Ben Kapinsky Jr. Case Study – Verified Nursing
School Assignment Resource | Questions and Correct
Answers
Course Context: NR 509 Advanced Health Assessment, NR 608, or PSY 6210 Psychopathology
Institution: Likely Chamberlain University or similar nursing/psychology program Patient: Ben
Kapinsky Jr., 18-year-old male Source Reference: Web results indicate iHuman case study with
chief complaints of fatigue, shortness of breath, and cough (2023-2025 editions).
Subjective (S)
Chief Complaint (CC): “Fatigue, shortness of breath, and cough for the past few weeks.”
History of Present Illness (HPI): Ben Kapinsky Jr., an 18-year-old Caucasian male, presents
with a 2-week history of progressive fatigue, shortness of breath (SOB), and a dry, non-
productive cough. He describes the fatigue as feeling “drained all the time,” impacting his ability
to participate in daily activities, including school and sports. The SOB is exertional, worsening
with activities like climbing stairs, and he denies relief with rest. The cough is intermittent,
worse at night, and not associated with sputum or hemoptysis. He rates the severity as 6/10 for
fatigue and 4/10 for SOB. No recent trauma, fever, chills, or weight loss reported, but he notes
occasional night sweats. He denies chest pain, palpitations, or syncope. No recent travel or sick
contacts. Ben has no known chronic illnesses but mentions a history of seasonal allergies treated
with over-the-counter antihistamines (cetirizine, as needed). He denies smoking, alcohol, or
illicit drug use. He lives with his parents and is a high school senior, reporting recent stress due
to college applications.
Review of Systems (ROS):
General: Fatigue, occasional night sweats, denies weight changes.
HEENT: Denies sore throat, nasal congestion, or vision/hearing changes.
Respiratory: SOB on exertion, dry cough, no wheezing.
Cardiovascular: Denies chest pain, palpitations, or edema.
Gastrointestinal: Denies nausea, vomiting, or abdominal pain. Appetite normal.
Genitourinary: Denies dysuria or hematuria.
, Musculoskeletal: Denies joint pain or swelling.
Neurological: Denies headaches, dizziness, or numbness.
Psychiatric: Reports mild stress from school, denies depression or anxiety.
Skin: Denies rashes or lesions.
Hematologic/Lymphatic: Denies easy bruising or lymphadenopathy.
Endocrine: Denies polyuria, polydipsia, or heat/cold intolerance.
Allergies: Seasonal allergies (pollen, dust); no known drug or food allergies. Medications:
Cetirizine 10 mg PRN for allergies. No other medications or supplements. Past Medical History
(PMH): Seasonal allergies since childhood. No hospitalizations or surgeries. Immunizations up
to date, including flu vaccine. Past Surgical History (PSH): None. Social History (SH):
Nonsmoker, no alcohol or drug use. Lives with parents, active in high school soccer. Drinks 1-2
caffeinated beverages daily. No recent travel. Family History (FH): Mother – asthma; Father –
hypertension; no family history of cancer or heart disease. Personal/Social History: Single, no
sexual activity reported. Good support system from family and friends.
Objective (O)
Vital Signs:
Height: 5’10” (178 cm)
Weight: 160 lbs (72.6 kg)
BMI: 23.0 (normal)
BP: 122/76 mmHg (right arm, sitting)
HR: 92 bpm (regular)
RR: 20 breaths/min
Temp: 99.2°F (37.3°C) oral
SpO2: 96% on room air
Pain: 0/10
General: Alert, oriented x3, cooperative, no acute distress. Appears fatigued but well-groomed.
School Assignment Resource | Questions and Correct
Answers
Course Context: NR 509 Advanced Health Assessment, NR 608, or PSY 6210 Psychopathology
Institution: Likely Chamberlain University or similar nursing/psychology program Patient: Ben
Kapinsky Jr., 18-year-old male Source Reference: Web results indicate iHuman case study with
chief complaints of fatigue, shortness of breath, and cough (2023-2025 editions).
Subjective (S)
Chief Complaint (CC): “Fatigue, shortness of breath, and cough for the past few weeks.”
History of Present Illness (HPI): Ben Kapinsky Jr., an 18-year-old Caucasian male, presents
with a 2-week history of progressive fatigue, shortness of breath (SOB), and a dry, non-
productive cough. He describes the fatigue as feeling “drained all the time,” impacting his ability
to participate in daily activities, including school and sports. The SOB is exertional, worsening
with activities like climbing stairs, and he denies relief with rest. The cough is intermittent,
worse at night, and not associated with sputum or hemoptysis. He rates the severity as 6/10 for
fatigue and 4/10 for SOB. No recent trauma, fever, chills, or weight loss reported, but he notes
occasional night sweats. He denies chest pain, palpitations, or syncope. No recent travel or sick
contacts. Ben has no known chronic illnesses but mentions a history of seasonal allergies treated
with over-the-counter antihistamines (cetirizine, as needed). He denies smoking, alcohol, or
illicit drug use. He lives with his parents and is a high school senior, reporting recent stress due
to college applications.
Review of Systems (ROS):
General: Fatigue, occasional night sweats, denies weight changes.
HEENT: Denies sore throat, nasal congestion, or vision/hearing changes.
Respiratory: SOB on exertion, dry cough, no wheezing.
Cardiovascular: Denies chest pain, palpitations, or edema.
Gastrointestinal: Denies nausea, vomiting, or abdominal pain. Appetite normal.
Genitourinary: Denies dysuria or hematuria.
, Musculoskeletal: Denies joint pain or swelling.
Neurological: Denies headaches, dizziness, or numbness.
Psychiatric: Reports mild stress from school, denies depression or anxiety.
Skin: Denies rashes or lesions.
Hematologic/Lymphatic: Denies easy bruising or lymphadenopathy.
Endocrine: Denies polyuria, polydipsia, or heat/cold intolerance.
Allergies: Seasonal allergies (pollen, dust); no known drug or food allergies. Medications:
Cetirizine 10 mg PRN for allergies. No other medications or supplements. Past Medical History
(PMH): Seasonal allergies since childhood. No hospitalizations or surgeries. Immunizations up
to date, including flu vaccine. Past Surgical History (PSH): None. Social History (SH):
Nonsmoker, no alcohol or drug use. Lives with parents, active in high school soccer. Drinks 1-2
caffeinated beverages daily. No recent travel. Family History (FH): Mother – asthma; Father –
hypertension; no family history of cancer or heart disease. Personal/Social History: Single, no
sexual activity reported. Good support system from family and friends.
Objective (O)
Vital Signs:
Height: 5’10” (178 cm)
Weight: 160 lbs (72.6 kg)
BMI: 23.0 (normal)
BP: 122/76 mmHg (right arm, sitting)
HR: 92 bpm (regular)
RR: 20 breaths/min
Temp: 99.2°F (37.3°C) oral
SpO2: 96% on room air
Pain: 0/10
General: Alert, oriented x3, cooperative, no acute distress. Appears fatigued but well-groomed.
