Chels assess 2

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

chelsea, here are your results:

Overview Scores shown are based on most recently attempt.

Patient Attempts Completion Time Score

Aiyana Tehanata 3 Complete 28m 10s 42/50 (84%)

CC: Tingling Feet

Camilia Simmons 1 Not yet started 0s 0/50 (0%)

CC: Difficulty Urinating

Evan Wright 1 60% 2m 40s 0/50 (0%)

CC: Leg Pain

Lila Herzog 1 Not yet started 0s 0/50 (0%)

CC: Fatigue

Wesley Blanco 1 Not yet started 0s 0/50 (0%)

CC: Guilt, Anxiety

Jordan Whitman 1 Not yet started 0s 0/50 (0%)

CC: Vaginal Odor

Marco Mancini 1 Not yet started 0s 0/50 (0%)

CC: Can’t Sleep

Luke Stevens 1 Not yet started 0s 0/50 (0%)

CC: Cough

Ivy Jackson 1 Not yet started 0s 0/50 (0%)

CC: Fatigue

Jerome Mason 1 Not yet started 0s 0/50 (0%)

CC: Confusion

Completion

10% Progress

Score

42% 42/100 points

Time Spent

30m 50s Total of most recent encounter attempts

Total of all encounter attempts

42m 59s Total Time Spent

Report generated on June 9, 2026 at 00:28 (UTC).

Feedback Please provide product feedback by clicking the “SURVEY” button to the right of this

prompt. Your feedback is important for enhancing user experience and achievement of

outcomes for future learners.

1

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Patient Overview

Knowledge Check Type Score

Vitals/Health History Multiple Choice 4/4 (100%)

Inquiry Multiple Choice 4/4 (100%)

ROS Multiple Choice 4/4 (100%)

Assessment Multiple Choice 4/4 (100%)

Assessment Open Response 5/5 (100%)

Diagnostics Open Response 4/5 (80%)

Final Diagnosis Open Response 4/5 (80%)

Medication Open Response 4/5 (80%)

Education Open Response 4/5 (80%)

Plan of Care Multiple Choice 0/4 (0%)

Plan of Care Open Response 5/5 (100%)

0 1 2 3 4 5

42/50 points 84% Patient Score

Last attempt 28m 10s Time Spent Total Time Spent

40m 18s 3 total attemptsComplete

100% Completion

Attempt completed at June 9, 2026 at 00:29 (UTC). Report generated on June 9, 2026 at 00:28 (UTC).

Scores shown and rationales provided are based on most recent attempt.

Feedback

Please provide product feedback by clicking the “SURVEY” button to the right of this

prompt. Your feedback is important for enhancing user experience and achievement of

outcomes for future learners.

Previous Attempt(s)

Attempt Start Date Completion Time Spent Total Score

# %

2

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Alignment to Competencies

AACN Essentials The simulation meets the following domains from the AACN Essentials:

KNOWLEDGE FOR NURSING PRACTICE

VIEW DOMAIN 1

PERSON-CENTERED CARE

VIEW DOMAIN 2

PROFESSIONALISM

VIEW DOMAIN 9

Portions of these materials are taken from The Essentials: Core Competencies for Nursing Education. (“The Essentials”), which is

owned by the American Association of Colleges of Nursing (“AACN”). Any licensing of The Essentials by AACN does not constitute

or imply any endorsement of any company and/or any of its products, services, or written work product. Click here to read the

full disclaimer.

NCSBN Clinical Judgment Measurement Model

Each section maps to the NCSBN Clinical Judgment Measurement Model (NCJMM). Competencies are calculated across all completed encounters.

Recognize Cues

Analyze Cues

Prioritize Hypotheses

Generate Solutions

Take Action

Evaluate Outcomes

25% 25% 67% 0% 0% N/A

Mapped to 4 Knowledge

Checks

Mapped to 4 Knowledge

Checks

Mapped to 3 Knowledge

Checks

Mapped to 2 Knowledge

Checks

Mapped to 1 Knowledge

Checks

Mapped to 0 Knowledge

Checks

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chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Alignment to Competencies

NCLEX Client Needs Categories Interventions made in this simulation are mapped to one or more Client Needs Categories. Competencies are calculated across all completed encounters.

A

0%

A. Safe and Effective Care Environment

Management of Care

1 action maps to this subcategory.

N/A

A. Safe and Effective Care Environment

Safety and Infection Control

0 actions map to this subcategory.

D

50%

D. Physiological Integrity

Basic Care and Comfort

4 actions map to this subcategory.

50%

D. Physiological Integrity

Pharmacological and Parenteral Therapies

2 actions map to this subcategory.

50%

D. Physiological Integrity

Reduction of Risk Potential

4 actions map to this subcategory.

