NURS 5434 FNP III FINAL EXAM
2026 | Questions & Answers |
UTA Nursing | Family Nurse
Practitioner | PDF | Pass
Guaranteed - A+ Graded
**[DOMAIN 1: USPSTF SCREENING GUIDELINES & PREVENTION - 30 Questions]**
* *Question 1**
A 58-year-old male patient asks about prostate cancer screening. According to USPSTF
guidelines, what is the appropriate recommendation?
) Routine PSA screening is recommended annually for all men starting at age 50
A
**[CORRECT]**
B) PSA screening is Grade A recommended for all men ages 55-69
C) PSA screening is Grade C; shared decision-making is recommended for men ages 55-69
D) PSA screening is contraindicated for all men regardless of age
* *Rationale:** The USPSTF assigns Grade C to prostate cancer screening (PSA) for men ages
55-69, meaning clinicians should offer or provide selectively based on professional judgment
and patient preferences. Shared decision-making is essential as the net benefit is small and
there are potential harms from overdiagnosis and overtreatment.
* *Question 2**
Which USPSTF grade indicates "High certainty that net benefit is substantial" and represents a
strong recommendation to implement the service?
A) Grade B
,B) Grade C
C) Grade A **[CORRECT]**
D) Grade I
* *Rationale:** Grade A indicates high certainty that the net benefit is substantial. Grade B
indicates high certainty of moderate benefit or moderate certainty of moderate to substantial
benefit. Grade C suggests selective offering based on judgment. Grade I indicates insufficient
evidence.
* *Question 3**
A 45-year-old woman asks when she should begin colorectal cancer screening. What is the
current USPSTF recommendation?
A) Begin at age 50 with colonoscopy every 5 years
) Begin at age 45 with multiple screening options including colonoscopy every 10 years
B
**[CORRECT]**
C) Begin at age 40 with annual fecal occult blood testing
D) Begin at age 55 with flexible sigmoidoscopy every 3 years
* *Rationale:** The USPSTF recommends beginning colorectal cancer screening at age 45 for
average-risk adults. Options include colonoscopy every 10 years, flexible sigmoidoscopy every
5 years, or annual FIT (fecal immunochemical test).
* *Question 4**
For cervical cancer screening, what is the preferred approach for a 35-year-old woman?
A) Annual Pap smear starting now until age 65
) Pap smear every 3 years OR Pap + HPV co-testing every 5 years (preferred)
B
**[CORRECT]**
C) HPV testing alone every 3 years
D) No screening needed until age 40
* *Rationale:** For women ages 30-65, the USPSTF recommends either Pap smear every 3
years OR Pap + HPV co-testing every 5 years (preferred). HPV testing alone every 5 years is
also an acceptable option per some guidelines.
,* *Question 5**
A 42-year-old woman asks about breast cancer screening. According to current USPSTF
guidelines, what should the FNP recommend?
A) Begin annual mammograms at age 40 for women in good health **[CORRECT]**
B) Begin biennial mammograms at age 50 unless high risk
C) Begin mammograms at age 45 with shared decision-making for ages 40-49
D) Routine screening not recommended until age 50
* *Rationale:** Updated USPSTF guidelines recommend beginning biennial breast cancer
screening at age 40 for women in good health. Shared decision-making is particularly important
for women ages 40-49 to discuss benefits and potential harms.
* *Question 6**
Which patient population should receive one-time screening for abdominal aortic aneurysm
(AAA) via ultrasound?
A) All men and women ages 65-75
B) Men ages 65-75 who have ever smoked **[CORRECT]**
C) Women ages 65-75 with family history of AAA
D) All adults over age 60 with hypertension
* *Rationale:** The USPSTF recommends one-time AAA screening with ultrasound for men ages
65-75 who have ever smoked (Grade B). Screening is not recommended for women (Grade D)
as the harms outweigh benefits.
* *Question 7**
A 67-year-old male former smoker asks about AAA screening. His 65-year-old wife asks if she
needs screening too. What is the correct counseling?
A) Both should receive ultrasound screening given their ages
) Only the husband should be screened; screening not recommended for women
B
**[CORRECT]**
C) Neither needs screening as they are both over 65
D) Only the wife should be screened due to female gender risk factors
, * *Rationale:** AAA screening is Grade B recommended for men 65-75 who ever smoked, but
Grade D (not recommended) for women regardless of smoking history, as the net benefit is
unfavorable in women due to lower disease prevalence.
* *Question 8**
Which activity represents secondary prevention?
A) Administering the influenza vaccine
B) Teaching a patient about healthy diet choices
C) Performing a mammogram to detect breast cancer early **[CORRECT]**
D) Providing smoking cessation counseling
* *Rationale:** Secondary prevention involves early detection and treatment of disease.
Mammography detects breast cancer early before symptoms appear. Vaccines, health teaching,
and safety precautions represent primary prevention (preventing disease before it occurs).
* *Question 9**
A patient is contemplating quitting smoking within the next 6 months but is weighing the pros
and cons. According to the Transtheoretical Model, which stage of change is this?
A) Precontemplation
B) Contemplation **[CORRECT]**
C) Preparation
D) Action
* *Rationale:** Contemplation is the stage where individuals are thinking about change within the
next 6 months, weighing pros and cons. Precontemplation involves no consideration of change;
preparation involves planning within 30 days; action involves active behavior change.
* *Question 10**
Using the 5 A's model for smoking cessation, what is the first step?
