do you wake up to urinate in the night?
•
Finding:
Reports frequent urination started a few months ago
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Establishing a timeline of Tina’s increase in urinary
frequency can help you to determine the cause of Tina’s symptoms.
Example Question:
When did you start urinating more frequently?
•
Finding:
Asked about character of urine
•
Finding:
Reports urine is light yellow or clear
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina what color her urine is can help you to
determine the cause of Tina’s symptoms.
Example Question:
What color is your urine usually?
•
Finding:
Denies blood in urine
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if her urine ever contains blood can help
you to determine the cause of Tina’s symptoms.
Example Question:
Have you had blood in your urine?
•
Finding:
Denies abnormal odor to urine
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if her urine has a strong odor can help
you to determine the cause of Tina’s symptoms.
Example Question:
Does your urine have an abnormal odor?
•
Finding:
Asked about fluid intake
•
Finding:
Reports increased water intake
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she is drinking more water lately can
help you to determine the cause of Tina’s symptoms.
Example Question:
Are you drinking more water lately?
•
Finding:
Reports increased thirst
(Found)
Pro Tip: Bladder dysfunction can indicate a GI problem. Asking Tina if she has been thirstier lately can help
you to determine the cause of Tina’s symptoms.
Example Question:
Have you been thirstier lately?
•
Finding:
Asked about typical meals
•
Finding:
Reports typical breakfast is cereal, bread, or a muffin
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be
particularly informative. Asking Tina what she typically has for breakfast will illustrate her recent dietary
patterns.
Example Question:
What is your typical breakfast?
•
Finding:
Reports typical lunch is a sandwich and chips
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be
particularly informative. Asking Tina what she typically has for lunch will illustrate her recent dietary patterns.
Example Question:
What is your typical lunch?
•
Finding:
Reports typical dinner is chicken, a vegetable or potatoes, and bread
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be
particularly informative. Asking Tina what she typically has for dinner will illustrate her recent dietary
patterns.
Example Question:
What is your typical dinner?
•
Finding:
Reports typical snack is pretzels, French fries, crackers or chips
(Found)
Pro Tip: Because diet is such a large part of the GI system, asking Tina questions about her diet can be
particularly informative. Asking Tina what she typically has for a snack will illustrate her recent dietary
patterns.
Example Question:
What is a typical snack for you?
Risk Factors
•
Finding:
Asked about tobacco use
•
Finding:
Denies tobacco use
(Found)
Pro Tip: Smoking tobacco can affect a patient’s gastrointestinal health in numerous ways. Asking Tina about
her use of any tobacco will help you contextualize the functioning of her abdominal system.
Example Question:
Do you smoke tobacco?
•
Finding:
Denies vaping
(Available)
Pro Tip: Smoking tobacco can affect a patient’s gastrointestinal health in numerous ways. Asking Tina about
her use of any tobacco will help you contextualize the functioning of her abdominal system.
Example Question:
Do you vape?
•
Finding:
Asked about alcohol intake
•
Finding:
Reports last alcoholic drink was a few weeks ago
(Available)
Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive
medications while admitted, and alcohol is often contraindicated.
Example Question:
When was your last alcoholic drink?
•
Finding:
Reports no more than 2 or 3 alcoholic drinks in one sitting
(Found)
Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover
any binge-drinking habits that can be unhealthy for your patient, including to the abdominal system.
Example Question:
How many alcoholic drinks do you typically have in one sitting?
•
Finding:
Reports no more than 1 or 2 nights a week drinking alcohol
(Found)
Pro Tip: Finding out how many alcoholic drinks a patient has per week is essential to uncover any bingedrinking habits that can be unhealthy for your patient, including to the abdominal system.
Example Question:
How many alcoholic drinks do you typically have in a week?
•
Finding:
Asked about illicit drugs
•
Finding:
Reports history of smoking recreational marijuana
(Found)
Pro Tip: Determining any recent or past history of drug use is essential to revealing any substance abuse
issues, and if the patient is likely to seek drugs while admitted.
Example Question:
Have you ever smoked marijuana?
Review of Systems
•
Finding:
Asked about additional stomach and bowels
•
Finding:
Reports recent weight loss
(Found)
Pro Tip: Foundational questions about general health and wellbeing can help you to determine how your
patient perceives her health. Asking Tina if her weight changed recently can indicate whether Tina has
concerns about changes in weight.
Example Question:
Have you had any recent changes in your weight?
•
Finding:
Denies excessive burping
(Found)
Pro Tip: Increased burping can be a result of heartburn, acid reflux, or indigestion. Asking Tina if she’s been
burping more would indicate that Tina has been swallowing more air recently.
Example Question:
Have you been burping?
•
Finding:
Denies difficulty swallowing
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing
with her pain, like difficulty swallowing, details the way her individual symptoms and pain manifest.
Example Question:
Have you had difficulty swallowing?
•
Finding:
Denies rectal bleeding
(Found)
Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing
with her pain, like rectal bleeding, details the way her individual symptoms and pain manifest.
Example Question:
Have you had rectal bleeding?
•
Finding:
Denies ulcers
(Available)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she ever had any ulcers will allow her to describe any historical concerns or
problems she’s had.
Example Question:
Have you ever had an ulcer?
