Unfolding case studies
One client, six items, and no way back
A case study puts an electronic health record on the left and the question on the right. As you move through the six items, the chart changes: a new set of vitals appears, a lab result returns, an order is added. Each item measures the next step of the clinical judgment model, and you cannot revisit an earlier answer.
- Item 1
Recognize Cues
Filtering relevant, expected and abnormal findings out of the chart. The exam deliberately buries signal in noise.
- Item 2
Analyze Cues
Linking findings to the client's presentation and deciding which cues support or refute a hypothesis.
- Item 3
Prioritize Hypotheses
Ranking possible explanations by urgency and risk. ABC, Maslow and safety frameworks live here.
- Item 4
Generate Solutions
Identifying expected outcomes and the range of interventions that would achieve them.
- Item 5
Take Action
Implementing the highest-priority intervention, including how and in what sequence.
- Item 6
Evaluate Outcomes
Comparing observed results to expected results and deciding whether to continue, modify or escalate.
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Medical inpatient unit, 0740 handover
Sepsis on a medical unit
A 74-year-old admitted for a urinary tract infection becomes confused and tachycardic on day two. Six items from first cue to reassessment.
NCLEX-RNREx-PNCPNRE6 itemsStart the case →
Postpartum unit, 2 hours after a vaginal birth
Postpartum haemorrhage
Two hours after a prolonged second stage and an oxytocin-augmented labour, a client saturates a perineal pad in fifteen minutes. Six items from cue to reassessment.
NCLEX-RNREx-PNCPNRE6 itemsStart the case →
In production
Every case is written against a real clinical presentation, reviewed by a practising registered nurse, and checked so that the chart contains genuine distractor data rather than only the findings that matter. That review step is slow, and it is the reason we publish cases in batches rather than generating them.