33%

D. Physiological Integrity

Physiologic Adaptation

3 actions map to this subcategory.

B 0%

B. Health Promotion and Maintenance

2 actions map to this subcategory.

C N/A

C. Psychosocial Integrity

0 actions map to this subcategory.

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chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Score by Section

Vitals/Health History Multiple Choice

Based on the client’s history, which factor is most important to explore related to tingling feet with a pain level of 5/10?

Score

Correct

Dietary habits and vitamin intake

Dietary habits, including vitamins, are the priority consideration to assess because nutritional deficiencies, particularly in vitamins like B12, can contribute to nerve issues and tingling sensations in the feet. Gathering more details related to the client’s diet is essential to identify potential deficiencies (Mayo Clinic, 2023).

4/4

Inquiry Transcript

What brings you in today? I came in today for a follow-up on my labs and blood-pressure. The nurse called me and said my cholesterol was below 200 but my blood sugar was higher than it should have been. Also, I have been having tingling in my feet.

When did your symptoms start?

I have been having the tingling in my feet for the last two months now. Sometimes the pain is sharp, burning, stinging and it can happen at any time. I would rate the pain about 5/10. Nothing seems to help, and I don’t see anything that makes it worse. It is just in my feet; it does not radiate to my legs.

Do you have any other symptoms such as chest pain or fatigue?

I don’t have any chest pain, but I do get a little lightheaded and dizzy sometimes. I just figure it is from the long hours at work. I used to drink a lot of water, but I would have to take a lot of breaks. Recently I started back again and have one of those big daily water jugs.

What medical history do you have?

I have a history of hypertension and hyperlipidemia. Oh, and I was told I had hyperglycemia but that was only once that I remember.

When was your last menstrual cycle?

I haven’t had a monthly cycle in a while, the past year it has been inconsistent. The last time I had a period was about 6 months ago.

Do you have any surgical history? I have never had surgery.

Do you take any medications both prescribed and over the counter?

I am taking metoprolol 50 mg twice daily, and I also take atorvastatin 80 mg daily.

Do you use any holistic medical practices such as essential oils or acupuncture?

I do use Tung seed to make my hair longer, and it also helps with constipation from time to time.

When was your last wellness exam?

I do come to my appointments regularly. I had my mammogram 10 months ago, along with my pap smear.

5

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Do you have any family history of medical problems?

My mother has a history of alcoholism, cholesterol, and diabetes. My father has a history of hypertension and cholesterol. My brother is an alcoholic. My sister has a history of hypertension. My maternal grandmother has a history of alcoholism and hypertension, and she died at 80 years old. My maternal grandfather had a history of diabetes, and he was on dialysis. He died at the age of 69. My paternal grandmother had a history of osteoporosis and died at 90 years old. My paternal grandfather had diabetes mellitus type 2 and ended up with a left leg amputation before he died at 65 years of age.

Tell me about your daily habits? Sleeping and eating? Do you exercise regularly?

I get about 8 hours of sleep at night. I try to eat healthy, but food is really expensive, so sometimes I have to get canned vegetables. I grow some fresh vegetables in the summer, ones that grow well in containers on our patio. Fast food is one of my favorites, so we eat it at least once a month. I walk on the weekends for 30 minutes with my husband.

Where do you live? Who do you live with?

I live with my husband in an apartment.

What do you do for a living? How do you manage stress?

I work at a retail store as a cashier. The customers can make it so stressful that some days I come home and eat ice cream.

Do you drink alcohol or use any recreational drugs? Do you use cigarettes, cigars, or any kind of smokeless tobacco including chewing tobacco, vapes?

No, I don’t drink. Alcohol has affected too many people in my family. I don’t smoke or use any recreational drugs.

Inquiry Section Subjective Data

Chief Complaint (CC) labs and blood pressure. blood sugar was high

History of Present Illness (HPI)

Past Medical History (PMH)

Past Surgical History (PSH)

Health Practices/Preventative Health

Family Medical History (FMH)

Psychosocial Habits

Medications

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chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Inquiry Multiple Choice

After reviewing Aiyana’s medication regimen of metoprolol, atorvastatin, and Tung seed, which is the priority nursing consideration?

Score

Correct

Potential drug interactions

Given the combination of metoprolol, atorvastatin, and the use of Tung seed, there is a potential for drug interactions that may impact the effectiveness or safety of these medications (Drugs, n.d.; MedlinePlus, n.d.-a).

4/4

ROS Multiple Choice

With Aiyana’s reports of tingling and pain, which assessment should the nurse prioritize? Score

Correct

Pulses and skin temperature

Assessing the rate, strength and regularity of pulses, as well as the skin temperature of the extremities, will identify signs of circulatory problems and helps identify issues related to peripheral vascular circulation (Gul & Janzer, 2023).

