NURS 6512 Week 7 i-Human Case Study – Fatigue and
Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University
Advanced Health Assessment
Q001: The patient reports a 4-week dry cough that is worse at night and with exercise.
He also notes generalized fatigue but denies fever, weight loss, or wheezing. Which is
the most appropriate first question to refine the differential?
Options:
A. “Do you have heartburn or acid reflux?”
B. “Have you noticed any specific triggers like cold air or allergens?” - CORRECT
C. “Do you smoke cigars?”
D. “Have you had recent dental work?”
(Correct Answer: B)
Q002: On further history he describes occasional chest tightness when running, two
nights of night sweats, and a lingering cold 6 weeks ago. Which additional ROS item is
critical to ask next?
Options:
A. “Any changes in hair texture?”
B. “Do you experience palpitations during these episodes?”
C. “Have you noticed any leg swelling or calf pain?” - CORRECT
D. “Do you have a history of gallstones?”
(Correct Answer: C)
Q003: He denies smoking, uses no prescription medications, and takes only a daily
multivitamin. He works as a software engineer with no recent travel. Which
environmental exposure should be assessed next?
Options:
A. Home renovation dust - CORRECT
B. Microwave radiation
C. Chlorine from swimming pools
D. Radon in basement
(Correct Answer: A)
, Q004: Vital signs: BP 118/74 mmHg, HR 88 bpm, RR 18, SpO₂ 97% RA, T 37.1 °C. Which
initial focused physical-exam action is most appropriate?
Options:
A. Auscultate heart for S3 gallop
B. Inspect posterior oropharynx for cobblestoning - CORRECT
C. Palpate thyroid for nodules
D. Percuss liver span
(Correct Answer: B)
Q005: Posterior pharynx shows mild erythema but no exudate; no cervical LAD. Lung
fields reveal end-expiratory wheeze at bilateral bases. Which is the most likely initial
differential category?
Options:
A. Acute bacterial pneumonia
B. Post-infectious bronchial hyper-responsiveness - CORRECT
C. Pulmonary embolism
D. Left-sided heart failure
(Correct Answer: B)
Q006: You note a mild expiratory wheeze. Which maneuver best confirms airway
obstruction severity?
Options:
A. Forced expiratory time at bedside - CORRECT
B. Sustained handgrip strength
C. Single-breath counting to 20
D. Whispered pectoriloquy
(Correct Answer: A)
Q007: He can exhale for 4 seconds. Peak-flow meter shows 320 L/min (predicted 480).
Which immediate test is indicated?
Options:
A. Chest CT angiogram
B. Spirometry before and after bronchodilator - CORRECT
C. High-resolution CT chest
D. Echocardiogram
(Correct Answer: B)
Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University
Advanced Health Assessment
Q001: The patient reports a 4-week dry cough that is worse at night and with exercise.
He also notes generalized fatigue but denies fever, weight loss, or wheezing. Which is
the most appropriate first question to refine the differential?
Options:
A. “Do you have heartburn or acid reflux?”
B. “Have you noticed any specific triggers like cold air or allergens?” - CORRECT
C. “Do you smoke cigars?”
D. “Have you had recent dental work?”
(Correct Answer: B)
Q002: On further history he describes occasional chest tightness when running, two
nights of night sweats, and a lingering cold 6 weeks ago. Which additional ROS item is
critical to ask next?
Options:
A. “Any changes in hair texture?”
B. “Do you experience palpitations during these episodes?”
C. “Have you noticed any leg swelling or calf pain?” - CORRECT
D. “Do you have a history of gallstones?”
(Correct Answer: C)
Q003: He denies smoking, uses no prescription medications, and takes only a daily
multivitamin. He works as a software engineer with no recent travel. Which
environmental exposure should be assessed next?
Options:
A. Home renovation dust - CORRECT
B. Microwave radiation
C. Chlorine from swimming pools
D. Radon in basement
(Correct Answer: A)
, Q004: Vital signs: BP 118/74 mmHg, HR 88 bpm, RR 18, SpO₂ 97% RA, T 37.1 °C. Which
initial focused physical-exam action is most appropriate?
Options:
A. Auscultate heart for S3 gallop
B. Inspect posterior oropharynx for cobblestoning - CORRECT
C. Palpate thyroid for nodules
D. Percuss liver span
(Correct Answer: B)
Q005: Posterior pharynx shows mild erythema but no exudate; no cervical LAD. Lung
fields reveal end-expiratory wheeze at bilateral bases. Which is the most likely initial
differential category?
Options:
A. Acute bacterial pneumonia
B. Post-infectious bronchial hyper-responsiveness - CORRECT
C. Pulmonary embolism
D. Left-sided heart failure
(Correct Answer: B)
Q006: You note a mild expiratory wheeze. Which maneuver best confirms airway
obstruction severity?
Options:
A. Forced expiratory time at bedside - CORRECT
B. Sustained handgrip strength
C. Single-breath counting to 20
D. Whispered pectoriloquy
(Correct Answer: A)
Q007: He can exhale for 4 seconds. Peak-flow meter shows 320 L/min (predicted 480).
Which immediate test is indicated?
Options:
A. Chest CT angiogram
B. Spirometry before and after bronchodilator - CORRECT
C. High-resolution CT chest
D. Echocardiogram
(Correct Answer: B)