•
Finding:
Followed up on weight change
•
Finding:
Reports losing about 10 lbs
(Found)
Pro Tip: Weight change can occur for a variety of reasons, some healthier than others, and can impact the
functioning of the gastrointestinal system. Asking Tina about her recent weight loss allows you to determine
its magnitude and whether her health could be affected.
Example Question:
How much weight did you lose?
•
Finding:
Asked about organs of the gastrointestinal system
•
Finding:
Denies history of gall bladder problems
(Found)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she has a history of gall bladder problems will allow her to describe any historical
concerns or problems she’s had.
Example Question:
Do you have a history of gall bladder problems?
•
Finding:
Denies history of pancreas problems
(Found)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she has a history of pancreas problems will allow her to describe any historical
concerns or problems she’s had.
Example Question:
Do you have a history of pancreas problems?
•
Finding:
Denies history of liver problems
(Found)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she has a history of liver problems will allow her to describe any historical
concerns or problems she’s had.
Example Question:
Do you have a history of liver problems?
•
Finding:
Denies history of kidney problems
(Found)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she has a history of kidney problems will allow her to describe any historical
concerns or problems she’s had.
Example Question:
Do you have a history of kidney problems?
•
Finding:
Denies history of bladder problems
(Available)
Pro Tip: Soliciting a relevant medical history from your patient will aid in effectively treating your patient’s
symptoms. Asking Tina if she has a history of bladder problems will allow her to describe any historical
concerns or problems she’s had.
Example Question:
Do you have a history of bladder problems?
Family History
•
Finding:
Asked family history of gastrointestinal issues
•
Finding:
Denies family history of bowel disease
(Found)
Pro Tip: Family histories can suggest genetic predispositions to certain conditions. Asking about any bowel
disease in Tina’s family might reveal a predisposition to gastrointestinal disorders.
Example Question:
Does IBS run in your family?
•
Finding:
Denies family history of liver disease
(Available)
Pro Tip: Family histories can suggest genetic predispositions to certain conditions. Asking if Tina has a
family history of liver cancer might reveal a predisposition to gastrointestinal issues.
Example Question:
Does liver cancer run in your family?
•
Finding:
Asked family history of colon cancer
•
Finding:
Reports paternal grandfather died of colon cancer
Objective Data Collection: 12 of 12 (100%)
• X Correct
• Partially correct
• Incorrect
• Missed
Inspected abdomen
1 of 1 point
Symmetry (1/3 point)
• X Symmetric
• Asymmetric
Contour (1/3 point)
• Flat
• Rounded
• X Protuberant
• Hollowed
Appearance (1/3 point)
• No visible abnormal findings
• Rash
• X Striae
• Bulging around umbilicus
• Distension
• Visible masses (warts, cysts, or tumors)
• Freckles, birthmarks, or moles
• X Excessive hair growth
• Scarring
• Laceration, lesion or wound
• Bruising
• Redness
• Jaundice
• Prominent veins
Auscultated bowel sounds
1 of 1 point
Sounds (1/2 point)
• Absent
• Hypoactive
• X Normoactive
• Hyperactive
Location Of Non Normoactive Bowel Sounds (1/2 point)
• X All quadrants normoactive
• Right upper quadrant
• Right lower quadrant
• Left upper quadrant
• Left lower quadrant
Auscultated abdominal aorta
1 of 1 point
Sound (1/1 point)
• X No bruit
• Bruit
Auscultated abdominal arteries
1 of 1 point
Right: Renal (1/6 point)
• X No bruit
• Bruit
Right: Iliac (1/6 point)
• X No bruit
• Bruit
Right: Femoral (1/6 point)
• X No bruit
• Bruit
Left: Renal (1/6 point)
• X No bruit
• Bruit
Left: Iliac (1/6 point)
• X No bruit
• Bruit
Left: Femoral (1/6 point)
• X No bruit
• Bruit
Percussed abdomen
1 of 1 point
Observations (1/1 point)
• X All areas tympanic
• Some areas dull, some tympanic
• Some areas resonant
Percussed CVA tenderness
1 of 1 point
Patient Reaction (1/1 point)
• X Did not react
• Pain reaction
Percussed for liver span
1 of 1 point
Size (1/1 point)
• Smaller than 6 cm
• X Between 6 and 12 cm
• Greater than 12 cm
Palpated abdomen – light
1 of 1 point
Tenderness (1/3 point)
• X None reported
• Tenderness reported
Location Of Tenderness (1/3 point)
• X No quadrants tender
• Right upper quadrant
• Right lower quadrant
• Left upper quadrant
• Left lower quadrant
Observations (1/3 point)
• X No additional observations
• Masses
• Guarding
• Distension
Palpated abdomen – deep
1 of 1 point
Presence Of Unexpected Mass (1/2 point)
• X No palpable mass
• Palpable mass
Location Of Mass (1/2 point)
• X No palpable mass
• Right upper quadrant
• Right lower quadrant
• Left upper quadrant
• Left lower quadrant
• Around umbilicus
Palpated liver
1 of 1 point
Detection (1/1 point)
• Not palpable
• X Palpable
Palpated spleen
1 of 1 point
Detection (1/1 point)
• X Not palpable
• Palpable
Palpated kidneys
1 of 1 point
Right (1/2 point)
• X Not palpable
• Palpable
Left (1/2 point)
• X Not palpable
• Palpable