4/4

Assessment Text Response

How does prolonged hyperglycemia contribute to the development of peripheral neuropathy in clients with diabetes mellitus? Identify three key aspects.

Learner Response: In research prolonged hyperglycemia contributes to peripheral neuropathy by damaging blood vessels that

supply nerves, reducing oxygen and nutrient delivery. It also causes metabolic changes that injure nerve fibers and increases

oxidative stress and inflammation. Together, these effects impair nerve function, leading to numbness, tingling pain and loss of

sensation.

Learner Reference(s): chat gpt

Feedback: Your response identifies several critical aspects of how prolonged hyperglycemia can lead to peripheral neuropathy,

particularly emphasizing the damage to blood vessels and the resulting consequences for nerve function, which is accurate.

However, while you mention oxidative stress and inflammation, the explanation could benefit from more specificity regarding the

metabolic changes and glycosylation of proteins that also play a significant role. Additionally, while you correctly point out the

impairment of nerve function, the articulation of these effects could be more precise in connecting how these processes specifically

lead to symptoms. To improve, consider elaborating on biochemical processes associated with nerve damage due to hyperglycemia

and using more precise medical terminology to convey your points.

Score: 5/5

7

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Assessment Multiple Choice

The 10-point monofilament examination is commonly used to assess: Score

Correct

Sensory perception and neuropathy

The 10-point monofilament examination involves a monofilament tool to test the client’s ability to perceive pressure, assessing for loss of sensation and neuropathy, particularly in diabetic clients (Richardson et al., 2021).

4/4

Diagnostics Interpretation

Diagnostic Test Interpretation

Diagnostics Text Response

What is the cause of an elevated C-reactive protein and erythrocyte sedimentation rate (ESR)? How does this correlate with client's current clinical symptoms and history?

Learner Response: In this scenario C-Reactive protein and ethryocyte sedimentation rate indicate infammation within the body.

These markers may rise due to infection, autoimmune disorders, tissue injury, or chronic disease. In this client, the elevated levels

correlate with current symptoms by supporting the resence of an active imflammatory process contributing to the clinical findings.

Learner Reference(s): chat gpt

Feedback: Your response accurately identifies that C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) indicate

inflammation within the body. However, it lacks specificity regarding how these elevations relate specifically to Aiyana's established

conditions, such as her hyperglycemia and history of hyperlipidemia. There is a missed opportunity to connect the systemic

inflammation indicated by CRP and ESR to her current symptom of tingling in her feet, potentially reflecting peripheral neuropathy

exacerbated by her hyperglycemia. To improve, consider a more focused analysis of how chronic conditions, particularly those

related to her cardiovascular health and diabetes, directly drive inflammatory responses in this patient. Additionally, ensure that

medical terminology like "inflammatory" is used correctly and consistently.

Score: 4/5

8

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Final Diagnosis

Primary Diagnosis Secondary Diagnosis

Coronary heart disease Diabetes Mellitus type 2 with peripheral neuropathy complication

Final Diagnosis Text Response

Correlate the stenotic turbulence heard at the 4th ICS during the physical exam to the primary diagnosis.

Learner Response: Turbulent sounds heard at the 4th ICS suggest abnormal blood flow through the heart, often related to a cardiac

murmor. This finding correlates with the primary diagnosis by indicating possible structural or valvular heart abnormalities, which

can contribute to impaired circulation, increaseed cardiac workload, and associatedd clinical symptons in the patient

Learner Reference(s): chat gpt

Feedback: Your response recognizes that turbulent sounds at the 4th intercostal space indicate abnormal blood flow, which is

relevant to cardiac pathology. However, it lacks specificity regarding the conditions that typically cause such turbulence, particularly

in the context of Aiyana’s medical history of hypertension, hyperlipidemia, and hyperglycemia. Additionally, you seemed to miss

addressing how these findings might correlate with specific conditions such as aortic stenosis or coronary artery disease, which are

pertinent given Aiyana's demographic and health background. Furthermore, there are several spelling and grammatical errors, such

as "increesed" and "associatedd," which detract from the professionalism of your response. To improve, focus on clearly articulating

how the turbulent sounds can indicate specific structural issues, and ensure precision in terminology and mechanics for clarity and

professionalism.

Score: 4/5

9

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Plan of Care

Medication Text Response

Aiyana Tehanata has been prescribed gabapentin. Describe gabapentin and its indication for neuropathic pain.

Learner Response: gabapentin is an anticonvulsant medication commonly used to treat neuropathic pain. it works by reducing

abnormal nerve signals that cause pain sensations. For ayana, gabapentin is prescribed to help relieve nerve pain symptoms such as

burning, tingling, numbness, and discomfort, improval overall comfort and daily functioning in her lifestlyle and day to day.