A) Advise the patient to quit smoking
B) Assess readiness to quit
C) Ask about tobacco use **[CORRECT]**
2026 | Questions & Answers |
UTA Nursing | Family Nurse
Practitioner | PDF | Pass
Guaranteed - A+ Graded
**[DOMAIN 1: USPSTF SCREENING GUIDELINES & PREVENTION - 30 Questions]**
* *Question 1**
A 58-year-old male patient asks about prostate cancer screening. According to USPSTF
guidelines, what is the appropriate recommendation?
) Routine PSA screening is recommended annually for all men starting at age 50
A
**[CORRECT]**
B) PSA screening is Grade A recommended for all men ages 55-69
C) PSA screening is Grade C; shared decision-making is recommended for men ages 55-69
D) PSA screening is contraindicated for all men regardless of age
* *Rationale:** The USPSTF assigns Grade C to prostate cancer screening (PSA) for men ages
55-69, meaning clinicians should offer or provide selectively based on professional judgment
and patient preferences. Shared decision-making is essential as the net benefit is small and
there are potential harms from overdiagnosis and overtreatment.
* *Question 2**
Which USPSTF grade indicates "High certainty that net benefit is substantial" and represents a
strong recommendation to implement the service?
A) Grade B
,B) Grade C
C) Grade A **[CORRECT]**
D) Grade I
* *Rationale:** Grade A indicates high certainty that the net benefit is substantial. Grade B
indicates high certainty of moderate benefit or moderate certainty of moderate to substantial
benefit. Grade C suggests selective offering based on judgment. Grade I indicates insufficient
evidence.
* *Question 3**
A 45-year-old woman asks when she should begin colorectal cancer screening. What is the
current USPSTF recommendation?
A) Begin at age 50 with colonoscopy every 5 years
) Begin at age 45 with multiple screening options including colonoscopy every 10 years
B
**[CORRECT]**
C) Begin at age 40 with annual fecal occult blood testing
D) Begin at age 55 with flexible sigmoidoscopy every 3 years
* *Rationale:** The USPSTF recommends beginning colorectal cancer screening at age 45 for
average-risk adults. Options include colonoscopy every 10 years, flexible sigmoidoscopy every
5 years, or annual FIT (fecal immunochemical test).
* *Question 4**
For cervical cancer screening, what is the preferred approach for a 35-year-old woman?
A) Annual Pap smear starting now until age 65
) Pap smear every 3 years OR Pap + HPV co-testing every 5 years (preferred)
B
**[CORRECT]**
C) HPV testing alone every 3 years
D) No screening needed until age 40
* *Rationale:** For women ages 30-65, the USPSTF recommends either Pap smear every 3
years OR Pap + HPV co-testing every 5 years (preferred). HPV testing alone every 5 years is
also an acceptable option per some guidelines.
,* *Question 5**
A 42-year-old woman asks about breast cancer screening. According to current USPSTF
guidelines, what should the FNP recommend?
A) Begin annual mammograms at age 40 for women in good health **[CORRECT]**
B) Begin biennial mammograms at age 50 unless high risk
C) Begin mammograms at age 45 with shared decision-making for ages 40-49
D) Routine screening not recommended until age 50
* *Rationale:** Updated USPSTF guidelines recommend beginning biennial breast cancer
screening at age 40 for women in good health. Shared decision-making is particularly important
for women ages 40-49 to discuss benefits and potential harms.
* *Question 6**
Which patient population should receive one-time screening for abdominal aortic aneurysm
(AAA) via ultrasound?
A) All men and women ages 65-75
B) Men ages 65-75 who have ever smoked **[CORRECT]**
C) Women ages 65-75 with family history of AAA
D) All adults over age 60 with hypertension
* *Rationale:** The USPSTF recommends one-time AAA screening with ultrasound for men ages
65-75 who have ever smoked (Grade B). Screening is not recommended for women (Grade D)
as the harms outweigh benefits.
* *Question 7**
A 67-year-old male former smoker asks about AAA screening. His 65-year-old wife asks if she
needs screening too. What is the correct counseling?
A) Both should receive ultrasound screening given their ages
) Only the husband should be screened; screening not recommended for women
B
**[CORRECT]**
C) Neither needs screening as they are both over 65
D) Only the wife should be screened due to female gender risk factors
, * *Rationale:** AAA screening is Grade B recommended for men 65-75 who ever smoked, but
Grade D (not recommended) for women regardless of smoking history, as the net benefit is
unfavorable in women due to lower disease prevalence.
* *Question 8**
Which activity represents secondary prevention?
A) Administering the influenza vaccine
B) Teaching a patient about healthy diet choices
C) Performing a mammogram to detect breast cancer early **[CORRECT]**
D) Providing smoking cessation counseling
* *Rationale:** Secondary prevention involves early detection and treatment of disease.
Mammography detects breast cancer early before symptoms appear. Vaccines, health teaching,
and safety precautions represent primary prevention (preventing disease before it occurs).
* *Question 9**
A patient is contemplating quitting smoking within the next 6 months but is weighing the pros
and cons. According to the Transtheoretical Model, which stage of change is this?
A) Precontemplation
B) Contemplation **[CORRECT]**
C) Preparation
D) Action
* *Rationale:** Contemplation is the stage where individuals are thinking about change within the
next 6 months, weighing pros and cons. Precontemplation involves no consideration of change;
preparation involves planning within 30 days; action involves active behavior change.
* *Question 10**
Using the 5 A's model for smoking cessation, what is the first step?
A) Advise the patient to quit smoking
B) Assess readiness to quit
C) Ask about tobacco use **[CORRECT]**
