California State University - San Marcos
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Case|Elaborated/Answered| NURS 310 - Nursing Assessment for the RN -VSIM RED YODER part 1 Guided Reflection 
 
Guided Reflection Questions 
Opening Questions 
How did the simulated experience of Red Yoder’s case make you feel? 
The home assessment was a new simulation for me. In this scenario the regular head to toe assessment 
wasn’t necessary, but it never hurts to get a full picture of the patient. This simulation provided 
extensive practice with asking questions and gaining a health pic...
Case |Elaborated| NURS 310 - Nursing Assessment for the RN -VSim Edith Jacobson - Neurological Cognitive System Assessment 
 
1. Document your findings related to the focused assessment regarding Mrs. Jacobson’s 
neurologic status. Include her responses to your assessment. 
• When I checked her pupils, they were round and reactive to light. 
• During her mini-cog assessment, she did great. She was able to repeat the words I told 
her to remember and drew the correct time on the clock. 
•...
Case |Elaborated| NURS 310 - Nursing Assessment for the RN -VSD-Mandy Gray-Paediatric 
 
History of Present Problem: 
Mandy Gray is a two-month-old infant born with a large ventricular septal defect (VSD) that was diagnosed by 
her pediatrician during her two-week infant check-up. The parents called her pediatric cardiology clinic 
because Mandy was breathing faster and showed signs of increased work of breathing. Her mother states that 
she is having difficulty nursing because she tires easily ...
Case |Elaborated/Answered| NURS 310 - Nursing Assessment for the RN -vSIM-Stan Checketts. 
 
Surgical Case 2: Stan Checketts 
Documentation Assignments 
1. Describe your focused assessment of Stan Checketts’ abdomen. 
• Focused assessment regarding Mr. Checketts was to inspect, auscultate, palpate and 
percuss the abdomen to gather information regarding the client’s initial complaint. 
• Assessment presented decreased turgor, skin cold and clammy, hyperactive bowel 
sounds, tender upon p...
Case|Elaborated/Answered| NURS 310 - Nursing Assessment for the RN - Vsims Carl Shapiro Vanessa Forrest 
 
Angina is usually caused by atherosclerotic disease. Almost invariably, angina is associated with a significant obstruction of at least one major coronary artery. Normally, the myocardium extracts a large amount of oxygen from the coronary circulation to meet its continuous demands. When demand increases, flow through the coronary arteries needs to be increased. When there is a blockage in ...
Case |Elaborated| NURS 310 - Nursing Assessment for the RN -vSIM Skyler Hansen Diabetes 
 
Medical Case 5: Skyler Hansen 
Guided Reflection Questions 
1. How did the scenario make you feel? I did feel more prepared for this scenario. I felt I 
knew a lot about diabetes versus other diseases that we have had scenarios over previously. Before the scenario started, I was able to think about what I would need to do. My original 
thought was I need to assess him then take his glucose level. I decided...
Case |Elaborated| NURS 310 - Nursing Assessment for the RN -vSIM Skyler Hansen Diabetes 
 
Medical Case 5: Skyler Hansen 
Guided Reflection Questions 
1. How did the scenario make you feel? I did feel more prepared for this scenario. I felt I 
knew a lot about diabetes versus other diseases that we have had scenarios over previously. Before the scenario started, I was able to think about what I would need to do. My original 
thought was I need to assess him then take his glucose level. I decided...
Case |Elaborated| NURS 310 - Nursing Assessment for the RN -VSim Edith Jacobson - Neurological Cognitive System Assessment 
 
1. Document your findings related to the focused assessment regarding Mrs. Jacobson’s 
neurologic status. Include her responses to your assessment. 
• When I checked her pupils, they were round and reactive to light. 
• During her mini-cog assessment, she did great. She was able to repeat the words I told 
her to remember and drew the correct time on the clock. 
•...
Exam |Elaborated/Answered| NURS 310 - Nursing Assessment for the RN --VSim Doris Bowman 
 
How did the scenario make you feel? 
I really enjoyed the scenario with patient Doris Bowman. Doris is a 39-year old 
female who underwent a total abdominal hysterectomy with bilateral salpingooopherectomy. This is the removal of the cervix, ovaries, uterus, and fallopian tubes. 
She tolerated the procedure well. Doris has an abdominal incision covered with a 4x4 
gauze dressing and there is no drainage. I...
Exam |Elaborated/Answered| NURS 310 - Nursing Assessment for the RN --VSim Doris Bowman 
 
How did the scenario make you feel? 
I really enjoyed the scenario with patient Doris Bowman. Doris is a 39-year old 
female who underwent a total abdominal hysterectomy with bilateral salpingooopherectomy. This is the removal of the cervix, ovaries, uterus, and fallopian tubes. 
She tolerated the procedure well. Doris has an abdominal incision covered with a 4x4 
gauze dressing and there is no drainage. I...