Learner Reference(s): chat gpt

Feedback: Your response correctly identifies gabapentin as an anticonvulsant used for neuropathic pain and highlights its role in

reducing abnormal nerve signals. However, it lacks specific detail regarding the medical conditions associated with neuropathic pain,

such as diabetic neuropathy, which is relevant given Aiyana's symptoms of tingling in her feet. Furthermore, while you mention the

improvement in comfort and daily functioning, there is a missed opportunity to explain how gabapentin works in terms of

physiological mechanisms. Additionally, ensure you use proper capitalization and spelling for clarity and professionalism in your

writing. To enhance your response, consider incorporating more comprehensive details on how gabapentin achieves its pain-

relieving effects, and relate those effects more directly to Aiyana's patient history.

Score: 4/5

10

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Patient Education Text Response

Create a comprehensive client education plan including at least 3 topics, rationale, and references.

Learner Response: diseas e process and managemenet- explain the diagnosiss, expected symptoms, treatment plan and importnae

of follow up appts. medication adherance- review medication names, purposes, dosages, timing, side effects, and when to seek

medical attention. lifestyle modification- teach ah eart healthy diet, regular physical exercise, smoke cessation, stress management.

discuss monitoring symptoms and maintianing a healthy weight

Learner Reference(s): chat gpt

Feedback: Your response includes important topics related to client education, such as disease management, medication adherence,

and lifestyle modifications, which are all crucial for Aiyana's condition. However, the details within those topics lack sufficient depth

and specificity. For instance, while you mention the importance of explaining the diagnosis and treatment plan, you do not specify

which conditions need to be addressed or the rationale behind them. In terms of medication adherence, while you list essential

components, a more structured approach to explaining the role of each medication relevant to Aiyana's conditions would enhance

understanding. Furthermore, while you cover lifestyle modifications, more comprehensive guidance on blood sugar monitoring and

dietary specifics (given her history of hyperglycemia) is necessary. To improve, consider integrating a detailed discussion on the

specific benefits of each medication tailored to her hypertension, hyperlipidemia, and possible diabetes management. Also,

emphasizing the need for routine screenings and how they relate to her symptoms and family history will provide more clarity.

Score: 4/5

Plan of Care Knowledge Check

When prioritizing client teaching for the prescribed medications, which instruction should be prioritized to ensure the client’s safety and adherence to the medication regimen?

Score

Incorrect

Adherence to the prescribed metoprolol dosage

While adherence is important, educating the client about this new medication, specifically the immediate benefit of routine ASA is the priority in this situation (Aremu et al., 2022; Arif & Aggarwal, 2023).

0/4

Missed: Importance of taking ASA 81 mg daily

ASA is prescribed for its antiplatelet effects, and understanding its role in cardiovascular protection is crucial for the client’s safety and adherence (Aremu et al., 2022; Arif & Aggarwal, 2023).

--

11

chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Final Plan of Care Text Response

Explain the importance of a baseline ophthalmology examination given the client’s new diagnosis of type 2 diabetes mellitus.

Learner Response: a baseline opthamology eam is important for clients diagnosed with type 2 diabetes because it helps to detect

any signs of early diabetic retinopathy and other eye complications before symptoms develop. early identification and treatment

can prevent vision loss, establish a comparison for future assessments, and support long-term eye health management.

Learner Reference(s): chat gpt

Feedback: Your response effectively highlights the importance of a baseline ophthalmology examination for clients diagnosed with

type 2 diabetes. You accurately note that it aids in the early detection of diabetic retinopathy and other complications, which is

crucial for preventing vision loss. Additionally, you mention the significance of establishing a comparison for future assessments and

supporting long-term eye health management, which demonstrates good reasoning depth. However, to further enhance your

response, consider detailing the mechanism by which diabetes affects the retina, including how elevated blood sugar levels lead to

vascular damage. Also, aim to refine your terminology by correcting the spelling of "ophthalmology" and ensuring precise medical

language throughout your writing, such as referring to "T2DM" instead of "type 2 diabetes." This will bolster the professionalism of

your response and align with clinical standards.

Score: 5/5

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chelsea flocco

AutoGen_7838b67a-dc44-4924- [email protected]

Capella University

Readiness Essentials: Aiyana Tehanata

Patient Summary

Final Score 42/50 (84%)

Outcomes

The nurse spoke with Aiyana on the phone to follow-up with her. She has seen podiatry and the ophthalmologist and is pending her referral to cardiology. She reports some improvement with the tingling in her feet since starting the medication. She reports that her fingerstick glucose have been in the 130s and 140s. She admits that she is monitoring her blood pressure and taking all of her medications. She has begun daily 30-minute walks with her husband.

Resources

Click here to view all references and resources used in this simulation.

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