School of Nursing
Comprehensive Study Guide
NUR 3165 FNP Test Best Study Guide
2026/2027 Edition | 150 Questions with Correct Answers and Rationales
Course: NUR 3165 - Family Nurse Practitioner
Program: Master of Science in Nursing (MSN)
100% Verified | AANP & ANCC Blueprint Aligned | Exam-Ready Format
, NUR 3165 FNP Study Guide | 2026/2027
Domain 1: Health Promotion & Disease Prevention Across the
Lifespan
1. According to the USPSTF, at what age should asymptomatic adults begin colorectal
cancer screening?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Correct Answer: B
Rationale: The USPSTF (2021) recommends screening for colorectal cancer in adults aged 45 to
75 years. This represents a shift from the prior recommendation of age 50, reflecting rising
incidence in younger populations. Options A and D fall outside evidence-based guidelines, and age
50 was the previous threshold.
2. A 2-month-old infant presents for a well-child visit. Which vaccination is recommended
at this age per the CDC immunization schedule?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, acellular pertussis), IPV, PCV13, Hib, Hep B, RV
C. Varicella
D. HPV (human papillomavirus)
Correct Answer: B
Rationale: At 2 months, the CDC recommends the first doses of DTaP, IPV (polio), PCV13
(pneumococcal), Hib (Haemophilus influenzae type b), Hepatitis B, and RV (rotavirus). MMR and
varicella are administered at 12 months. HPV vaccination begins at 9 to 12 years.
3. Which lifestyle modification has the strongest evidence for reducing blood pressure in
patients with prehypertension?
A. Calcium supplementation
B. The DASH (Dietary Approaches to Stop Hypertension) dietary pattern
C. Vitamin D supplementation
D. Gluten-free diet
Correct Answer: B
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, NUR 3165 FNP Study Guide | 2026/2027
Rationale: The DASH diet, rich in fruits, vegetables, whole grains, and low-fat dairy while reduced
in saturated fat and sodium, has the strongest evidence base for lowering blood pressure. Clinical
trials demonstrate systolic BP reductions of 8 to 14 mmHg. Calcium and vitamin D lack robust
evidence for BP reduction, and gluten-free diets are indicated only for celiac disease.
4. A 65-year-old female patient asks about osteoporosis screening. Based on USPSTF
guidelines, what is the recommended screening method?
A. Serum calcium level
B. Dual-energy x-ray absorptiometry (DEXA) scan
C. Plain x-ray of the lumbar spine
D. Vitamin D level
Correct Answer: B
Rationale: The USPSTF recommends screening for osteoporosis with bone measurement testing
(DEXA scan) in women aged 65 years and older. DEXA provides T-scores that classify bone
density as normal, osteopenic, or osteoporotic. Serum calcium and vitamin D levels are not
screening tools for osteoporosis, and plain x-rays lack sensitivity for early bone loss detection.
5. A 40-year-old male with a 20 pack-year smoking history presents for an annual physical.
Which screening intervention is most appropriate?
A. Annual chest x-ray
B. Low-dose computed tomography (LDCT) of the chest
C. Sputum cytology
D. Bronchoscopy
Correct Answer: B
Rationale: The USPSTF recommends annual LDCT screening for lung cancer in adults aged 50 to
80 who have a 20 pack-year smoking history and currently smoke or quit within the past 15 years.
Chest x-ray and sputum cytology have not demonstrated mortality benefit. Bronchoscopy is
diagnostic, not a screening tool.
6. The nurse practitioner is providing anticipatory guidance to the parents of a 12-month-
old infant. Which developmental milestone should the infant have achieved?
A. Walking independently
B. Using two-word phrases
C. Pulling to stand and cruising along furniture
D. Tying shoelaces
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, NUR 3165 FNP Study Guide | 2026/2027
Correct Answer: C
Rationale: By 12 months, most infants can pull to stand and cruise along furniture. Walking
independently typically emerges between 12 and 15 months. Two-word phrases develop around 24
months. Tying shoelaces is a fine motor skill expected around age 5 to 6.
7. For a 55-year-old patient with no risk factors, what is the recommended frequency for
diabetes mellitus type 2 screening?
A. Every year
B. Every 3 years
C. Every 5 years
D. Only if symptomatic
Correct Answer: B
Rationale: The ADA recommends screening for type 2 diabetes in asymptomatic adults beginning
at age 35, or earlier if risk factors exist. For patients with normal results and no risk factors,
rescreening every 3 years is appropriate. Annual screening is reserved for those with prediabetes
or elevated risk.
8. A pregnant patient at 28 weeks gestation has a hemoglobin of 10.2 g/dL. Which
intervention is most appropriate?
A. Immediate blood transfusion
B. Iron supplementation with dietary counseling
C. No intervention needed
D. Erythropoietin administration
Correct Answer: B
Rationale: Anemia in pregnancy is common, and a hemoglobin below 11 g/dL in the first or third
trimester or below 10.5 g/dL in the second trimester indicates anemia. Iron supplementation (oral
ferrous sulfate 325 mg daily) with dietary counseling is the first-line intervention. Transfusion is
reserved for severe symptomatic anemia, and erythropoietin is not standard treatment for
pregnancy-related anemia.
