2026 i-Human Case Analysis: 20-Year-Old Male with Eye
Problem in Outpatient Clinic with Lab Capabilities -
Walden University NURS 6512 Exam Submission
|Questions & Clinical Answers
Q001: The patient reports "my right eye has been red and gritty for 2 days." Which is the
most appropriate first focused history question?
Options:
A. "Do you have seasonal allergies?"
B. "Have you had any recent colds or sinus infections?"
C. "Did you notice any foreign-body sensation or trauma before onset?"
D. "Are you taking any blood-thinning medications?"
(Correct Answer: C)
Q002: He adds, "I wear soft contact lenses and slept in them." Which ROS item must be
explicitly asked next?
Options:
A. Recent changes in vision prescription
B. Use of topical redness-relief drops
C. Pain severity on a 0–10 scale and photophobia
D. Family history of cataracts
(Correct Answer: C)
Q003: Patient denies eye pain but admits to "watery discharge." Which additional ROS
question is priority?
Options:
A. Unilateral vs bilateral symptoms
B. Presence of joint pain or urethral discharge
C. Recent insect bites near the eye
D. History of Bell’s palsy
(Correct Answer: B)
Q004: He denies sick contacts. Which epidemiologic factor should you document next?
Options:
, A. Recent swimming in fresh water
B. Recent attendance at a crowded concert
C. Recent visit to an eye-spa or eyelash-extension salon
D. Recent pet-adoption from a shelter
(Correct Answer: C)
Q005: Onset was 48 hours ago. Which temporal descriptor best supports infectious
conjunctivitis?
Options:
A. Hyperacute (within 1 hour)
B. Acute (24–72 hours)
C. Subacute (4–7 days)
D. Chronic (>4 weeks)
(Correct Answer: B)
Q006: He reports mild itching. Which question distinguishes allergic from infectious
etiology?
Options:
A. "Is the itching worse after warm compresses?"
B. "Do you have concurrent rhinorrhea or sneezing?"
C. "Have you noticed crusting upon waking?"
D. "Is the redness sectoral or diffuse?"
(Correct Answer: B)
Q007: Past ocular history reveals LASIK 1 year ago. Which implication is most relevant?
Options:
A. Higher risk of angle-closure glaucoma
B. Possible flap-related complications if trauma occurred
C. Contraindication to fluorescein staining
D. Need for MRSA decolonization
(Correct Answer: B)
Q008: Social history reveals vaping daily. Which counseling statement is required per
2026 guidelines?
Options:
A. "Vaping increases risk of fungal keratitis."
B. "Nicotine can reduce corneal epithelial healing."
C. "THC may mask intraocular pain."
Problem in Outpatient Clinic with Lab Capabilities -
Walden University NURS 6512 Exam Submission
|Questions & Clinical Answers
Q001: The patient reports "my right eye has been red and gritty for 2 days." Which is the
most appropriate first focused history question?
Options:
A. "Do you have seasonal allergies?"
B. "Have you had any recent colds or sinus infections?"
C. "Did you notice any foreign-body sensation or trauma before onset?"
D. "Are you taking any blood-thinning medications?"
(Correct Answer: C)
Q002: He adds, "I wear soft contact lenses and slept in them." Which ROS item must be
explicitly asked next?
Options:
A. Recent changes in vision prescription
B. Use of topical redness-relief drops
C. Pain severity on a 0–10 scale and photophobia
D. Family history of cataracts
(Correct Answer: C)
Q003: Patient denies eye pain but admits to "watery discharge." Which additional ROS
question is priority?
Options:
A. Unilateral vs bilateral symptoms
B. Presence of joint pain or urethral discharge
C. Recent insect bites near the eye
D. History of Bell’s palsy
(Correct Answer: B)
Q004: He denies sick contacts. Which epidemiologic factor should you document next?
Options:
, A. Recent swimming in fresh water
B. Recent attendance at a crowded concert
C. Recent visit to an eye-spa or eyelash-extension salon
D. Recent pet-adoption from a shelter
(Correct Answer: C)
Q005: Onset was 48 hours ago. Which temporal descriptor best supports infectious
conjunctivitis?
Options:
A. Hyperacute (within 1 hour)
B. Acute (24–72 hours)
C. Subacute (4–7 days)
D. Chronic (>4 weeks)
(Correct Answer: B)
Q006: He reports mild itching. Which question distinguishes allergic from infectious
etiology?
Options:
A. "Is the itching worse after warm compresses?"
B. "Do you have concurrent rhinorrhea or sneezing?"
C. "Have you noticed crusting upon waking?"
D. "Is the redness sectoral or diffuse?"
(Correct Answer: B)
Q007: Past ocular history reveals LASIK 1 year ago. Which implication is most relevant?
Options:
A. Higher risk of angle-closure glaucoma
B. Possible flap-related complications if trauma occurred
C. Contraindication to fluorescein staining
D. Need for MRSA decolonization
(Correct Answer: B)
Q008: Social history reveals vaping daily. Which counseling statement is required per
2026 guidelines?
Options:
A. "Vaping increases risk of fungal keratitis."
B. "Nicotine can reduce corneal epithelial healing."
C. "THC may mask intraocular pain."
