NURS 6512 Week 7 i-Human Case Study – Fatigue and
Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University
Advanced Health Assessment Guide
Q001: The patient reports a 5-week history of non-productive cough and “constant
tiredness.” Which initial open-ended question best elicits additional historical data?
Options:
A. “Do you have allergies?”
B. “Tell me more about when the cough and fatigue started.” - CORRECT
C. “Are you coughing up green sputum?”
D. “Do you want cough syrup?”
(Correct Answer: B)
Q002: While obtaining the HPI, he states the cough is worse at night and associated
with mild dyspnea on exertion. Which focused ROS question clarifies potential cardiac
involvement?
Options:
A. “Any recent travel?”
B. “Do you have chest pain or palpitations with exertion?” - CORRECT
C. “Any acid reflux?”
D. “Any rashes?”
(Correct Answer: B)
Q003: He denies fever, weight loss, or hemoptysis but admits to 3-kg weight gain and
bilateral ankle swelling over 2 weeks. Which system should be examined first?
Options:
A. Neurologic
B. Cardiovascular - CORRECT
C. Dermatologic
D. Musculoskeletal
(Correct Answer: B)
, Q004: Vital signs: BP 146/92 mmHg, HR 96 bpm regular, RR 22/min, SpO₂ 94% RA, T
36.8 °C. Which finding on inspection is most concerning?
Options:
A. Mild pallor
B. Jugular venous distension to 8 cm above sternal angle at 45° - CORRECT
C. Flaring nares
D. Dry lips
(Correct Answer: B)
Q005: On auscultation, you hear bilateral basal fine crackles and a soft S3. Which
maneuver best confirms the S3?
Options:
A. Ask patient to exhale fully
B. Listen with bell at apex in left lateral decubitus - CORRECT
C. Have patient stand
D. Perform Valsalva
(Correct Answer: B)
Q006: Lower extremity exam reveals 2+ pitting edema to mid-shin. Which grading scale
documents this correctly?
Options:
A. 1+ (0–2 mm)
B. 2+ (4–6 mm) - CORRECT
C. 3+ (6–8 mm)
D. 4+ (>12 mm)
(Correct Answer: B)
Q007: You suspect heart failure. Which lab test is the single most useful initial
biomarker?
Options:
A. Troponin I
B. BNP or NT-proBNP - CORRECT
C. D-dimer
D. CRP
(Correct Answer: B)
Q008: BNP returns 620 pg/mL (normal <100). Which echocardiographic parameter is
essential to order next?
Cough (28-Year-Old Male) 2026 | Complete
Assessment & Diagnosis | Walden University
Advanced Health Assessment Guide
Q001: The patient reports a 5-week history of non-productive cough and “constant
tiredness.” Which initial open-ended question best elicits additional historical data?
Options:
A. “Do you have allergies?”
B. “Tell me more about when the cough and fatigue started.” - CORRECT
C. “Are you coughing up green sputum?”
D. “Do you want cough syrup?”
(Correct Answer: B)
Q002: While obtaining the HPI, he states the cough is worse at night and associated
with mild dyspnea on exertion. Which focused ROS question clarifies potential cardiac
involvement?
Options:
A. “Any recent travel?”
B. “Do you have chest pain or palpitations with exertion?” - CORRECT
C. “Any acid reflux?”
D. “Any rashes?”
(Correct Answer: B)
Q003: He denies fever, weight loss, or hemoptysis but admits to 3-kg weight gain and
bilateral ankle swelling over 2 weeks. Which system should be examined first?
Options:
A. Neurologic
B. Cardiovascular - CORRECT
C. Dermatologic
D. Musculoskeletal
(Correct Answer: B)
, Q004: Vital signs: BP 146/92 mmHg, HR 96 bpm regular, RR 22/min, SpO₂ 94% RA, T
36.8 °C. Which finding on inspection is most concerning?
Options:
A. Mild pallor
B. Jugular venous distension to 8 cm above sternal angle at 45° - CORRECT
C. Flaring nares
D. Dry lips
(Correct Answer: B)
Q005: On auscultation, you hear bilateral basal fine crackles and a soft S3. Which
maneuver best confirms the S3?
Options:
A. Ask patient to exhale fully
B. Listen with bell at apex in left lateral decubitus - CORRECT
C. Have patient stand
D. Perform Valsalva
(Correct Answer: B)
Q006: Lower extremity exam reveals 2+ pitting edema to mid-shin. Which grading scale
documents this correctly?
Options:
A. 1+ (0–2 mm)
B. 2+ (4–6 mm) - CORRECT
C. 3+ (6–8 mm)
D. 4+ (>12 mm)
(Correct Answer: B)
Q007: You suspect heart failure. Which lab test is the single most useful initial
biomarker?
Options:
A. Troponin I
B. BNP or NT-proBNP - CORRECT
C. D-dimer
D. CRP
(Correct Answer: B)
Q008: BNP returns 620 pg/mL (normal <100). Which echocardiographic parameter is
essential to order next?
