NURS 6512 Week 7 i-Human Case Study – Fatigue and
Cough (28-Year-Old Male) 2026 | Complete Assessment
& Diagnosis | Walden University Advanced Health
Assessment | Latest version
Q001: While obtaining the history of present illness, the patient reports that his fatigue
and dry cough began 7 weeks ago after returning from a camping trip in the Southwest
US. He denies fever, hemoptysis, or chest pain. Which additional single question best
narrows the differential at this point?
Options:
A. "Do you have heartburn or acid reflux?"
B. "Did you notice a rash or joint pain after the trip?"
C. "Were you exposed to bird or bat droppings while camping?" - CORRECT
D. "Have you had similar symptoms every spring?"
(Correct Answer: C)
Q002: The patient describes the cough as non-productive and worse at night. He rates
fatigue 7/10 and reports needing two extra hours of sleep daily. Which ROS item should
be prioritized next?
Options:
A. Unintentional weight loss - CORRECT
B. Double vision
C. Urinary frequency
D. Night sweats
(Correct Answer: A)
Q003: Past medical history is unremarkable; no prior surgeries. He takes no daily
medications and has no known drug allergies. Which screening question best assesses
occupational or environmental risk?
Options:
A. "Do you work in a coal mine or with asbestos?"
B. "Are you exposed to metal dust or chemical fumes at work?" - CORRECT
C. "Have you ever smoked cigarettes?"
D. "Do you use scented candles at home?"
, (Correct Answer: B)
Q004: Social history reveals he is a non-smoker, drinks 2–3 beers on weekends, and
lives with two cats. He works as a bicycle mechanic in an open-air shop. Which social
history element now requires clarification given his camping exposure?
Options:
A. Use of marijuana
B. Type of beer consumed
C. Duration and location of camping stay - CORRECT
D. Brand of bicycle lubricant
(Correct Answer: C)
Q005: Family history is significant only for seasonal allergies in his mother. Which
hereditary disorder should still be briefly screened given chronic cough?
Options:
A. Cystic fibrosis - CORRECT
B. Alpha-1 antitrypsin deficiency
C. Familial Mediterranean fever
D. Hereditary hemorrhagic telangiectasia
(Correct Answer: A)
Q006: Review of systems is otherwise negative except for mild intermittent rhinorrhea.
Vital signs: Temp 36.8 °C, HR 88, BP 118/76, RR 16, SpO₂ 96% RA. Which initial focused
physical exam region is most appropriate?
Options:
A. Cardiac auscultation
B. Pulmonary auscultation - CORRECT
C. Abdominal palpation
D. Thyroid palpation
(Correct Answer: B)
Q007: On pulmonary exam, breath sounds are clear bilaterally; no wheezes, crackles, or
rhonchi. Which next exam maneuver best assesses for subtle airways disease?
Options:
A. Forced expiratory time test - CORRECT
B. Whispered pectoriloquy
C. Tactile fremitus
D. Egophony
Cough (28-Year-Old Male) 2026 | Complete Assessment
& Diagnosis | Walden University Advanced Health
Assessment | Latest version
Q001: While obtaining the history of present illness, the patient reports that his fatigue
and dry cough began 7 weeks ago after returning from a camping trip in the Southwest
US. He denies fever, hemoptysis, or chest pain. Which additional single question best
narrows the differential at this point?
Options:
A. "Do you have heartburn or acid reflux?"
B. "Did you notice a rash or joint pain after the trip?"
C. "Were you exposed to bird or bat droppings while camping?" - CORRECT
D. "Have you had similar symptoms every spring?"
(Correct Answer: C)
Q002: The patient describes the cough as non-productive and worse at night. He rates
fatigue 7/10 and reports needing two extra hours of sleep daily. Which ROS item should
be prioritized next?
Options:
A. Unintentional weight loss - CORRECT
B. Double vision
C. Urinary frequency
D. Night sweats
(Correct Answer: A)
Q003: Past medical history is unremarkable; no prior surgeries. He takes no daily
medications and has no known drug allergies. Which screening question best assesses
occupational or environmental risk?
Options:
A. "Do you work in a coal mine or with asbestos?"
B. "Are you exposed to metal dust or chemical fumes at work?" - CORRECT
C. "Have you ever smoked cigarettes?"
D. "Do you use scented candles at home?"
, (Correct Answer: B)
Q004: Social history reveals he is a non-smoker, drinks 2–3 beers on weekends, and
lives with two cats. He works as a bicycle mechanic in an open-air shop. Which social
history element now requires clarification given his camping exposure?
Options:
A. Use of marijuana
B. Type of beer consumed
C. Duration and location of camping stay - CORRECT
D. Brand of bicycle lubricant
(Correct Answer: C)
Q005: Family history is significant only for seasonal allergies in his mother. Which
hereditary disorder should still be briefly screened given chronic cough?
Options:
A. Cystic fibrosis - CORRECT
B. Alpha-1 antitrypsin deficiency
C. Familial Mediterranean fever
D. Hereditary hemorrhagic telangiectasia
(Correct Answer: A)
Q006: Review of systems is otherwise negative except for mild intermittent rhinorrhea.
Vital signs: Temp 36.8 °C, HR 88, BP 118/76, RR 16, SpO₂ 96% RA. Which initial focused
physical exam region is most appropriate?
Options:
A. Cardiac auscultation
B. Pulmonary auscultation - CORRECT
C. Abdominal palpation
D. Thyroid palpation
(Correct Answer: B)
Q007: On pulmonary exam, breath sounds are clear bilaterally; no wheezes, crackles, or
rhonchi. Which next exam maneuver best assesses for subtle airways disease?
Options:
A. Forced expiratory time test - CORRECT
B. Whispered pectoriloquy
C. Tactile fremitus
D. Egophony
