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: While obtaining history, the patient reports sudden onset of left-eye redness and
“something scratching” since waking today after yesterday’s leaf-raking. Which is the
most important initial focused question?
Options:
A. “Do you wear contact lenses daily?”
B. “Did you feel something fly into the eye?” - CORRECT
C. “Have you had pink eye before?”
D. “Do you have seasonal allergies?”
(Correct Answer: B)
Q002: On ROS he denies fever, headache, or vision loss but notes mild photophobia on
the affected side. What additional ROS item is essential for eye complaints?
Options:
A. Joint pain
B. Nausea
C. Contact lens overnight wear - CORRECT
D. Heartburn
(Correct Answer: C)
Q003: Past ocular history reveals LASIK 1 year ago and occasional dry-eye drops. No
history of uveitis or glaucoma. Which past medical history is most relevant to pursue
next?
Options:
A. Recent upper-respiratory infection - CORRECT
B. Childhood eczema
C. Previous ankle sprain
D. Tonsillectomy age 10
(Correct Answer: A)
, Q004: Social history shows he is a college student who spent 4 hours raking wet leaves
yesterday without eye protection. Which social habit should be documented as a
potential risk?
Options:
A. Vaping nicotine
B. Rubbing eyes with dirty gloves - CORRECT
C. Energy-drink intake
D. All-night gaming
(Correct Answer: B)
Q005: Family history is unremarkable for eye disease. Medications include daily
multivitamin and as-needed artificial tears. He has no drug allergies. What
medication-related question is priority?
Options:
A. “Do you take any antihistamines?” - CORRECT
B. “Are you on antibiotics?”
C. “Do you use steroid nasal spray?”
D. “Have you taken aspirin today?”
(Correct Answer: A)
Q006: Vital signs: BP 118/72, HR 78, T 98.6 °F, RR 16, SpO₂ 99 % RA. He is alert and
cooperative. Which vital-sign parameter should be re-checked if eye pain worsens?
Options:
A. Temperature - CORRECT
B. Blood pressure
C. Respiratory rate
D. Pulse oximetry
(Correct Answer: A)
Q007: On inspection, the left conjunctiva is injected, and a 2 mm foreign body (small
leaf fragment) is visible on the cornea at 5 o’clock. No obvious perforation. What is the
next inspection step?
Options:
A. Check pupil size and shape - CORRECT
B. Palpate the eyeball
C. Inspect the ear canal
D. Check nasal turbinates
(Correct Answer: A)
Problem in Outpatient Clinic with Lab Capabilities -
Walden University NURS 6512 Exam Submission | Case
Study Questions & Clinical Answers
Q001: While obtaining history, the patient reports sudden onset of left-eye redness and
“something scratching” since waking today after yesterday’s leaf-raking. Which is the
most important initial focused question?
Options:
A. “Do you wear contact lenses daily?”
B. “Did you feel something fly into the eye?” - CORRECT
C. “Have you had pink eye before?”
D. “Do you have seasonal allergies?”
(Correct Answer: B)
Q002: On ROS he denies fever, headache, or vision loss but notes mild photophobia on
the affected side. What additional ROS item is essential for eye complaints?
Options:
A. Joint pain
B. Nausea
C. Contact lens overnight wear - CORRECT
D. Heartburn
(Correct Answer: C)
Q003: Past ocular history reveals LASIK 1 year ago and occasional dry-eye drops. No
history of uveitis or glaucoma. Which past medical history is most relevant to pursue
next?
Options:
A. Recent upper-respiratory infection - CORRECT
B. Childhood eczema
C. Previous ankle sprain
D. Tonsillectomy age 10
(Correct Answer: A)
, Q004: Social history shows he is a college student who spent 4 hours raking wet leaves
yesterday without eye protection. Which social habit should be documented as a
potential risk?
Options:
A. Vaping nicotine
B. Rubbing eyes with dirty gloves - CORRECT
C. Energy-drink intake
D. All-night gaming
(Correct Answer: B)
Q005: Family history is unremarkable for eye disease. Medications include daily
multivitamin and as-needed artificial tears. He has no drug allergies. What
medication-related question is priority?
Options:
A. “Do you take any antihistamines?” - CORRECT
B. “Are you on antibiotics?”
C. “Do you use steroid nasal spray?”
D. “Have you taken aspirin today?”
(Correct Answer: A)
Q006: Vital signs: BP 118/72, HR 78, T 98.6 °F, RR 16, SpO₂ 99 % RA. He is alert and
cooperative. Which vital-sign parameter should be re-checked if eye pain worsens?
Options:
A. Temperature - CORRECT
B. Blood pressure
C. Respiratory rate
D. Pulse oximetry
(Correct Answer: A)
Q007: On inspection, the left conjunctiva is injected, and a 2 mm foreign body (small
leaf fragment) is visible on the cornea at 5 o’clock. No obvious perforation. What is the
next inspection step?
Options:
A. Check pupil size and shape - CORRECT
B. Palpate the eyeball
C. Inspect the ear canal
D. Check nasal turbinates
(Correct Answer: A)
