1|Page
REGIS NU665 FINAL EXAM TEST BANK 2026-
2027: 315 PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES | PRIMARY CARE
FNP | ALREADY PASSED GRADED A+
# SECTION 1: Health Promotion & Disease Prevention (USPSTF
Guidelines) – 25 Questions
**1. According to USPSTF guidelines, at what age should routine
screening mammography begin for women at average risk?**
A. Age 40 (shared decision-making) to age 74
B. Age 30
C. Age 50 only
D. Age 65
**Answer: A – Age 40 (shared decision-making) to age 74**
*Rationale:* USPSTF Grade B: biennial screening mammography for
women aged 40-74. Age 40-49: individual decision (shared decision-
making).
**2. What is the USPSTF recommendation for colorectal cancer
screening in average-risk adults?**
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A. Start at age 45
B. Start at age 50
C. Start at age 40
D. No screening needed
**Answer: A – Start at age 45**
*Rationale:* USPSTF Grade A: colorectal cancer screening from age 45
to 75. Options: colonoscopy q10 years, FIT annually, Cologuard q3
years, flexible sigmoidoscopy q5 years.
**3. A 55-year-old patient with a 30-pack-year smoking history who quit
5 years ago should be screened for lung cancer with:**
A. Annual low-dose CT (LDCT) if age 50-80, ≥20 pack-years, current
smoker or quit within 15 years
B. Chest X-ray annually
C. No screening
D. Sputum cytology
**Answer: A – Annual low-dose CT (LDCT)**
*Rationale:* USPSTF Grade B: annual LDCT for lung cancer screening
(age 50-80, ≥20 pack-years, current smoker or quit within 15 years).
**4. A 65-year-old woman with no history of falls or fractures should be
screened for osteoporosis with DEXA scan at:**
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A. Age 65 (universal screening)
B. Age 50
C. Age 75
D. No screening
**Answer: A – Age 65 (universal screening)**
*Rationale:* USPSTF Grade B: screen women for osteoporosis with
DEXA at age 65. Screen younger if risk factors (fracture, parental hip
fracture, smoking, low BMI).
**5. What is the USPSTF recommendation for screening for
hypertension in adults?**
A. Screen annually for all adults aged 18 and older
B. Screen every 5 years
C. No screening needed
D. Screen only if symptomatic
**Answer: A – Screen annually for all adults aged 18 and older**
*Rationale:* USPSTF Grade A: screen for hypertension in adults aged
18 and older. Annual screening recommended.
**6. A 45-year-old patient with overweight (BMI 28) should be screened
for diabetes starting at what age?**
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A. Age 35 (if overweight/obese)
B. Age 40
C. Age 50
D. Age 65
**Answer: A – Age 35 (if overweight/obese)**
*Rationale:* USPSTF Grade B: screen for prediabetes and diabetes in
adults aged 35-70 with overweight/obesity (BMI ≥25) every 3 years.
**7. What is the USPSTF recommendation for cervical cancer
screening?**
A. Pap smear every 3 years from age 21-65, or HPV testing every 5
years from age 30-65
B. Start at age 18
C. Stop at age 50
D. No screening needed
**Answer: A – Pap smear every 3 years from age 21-65, or HPV testing
every 5 years from age 30-65**
*Rationale:* USPSTF Grade A: cervical cancer screening with Pap
every 3 years (21-65) or HPV testing every 5 years (30-65).
**8. A 50-year-old patient with average risk for abdominal aortic
aneurysm (AAA) should be screened if:**
REGIS NU665 FINAL EXAM TEST BANK 2026-
2027: 315 PRACTICE QUESTIONS WITH
ANSWERS & RATIONALES | PRIMARY CARE
FNP | ALREADY PASSED GRADED A+
# SECTION 1: Health Promotion & Disease Prevention (USPSTF
Guidelines) – 25 Questions
**1. According to USPSTF guidelines, at what age should routine
screening mammography begin for women at average risk?**
A. Age 40 (shared decision-making) to age 74
B. Age 30
C. Age 50 only
D. Age 65
**Answer: A – Age 40 (shared decision-making) to age 74**
*Rationale:* USPSTF Grade B: biennial screening mammography for
women aged 40-74. Age 40-49: individual decision (shared decision-
making).
**2. What is the USPSTF recommendation for colorectal cancer
screening in average-risk adults?**
,2|Page
A. Start at age 45
B. Start at age 50
C. Start at age 40
D. No screening needed
**Answer: A – Start at age 45**
*Rationale:* USPSTF Grade A: colorectal cancer screening from age 45
to 75. Options: colonoscopy q10 years, FIT annually, Cologuard q3
years, flexible sigmoidoscopy q5 years.
**3. A 55-year-old patient with a 30-pack-year smoking history who quit
5 years ago should be screened for lung cancer with:**
A. Annual low-dose CT (LDCT) if age 50-80, ≥20 pack-years, current
smoker or quit within 15 years
B. Chest X-ray annually
C. No screening
D. Sputum cytology
**Answer: A – Annual low-dose CT (LDCT)**
*Rationale:* USPSTF Grade B: annual LDCT for lung cancer screening
(age 50-80, ≥20 pack-years, current smoker or quit within 15 years).
**4. A 65-year-old woman with no history of falls or fractures should be
screened for osteoporosis with DEXA scan at:**
,3|Page
A. Age 65 (universal screening)
B. Age 50
C. Age 75
D. No screening
**Answer: A – Age 65 (universal screening)**
*Rationale:* USPSTF Grade B: screen women for osteoporosis with
DEXA at age 65. Screen younger if risk factors (fracture, parental hip
fracture, smoking, low BMI).
**5. What is the USPSTF recommendation for screening for
hypertension in adults?**
A. Screen annually for all adults aged 18 and older
B. Screen every 5 years
C. No screening needed
D. Screen only if symptomatic
**Answer: A – Screen annually for all adults aged 18 and older**
*Rationale:* USPSTF Grade A: screen for hypertension in adults aged
18 and older. Annual screening recommended.
**6. A 45-year-old patient with overweight (BMI 28) should be screened
for diabetes starting at what age?**
, 4|Page
A. Age 35 (if overweight/obese)
B. Age 40
C. Age 50
D. Age 65
**Answer: A – Age 35 (if overweight/obese)**
*Rationale:* USPSTF Grade B: screen for prediabetes and diabetes in
adults aged 35-70 with overweight/obesity (BMI ≥25) every 3 years.
**7. What is the USPSTF recommendation for cervical cancer
screening?**
A. Pap smear every 3 years from age 21-65, or HPV testing every 5
years from age 30-65
B. Start at age 18
C. Stop at age 50
D. No screening needed
**Answer: A – Pap smear every 3 years from age 21-65, or HPV testing
every 5 years from age 30-65**
*Rationale:* USPSTF Grade A: cervical cancer screening with Pap
every 3 years (21-65) or HPV testing every 5 years (30-65).
**8. A 50-year-old patient with average risk for abdominal aortic
aneurysm (AAA) should be screened if:**