9. Which vaccine is recommended annually for all adults aged 6 months and older?
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Inactivated influenza vaccine
C. Recombinant zoster vaccine (Shingrix)
D. Tetanus-diphtheria (Td) booster
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Comprehensive Study Guide
NUR 3165 FNP Test Best Study Guide
2026/2027 Edition | 150 Questions with Correct Answers and Rationales
Course: NUR 3165 - Family Nurse Practitioner
Program: Master of Science in Nursing (MSN)
100% Verified | AANP & ANCC Blueprint Aligned | Exam-Ready Format
, NUR 3165 FNP Study Guide | 2026/2027
Domain 1: Health Promotion & Disease Prevention Across the
Lifespan
1. According to the USPSTF, at what age should asymptomatic adults begin colorectal
cancer screening?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Correct Answer: B
Rationale: The USPSTF (2021) recommends screening for colorectal cancer in adults aged 45 to
75 years. This represents a shift from the prior recommendation of age 50, reflecting rising
incidence in younger populations. Options A and D fall outside evidence-based guidelines, and age
50 was the previous threshold.
2. A 2-month-old infant presents for a well-child visit. Which vaccination is recommended
at this age per the CDC immunization schedule?
A. MMR (measles, mumps, rubella)
B. DTaP (diphtheria, tetanus, acellular pertussis), IPV, PCV13, Hib, Hep B, RV
C. Varicella
D. HPV (human papillomavirus)
Correct Answer: B
Rationale: At 2 months, the CDC recommends the first doses of DTaP, IPV (polio), PCV13
(pneumococcal), Hib (Haemophilus influenzae type b), Hepatitis B, and RV (rotavirus). MMR and
varicella are administered at 12 months. HPV vaccination begins at 9 to 12 years.
3. Which lifestyle modification has the strongest evidence for reducing blood pressure in
patients with prehypertension?
A. Calcium supplementation
B. The DASH (Dietary Approaches to Stop Hypertension) dietary pattern
C. Vitamin D supplementation
D. Gluten-free diet
Correct Answer: B
-1-
, NUR 3165 FNP Study Guide | 2026/2027
Rationale: The DASH diet, rich in fruits, vegetables, whole grains, and low-fat dairy while reduced
in saturated fat and sodium, has the strongest evidence base for lowering blood pressure. Clinical
trials demonstrate systolic BP reductions of 8 to 14 mmHg. Calcium and vitamin D lack robust
evidence for BP reduction, and gluten-free diets are indicated only for celiac disease.
4. A 65-year-old female patient asks about osteoporosis screening. Based on USPSTF
guidelines, what is the recommended screening method?
A. Serum calcium level
B. Dual-energy x-ray absorptiometry (DEXA) scan
C. Plain x-ray of the lumbar spine
D. Vitamin D level
Correct Answer: B
Rationale: The USPSTF recommends screening for osteoporosis with bone measurement testing
(DEXA scan) in women aged 65 years and older. DEXA provides T-scores that classify bone
density as normal, osteopenic, or osteoporotic. Serum calcium and vitamin D levels are not
screening tools for osteoporosis, and plain x-rays lack sensitivity for early bone loss detection.
5. A 40-year-old male with a 20 pack-year smoking history presents for an annual physical.
Which screening intervention is most appropriate?
A. Annual chest x-ray
B. Low-dose computed tomography (LDCT) of the chest
C. Sputum cytology
D. Bronchoscopy
Correct Answer: B
Rationale: The USPSTF recommends annual LDCT screening for lung cancer in adults aged 50 to
80 who have a 20 pack-year smoking history and currently smoke or quit within the past 15 years.
Chest x-ray and sputum cytology have not demonstrated mortality benefit. Bronchoscopy is
diagnostic, not a screening tool.
6. The nurse practitioner is providing anticipatory guidance to the parents of a 12-month-
old infant. Which developmental milestone should the infant have achieved?
A. Walking independently
B. Using two-word phrases
C. Pulling to stand and cruising along furniture
D. Tying shoelaces
-2-
, NUR 3165 FNP Study Guide | 2026/2027
Correct Answer: C
Rationale: By 12 months, most infants can pull to stand and cruise along furniture. Walking
independently typically emerges between 12 and 15 months. Two-word phrases develop around 24
months. Tying shoelaces is a fine motor skill expected around age 5 to 6.
7. For a 55-year-old patient with no risk factors, what is the recommended frequency for
diabetes mellitus type 2 screening?
A. Every year
B. Every 3 years
C. Every 5 years
D. Only if symptomatic
Correct Answer: B
Rationale: The ADA recommends screening for type 2 diabetes in asymptomatic adults beginning
at age 35, or earlier if risk factors exist. For patients with normal results and no risk factors,
rescreening every 3 years is appropriate. Annual screening is reserved for those with prediabetes
or elevated risk.
8. A pregnant patient at 28 weeks gestation has a hemoglobin of 10.2 g/dL. Which
intervention is most appropriate?
A. Immediate blood transfusion
B. Iron supplementation with dietary counseling
C. No intervention needed
D. Erythropoietin administration
Correct Answer: B
Rationale: Anemia in pregnancy is common, and a hemoglobin below 11 g/dL in the first or third
trimester or below 10.5 g/dL in the second trimester indicates anemia. Iron supplementation (oral
ferrous sulfate 325 mg daily) with dietary counseling is the first-line intervention. Transfusion is
reserved for severe symptomatic anemia, and erythropoietin is not standard treatment for
pregnancy-related anemia.
9. Which vaccine is recommended annually for all adults aged 6 months and older?
A. Pneumococcal polysaccharide vaccine (PPSV23)
B. Inactivated influenza vaccine
C. Recombinant zoster vaccine (Shingrix)
D. Tetanus-diphtheria (Td) booster
-3-
