2026 i-Human Case Analysis: 20-Year-Old Male with Eye
Problem in Outpatient Clinic with Lab Capabilities -
Walden University NURS 6512 Exam Submission | Case
Study Questions & Clinical Answers
Q001: The 20-year-old patient reports unilateral redness and "something in my eye" since this
morning. Which focused history question do you ask first?
Options:
A. "Do you have seasonal allergies?"
B. "Have you had recent eye surgery?"
C. "Did you wear contact lenses today or sustain any eye trauma?" - CORRECT
D. "Is your vision blurry in both eyes?"
(Correct Answer: C)
Q002: He denies trauma but admits to sleeping in soft contacts nightly. Which ROS symptom do
you prioritize next?
Options:
A. Unilateral photophobia
B. Bilateral itching
C. Unilateral eye pain, foreign-body sensation, and tearing - CORRECT
D. Diplopia at distance
(Correct Answer: C)
Q003: He rates pain 6/10, describes "scratchy" sensation, and notes mild tearing. Which
additional history is most relevant?
Options:
A. Family history of glaucoma
B. History of similar episodes and use of over-the-counter drops
C. Recent upper respiratory infection - CORRECT
D. History of migraines with aura
(Correct Answer: C)
Q004: Vital signs are stable; visual acuity is 20/20 OD and 20/25 OS. Which external inspection
finding would most suggest bacterial conjunctivitis?
Options:
A. Watery discharge
B. Follicles on palpebral conjunctiva
C. Mucopurulent, yellow-green discharge matting lashes - CORRECT
D. Clear cornea with diffuse injection
(Correct Answer: C)
Q005: You note sectoral injection, a 2-mm corneal infiltrate with fluorescein uptake OS. Which
physical-exam technique is contraindicated at this point?
Options:
A. Fundoscopic exam with dilating drops
B. Slit-lamp assessment of anterior chamber depth
C. Tonometry with Goldman probe - CORRECT
, D. Inspection of palpebral conjunctiva with cotton-tipped applicator
(Correct Answer: C)
Q006: Pupils are equal, round, reactive; no cells/flare in anterior chamber. Which differential is
now highest?
Options:
A. Acute angle-closure glaucoma
B. Corneal abrasion with secondary bacterial keratitis - CORRECT
C. Anterior uveitis
D. Optic neuritis
(Correct Answer: B)
Q007: Given contact-lens overwear and corneal uptake, which urgent lab/test do you order?
Options:
A. Corneal scraping for Gram stain and culture - CORRECT
B. CBC with differential
C. ESR and CRP
D. CT orbit
(Correct Answer: A)
Q008: You suspect Pseudomonas. Which empiric topical antibiotic do you initiate while awaiting
cultures?
Options:
A. Erythromycin 0.5% ointment QID
B. Besifloxacin 0.6% TID - CORRECT
C. Tobramycin/dexamethasone QID
D. Natamycin 5% hourly
(Correct Answer: B)
Q009: Patient asks if he can continue contacts during treatment. Which education is correct?
Options:
A. "You may wear daily disposable lenses during the day."
B. "No contact-lens wear until epithelial defect resolves and clinician approval." - CORRECT
C. "Use extended-wear lenses only at night."
D. "Sterile saline rinse allows safe continued wear."
(Correct Answer: B)
Q010: Which pain management strategy is safest for a corneal epithelial defect?
Options:
A. Oral oxycodone 5 mg PRN
B. Topical tetracaine 1% hourly
C. Oral ibuprofen 600 mg TID - CORRECT
D. Topical ketorolac QID
(Correct Answer: C)
Q011: After 24 h, infiltrate is smaller, pain 3/10. When do you schedule follow-up?
Options:
A. Discharge to primary care in 2 weeks
B. Re-evaluate in clinic within 48-72 h - CORRECT
C. Telephone follow-up in 1 week
Problem in Outpatient Clinic with Lab Capabilities -
Walden University NURS 6512 Exam Submission | Case
Study Questions & Clinical Answers
Q001: The 20-year-old patient reports unilateral redness and "something in my eye" since this
morning. Which focused history question do you ask first?
Options:
A. "Do you have seasonal allergies?"
B. "Have you had recent eye surgery?"
C. "Did you wear contact lenses today or sustain any eye trauma?" - CORRECT
D. "Is your vision blurry in both eyes?"
(Correct Answer: C)
Q002: He denies trauma but admits to sleeping in soft contacts nightly. Which ROS symptom do
you prioritize next?
Options:
A. Unilateral photophobia
B. Bilateral itching
C. Unilateral eye pain, foreign-body sensation, and tearing - CORRECT
D. Diplopia at distance
(Correct Answer: C)
Q003: He rates pain 6/10, describes "scratchy" sensation, and notes mild tearing. Which
additional history is most relevant?
Options:
A. Family history of glaucoma
B. History of similar episodes and use of over-the-counter drops
C. Recent upper respiratory infection - CORRECT
D. History of migraines with aura
(Correct Answer: C)
Q004: Vital signs are stable; visual acuity is 20/20 OD and 20/25 OS. Which external inspection
finding would most suggest bacterial conjunctivitis?
Options:
A. Watery discharge
B. Follicles on palpebral conjunctiva
C. Mucopurulent, yellow-green discharge matting lashes - CORRECT
D. Clear cornea with diffuse injection
(Correct Answer: C)
Q005: You note sectoral injection, a 2-mm corneal infiltrate with fluorescein uptake OS. Which
physical-exam technique is contraindicated at this point?
Options:
A. Fundoscopic exam with dilating drops
B. Slit-lamp assessment of anterior chamber depth
C. Tonometry with Goldman probe - CORRECT
, D. Inspection of palpebral conjunctiva with cotton-tipped applicator
(Correct Answer: C)
Q006: Pupils are equal, round, reactive; no cells/flare in anterior chamber. Which differential is
now highest?
Options:
A. Acute angle-closure glaucoma
B. Corneal abrasion with secondary bacterial keratitis - CORRECT
C. Anterior uveitis
D. Optic neuritis
(Correct Answer: B)
Q007: Given contact-lens overwear and corneal uptake, which urgent lab/test do you order?
Options:
A. Corneal scraping for Gram stain and culture - CORRECT
B. CBC with differential
C. ESR and CRP
D. CT orbit
(Correct Answer: A)
Q008: You suspect Pseudomonas. Which empiric topical antibiotic do you initiate while awaiting
cultures?
Options:
A. Erythromycin 0.5% ointment QID
B. Besifloxacin 0.6% TID - CORRECT
C. Tobramycin/dexamethasone QID
D. Natamycin 5% hourly
(Correct Answer: B)
Q009: Patient asks if he can continue contacts during treatment. Which education is correct?
Options:
A. "You may wear daily disposable lenses during the day."
B. "No contact-lens wear until epithelial defect resolves and clinician approval." - CORRECT
C. "Use extended-wear lenses only at night."
D. "Sterile saline rinse allows safe continued wear."
(Correct Answer: B)
Q010: Which pain management strategy is safest for a corneal epithelial defect?
Options:
A. Oral oxycodone 5 mg PRN
B. Topical tetracaine 1% hourly
C. Oral ibuprofen 600 mg TID - CORRECT
D. Topical ketorolac QID
(Correct Answer: C)
Q011: After 24 h, infiltrate is smaller, pain 3/10. When do you schedule follow-up?
Options:
A. Discharge to primary care in 2 weeks
B. Re-evaluate in clinic within 48-72 h - CORRECT
C. Telephone follow-up in 1 week
