NURS 6512 Week 7 i-Human Case Study Actual exam –
Fatigue and Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University Advanced
Health Assessment Guide
Q001: While obtaining the history of present illness, the patient reports a 4-week dry
cough that is worse at night and associated with increasing fatigue. He denies fever,
chest pain, or hemoptysis. Which single question best clarifies the initial differential for
chronic cough?
Options:
A. "Do you have heartburn or sour taste in your mouth?"
B. "Have you noticed wheezing or chest tightness?"
C. "Have you recently started any new medications such as an ACE inhibitor?" -
CORRECT
D. "Do you cough up yellow or green sputum?"
(Correct Answer: C)
Q002: On review of systems the patient mentions occasional nasal congestion and
post-nasal drip. He also notes a personal history of seasonal allergies. Which additional
ROS finding would most strongly support upper-airway cough syndrome?
Options:
A. Hoarseness
B. Posterior pharyngeal tickling sensation that improves after morning expectoration -
CORRECT
C. Chest tightness with exertion
D. Night sweats
(Correct Answer: B)
Q003: Social history reveals the patient works as a bartender in a downtown nightclub,
lives in an older apartment, and keeps a pet parakeet. Which environmental exposure
identified here is most associated with chronic cough?
Options:
A. Second-hand smoke in the bar
B. Possible mold in older apartment - CORRECT
, C. Bird antigen exposure
D. Late-night shift work
(Correct Answer: B)
Q004: Past medical history shows childhood asthma that resolved in adolescence. He
uses no inhalers and takes no daily meds. Which historical feature best re-opens
asthma as a leading differential?
Options:
A. Family history of COPD
B. Cough-variant asthma history with nocturnal predominance - CORRECT
C. History of pneumonia at age 6
D. Occasional social cannabis use
(Correct Answer: B)
Q005: Vital signs: BP 118/74, HR 78, RR 16, O₂ sat 97 % RA, T 37 °C. Which vitals finding
best argues against an acute infectious etiology?
Options:
A. Normal oxygen saturation on room air - CORRECT
B. Heart rate 78 bpm
C. Respiratory rate 16/min
D. Blood pressure 118/74 mmHg
(Correct Answer: A)
Q006: On physical exam you note a young male in no acute distress. Auscultation of the
chest reveals scattered high-pitched expiratory wheezes at both bases. Which focused
exam maneuver best confirms reversible airway disease?
Options:
A. Perform forced expiratory time test
B. Administer in-office albuterol and re-auscultate - CORRECT
C. Check for tactile fremitus
D. Percuss for diaphragmatic excursion
(Correct Answer: B)
Q007: HEENT exam reveals boggy, pale nasal turbinates and post-nasal drip. The
pharynx is mildly injected without exudate. Which diagnosis is best supported by these
findings?
Options:
A. Acute bronchitis
Fatigue and Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University Advanced
Health Assessment Guide
Q001: While obtaining the history of present illness, the patient reports a 4-week dry
cough that is worse at night and associated with increasing fatigue. He denies fever,
chest pain, or hemoptysis. Which single question best clarifies the initial differential for
chronic cough?
Options:
A. "Do you have heartburn or sour taste in your mouth?"
B. "Have you noticed wheezing or chest tightness?"
C. "Have you recently started any new medications such as an ACE inhibitor?" -
CORRECT
D. "Do you cough up yellow or green sputum?"
(Correct Answer: C)
Q002: On review of systems the patient mentions occasional nasal congestion and
post-nasal drip. He also notes a personal history of seasonal allergies. Which additional
ROS finding would most strongly support upper-airway cough syndrome?
Options:
A. Hoarseness
B. Posterior pharyngeal tickling sensation that improves after morning expectoration -
CORRECT
C. Chest tightness with exertion
D. Night sweats
(Correct Answer: B)
Q003: Social history reveals the patient works as a bartender in a downtown nightclub,
lives in an older apartment, and keeps a pet parakeet. Which environmental exposure
identified here is most associated with chronic cough?
Options:
A. Second-hand smoke in the bar
B. Possible mold in older apartment - CORRECT
, C. Bird antigen exposure
D. Late-night shift work
(Correct Answer: B)
Q004: Past medical history shows childhood asthma that resolved in adolescence. He
uses no inhalers and takes no daily meds. Which historical feature best re-opens
asthma as a leading differential?
Options:
A. Family history of COPD
B. Cough-variant asthma history with nocturnal predominance - CORRECT
C. History of pneumonia at age 6
D. Occasional social cannabis use
(Correct Answer: B)
Q005: Vital signs: BP 118/74, HR 78, RR 16, O₂ sat 97 % RA, T 37 °C. Which vitals finding
best argues against an acute infectious etiology?
Options:
A. Normal oxygen saturation on room air - CORRECT
B. Heart rate 78 bpm
C. Respiratory rate 16/min
D. Blood pressure 118/74 mmHg
(Correct Answer: A)
Q006: On physical exam you note a young male in no acute distress. Auscultation of the
chest reveals scattered high-pitched expiratory wheezes at both bases. Which focused
exam maneuver best confirms reversible airway disease?
Options:
A. Perform forced expiratory time test
B. Administer in-office albuterol and re-auscultate - CORRECT
C. Check for tactile fremitus
D. Percuss for diaphragmatic excursion
(Correct Answer: B)
Q007: HEENT exam reveals boggy, pale nasal turbinates and post-nasal drip. The
pharynx is mildly injected without exudate. Which diagnosis is best supported by these
findings?
Options:
A. Acute bronchitis
