NURS 6512 Advanced Health Assessment | Clinical
Simulation Questions i-Human (Week 7) – 28-Year-Old
Male: Cough and Fatigue 2026 | Complete SOAP Note,
Differential Diagnoses, and Plan of Care |
Q001: While obtaining the chief complaint, the patient states, “I’ve had a cough for 3
weeks and feel really tired.” Which focused follow-up question best clarifies the
chronicity and potential infectious etiology?
Options:
A. “Do you have chest pain when you breathe?”
B. “Have you had any recent travel or sick contacts?”
C. “Does your cough wake you at night?”
D. “Have you noticed blood in your urine?”
(Correct Answer: B)
Q002: Review of systems reveals nightly fevers, drenching sweats, and 5-lb weight loss
over 2 weeks. Which ROS category should be expanded immediately?
Options:
A. Genitourinary
B. Gastrointestinal
C. Constitutional
D. Musculoskeletal
(Correct Answer: C)
Q003: The patient admits to a 15-pack-year smoking history. Which additional history is
most critical to elicit?
Options:
A. Exercise tolerance
B. Second-hand smoke exposure
C. Occupational exposures (silica, asbestos)
D. Alcohol intake
(Correct Answer: C)
, Q004: Patient reports a persistent dry cough worsening at night and with exercise. He
also notes wheezing. Which past medical history question best differentiates asthma
from other causes?
Options:
A. “Any history of eczema or seasonal allergies?”
B. “Any prior chest surgeries?”
C. “Any childhood seizures?”
D. “Any previous broken bones?”
(Correct Answer: A)
Q005: Social history reveals he works as a bartender in a busy downtown venue. Which
exposure history is most relevant?
Options:
A. Raw milk ingestion
B. E-cigarette aerosols and second-hand smoke
C. Outdoor pollen counts
D. Pet bird ownership
(Correct Answer: B)
Q006: Patient mentions intermittent heartburn and a sour taste in his mouth. Which
associated symptom best supports GERD-related cough?
Options:
A. Hoarseness worse in the morning
B. Hemoptysis
C. Pleuritic chest pain
D. Syncope
(Correct Answer: A)
Q007: He denies hemoptysis but admits to clear sputum production. Which descriptor
best characterizes bronchitic sputum?
Options:
A. Rust-colored
B. Frothy pink
C. Mucoid, scant, clear
D. Green, foul-smelling
(Correct Answer: C)
Simulation Questions i-Human (Week 7) – 28-Year-Old
Male: Cough and Fatigue 2026 | Complete SOAP Note,
Differential Diagnoses, and Plan of Care |
Q001: While obtaining the chief complaint, the patient states, “I’ve had a cough for 3
weeks and feel really tired.” Which focused follow-up question best clarifies the
chronicity and potential infectious etiology?
Options:
A. “Do you have chest pain when you breathe?”
B. “Have you had any recent travel or sick contacts?”
C. “Does your cough wake you at night?”
D. “Have you noticed blood in your urine?”
(Correct Answer: B)
Q002: Review of systems reveals nightly fevers, drenching sweats, and 5-lb weight loss
over 2 weeks. Which ROS category should be expanded immediately?
Options:
A. Genitourinary
B. Gastrointestinal
C. Constitutional
D. Musculoskeletal
(Correct Answer: C)
Q003: The patient admits to a 15-pack-year smoking history. Which additional history is
most critical to elicit?
Options:
A. Exercise tolerance
B. Second-hand smoke exposure
C. Occupational exposures (silica, asbestos)
D. Alcohol intake
(Correct Answer: C)
, Q004: Patient reports a persistent dry cough worsening at night and with exercise. He
also notes wheezing. Which past medical history question best differentiates asthma
from other causes?
Options:
A. “Any history of eczema or seasonal allergies?”
B. “Any prior chest surgeries?”
C. “Any childhood seizures?”
D. “Any previous broken bones?”
(Correct Answer: A)
Q005: Social history reveals he works as a bartender in a busy downtown venue. Which
exposure history is most relevant?
Options:
A. Raw milk ingestion
B. E-cigarette aerosols and second-hand smoke
C. Outdoor pollen counts
D. Pet bird ownership
(Correct Answer: B)
Q006: Patient mentions intermittent heartburn and a sour taste in his mouth. Which
associated symptom best supports GERD-related cough?
Options:
A. Hoarseness worse in the morning
B. Hemoptysis
C. Pleuritic chest pain
D. Syncope
(Correct Answer: A)
Q007: He denies hemoptysis but admits to clear sputum production. Which descriptor
best characterizes bronchitic sputum?
Options:
A. Rust-colored
B. Frothy pink
C. Mucoid, scant, clear
D. Green, foul-smelling
(Correct Answer: C)
