i-Human Case Study (Week 7) – 28-Year-Old Male: Cough and
Fatigue 2026 | Complete SOAP Note, Differential Diagnoses,
and Plan of Care | NURS 6512 Advanced Health Assessment |
Clinical Simulation Questions
Q001: You are beginning your patient interview. What is the most appropriate opening
question to ask this 28-year-old male who presents with a chief complaint of cough and
fatigue?
Options:
A. "What brings you in today?"
B. "Tell me about your cough and when it started" - CORRECT
C. "Do you have a history of asthma?"
D. "Have you been tested for COVID-19?"
(Correct Answer: B)
Q002: The patient states his cough started 10 days ago. What is the most important
follow-up question to characterize his cough?
Options:
A. "Is your cough dry or productive?" - CORRECT
B. "Do you smoke cigarettes?"
C. "Have you had your flu shot this year?"
D. "Does anyone at work have similar symptoms?"
(Correct Answer: A)
Q003: Patient reports a productive cough with yellow sputum. What additional HPI
element is most critical to determine severity and potential diagnosis?
Options:
A. "What is your occupation?"
B. "How many times per day do you cough?"
C. "Have you had any fever, and what was the highest temperature?" - CORRECT
D. "Do you have seasonal allergies?"
, (Correct Answer: C)
Q004: Patient reports maximum temperature of 101.3°F. What associated symptom
question is most relevant for respiratory differential diagnosis?
Options:
A. "Do you have heartburn or acid reflux?"
B. "Have you experienced any shortness of breath or chest pain?" - CORRECT
C. "Do you have frequent headaches?"
D. "Have you noticed any changes in appetite?"
(Correct Answer: B)
Q005: Patient denies chest pain but reports mild dyspnea on exertion. What ROS
question is essential for infectious disease screening?
Options:
A. "Have you had any recent weight loss?"
B. "Have you had any night sweats or chills?" - CORRECT
C. "Do you have difficulty swallowing?"
D. "Have you noticed any skin rashes?"
(Correct Answer: B)
Q006: Patient reports mild chills but no night sweats. What social history question is
most important given his respiratory symptoms and fever?
Options:
A. "How many alcoholic drinks do you consume per week?"
B. "Have you traveled outside the country in the past 6 months?"
C. "Have you had any known exposure to someone with TB or COVID-19?" -
CORRECT
D. "Do you use recreational drugs?"
(Correct Answer: C)
Q007: Patient reports his partner had COVID-19 2 weeks ago but he never tested
himself. What is the most appropriate timeline question?
Options:
A. "When did your partner test positive and when were you last in contact?" -
CORRECT
Fatigue 2026 | Complete SOAP Note, Differential Diagnoses,
and Plan of Care | NURS 6512 Advanced Health Assessment |
Clinical Simulation Questions
Q001: You are beginning your patient interview. What is the most appropriate opening
question to ask this 28-year-old male who presents with a chief complaint of cough and
fatigue?
Options:
A. "What brings you in today?"
B. "Tell me about your cough and when it started" - CORRECT
C. "Do you have a history of asthma?"
D. "Have you been tested for COVID-19?"
(Correct Answer: B)
Q002: The patient states his cough started 10 days ago. What is the most important
follow-up question to characterize his cough?
Options:
A. "Is your cough dry or productive?" - CORRECT
B. "Do you smoke cigarettes?"
C. "Have you had your flu shot this year?"
D. "Does anyone at work have similar symptoms?"
(Correct Answer: A)
Q003: Patient reports a productive cough with yellow sputum. What additional HPI
element is most critical to determine severity and potential diagnosis?
Options:
A. "What is your occupation?"
B. "How many times per day do you cough?"
C. "Have you had any fever, and what was the highest temperature?" - CORRECT
D. "Do you have seasonal allergies?"
, (Correct Answer: C)
Q004: Patient reports maximum temperature of 101.3°F. What associated symptom
question is most relevant for respiratory differential diagnosis?
Options:
A. "Do you have heartburn or acid reflux?"
B. "Have you experienced any shortness of breath or chest pain?" - CORRECT
C. "Do you have frequent headaches?"
D. "Have you noticed any changes in appetite?"
(Correct Answer: B)
Q005: Patient denies chest pain but reports mild dyspnea on exertion. What ROS
question is essential for infectious disease screening?
Options:
A. "Have you had any recent weight loss?"
B. "Have you had any night sweats or chills?" - CORRECT
C. "Do you have difficulty swallowing?"
D. "Have you noticed any skin rashes?"
(Correct Answer: B)
Q006: Patient reports mild chills but no night sweats. What social history question is
most important given his respiratory symptoms and fever?
Options:
A. "How many alcoholic drinks do you consume per week?"
B. "Have you traveled outside the country in the past 6 months?"
C. "Have you had any known exposure to someone with TB or COVID-19?" -
CORRECT
D. "Do you use recreational drugs?"
(Correct Answer: C)
Q007: Patient reports his partner had COVID-19 2 weeks ago but he never tested
himself. What is the most appropriate timeline question?
Options:
A. "When did your partner test positive and when were you last in contact?" -
CORRECT
