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: Subjective – History of Present Illness: The 28-year-old male reports a 10-day
productive cough with yellow sputum and progressive fatigue. Which additional HPI
element is most critical to obtain first?
Options:
A. Family history of lung cancer
B. Occupational exposure history
C. Associated fever, chills, or night sweats
D. Childhood asthma history
(Correct Answer: C)
Q002: Subjective – Associated Symptoms: Patient denies wheezing but notes
occasional chest tightness after coughing. Which symptom cluster should be explored
next?
Options:
A. Hemoptysis frequency
B. Gastrointestinal reflux symptoms
C. Urinary frequency
D. Joint pain
(Correct Answer: B)
Q003: Subjective – COVID-19 Screening: Patient reports attending a crowded indoor
concert 12 days ago. Which question best screens for 2026 COVID-19 exposure?
Options:
A. Have you received the 2026-27 influenza vaccine?
B. Did you wear a mask at the concert, and have you had close contact with anyone
testing positive for COVID-19 in the past 14 days?
C. Do you have a history of seasonal allergies?
, D. Have you traveled internationally this year?
(Correct Answer: B)
Q004: Subjective – Medications: Patient takes no daily meds but used OTC
dextromethorphan for 5 days without relief. Which medication history is most relevant?
Options:
A. Antibiotic use in the past 3 months
B. Childhood vaccine records
C. Daily multivitamin brand
D. Herbal supplement dosages
(Correct Answer: A)
Q005: Subjective – Social Determinants: Patient works as a barista and vapes daily.
Which social history element is priority for 2026 respiratory evaluation?
Options:
A. Number of sexual partners
B. Average daily caffeine intake
C. Hours per day exposed to second-hand smoke or vaping in the workplace
D. Weekly exercise frequency
(Correct Answer: C)
Q006: Subjective – Allergies: Patient reports seasonal allergy to tree pollen. Which
allergy detail most impacts differential for cough?
Options:
A. Type of antihistamine used
B. Timing of symptom onset relative to pollen season
C. Family history of eczema
D. Food allergy testing results
(Correct Answer: B)
Q007: Subjective – Travel/TB Risk: Patient traveled to Denver 2 months ago and stayed
in an Airbnb. Which TB screening question is appropriate for 2026?
Options:
and Fatigue 2026 | Complete SOAP Note, Differential
Diagnoses, and Plan of Care | NURS 6512 Advanced
Health Assessment | Clinical Simulation Questions
Q001: Subjective – History of Present Illness: The 28-year-old male reports a 10-day
productive cough with yellow sputum and progressive fatigue. Which additional HPI
element is most critical to obtain first?
Options:
A. Family history of lung cancer
B. Occupational exposure history
C. Associated fever, chills, or night sweats
D. Childhood asthma history
(Correct Answer: C)
Q002: Subjective – Associated Symptoms: Patient denies wheezing but notes
occasional chest tightness after coughing. Which symptom cluster should be explored
next?
Options:
A. Hemoptysis frequency
B. Gastrointestinal reflux symptoms
C. Urinary frequency
D. Joint pain
(Correct Answer: B)
Q003: Subjective – COVID-19 Screening: Patient reports attending a crowded indoor
concert 12 days ago. Which question best screens for 2026 COVID-19 exposure?
Options:
A. Have you received the 2026-27 influenza vaccine?
B. Did you wear a mask at the concert, and have you had close contact with anyone
testing positive for COVID-19 in the past 14 days?
C. Do you have a history of seasonal allergies?
, D. Have you traveled internationally this year?
(Correct Answer: B)
Q004: Subjective – Medications: Patient takes no daily meds but used OTC
dextromethorphan for 5 days without relief. Which medication history is most relevant?
Options:
A. Antibiotic use in the past 3 months
B. Childhood vaccine records
C. Daily multivitamin brand
D. Herbal supplement dosages
(Correct Answer: A)
Q005: Subjective – Social Determinants: Patient works as a barista and vapes daily.
Which social history element is priority for 2026 respiratory evaluation?
Options:
A. Number of sexual partners
B. Average daily caffeine intake
C. Hours per day exposed to second-hand smoke or vaping in the workplace
D. Weekly exercise frequency
(Correct Answer: C)
Q006: Subjective – Allergies: Patient reports seasonal allergy to tree pollen. Which
allergy detail most impacts differential for cough?
Options:
A. Type of antihistamine used
B. Timing of symptom onset relative to pollen season
C. Family history of eczema
D. Food allergy testing results
(Correct Answer: B)
Q007: Subjective – Travel/TB Risk: Patient traveled to Denver 2 months ago and stayed
in an Airbnb. Which TB screening question is appropriate for 2026?
Options:
