NURSING EDUCATION RESOURCES -- ADVANCED PRACTICE EXAMINATION SERIES
NR 601 Week 1 Quiz
Questions, Options, and Correct Answers
Official Practice Exam -- 2026/2027 Edition
50 Questions | 60 Minutes | 80% Passing Score | Graded A+
FNP Primary Care of Adults and Older Adults
Table of Contents
Section 1 Health Promotion & Disease Prevention Q1 - Q13 | 13 Questions
Section 2 Health Assessment & Diagnostic Reasoning Q14 - Q26 | 13 Questions
Section 3 Common Acute Conditions in Primary Care Q27 - Q38 | 12 Questions
Section 4 Pharmacotherapeutics & Prescribing Principles Q39 - Q50 | 12 Questions
Exam Instructions
This practice exam consists of 50 multiple-choice questions divided into four sections. Each question presents a
clinical scenario followed by four answer options (A through D). Select the single best answer for each question.
You have 60 minutes to complete the exam. A minimum score of 80% (40 correct answers out of 50) is required
to pass. Each question includes the correct answer and a detailed rationale explaining why the correct answer is
right and why the top distractor is wrong. Review all rationales carefully to strengthen your clinical reasoning skills
for the NR 601 course.
This practice exam is intended for educational purposes only and is not affiliated with any official certification body.
Content reflects NR 601 FNP Primary Care curriculum. 2026/2027 Update.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 1
,SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION
Q1 Question 1 of 50
A 52-year-old woman presents for her annual wellness visit with no significant medical
history. She asks about appropriate cancer screening tests now that she is in her 50s. Her
last mammogram was at age 50, and she had a colonoscopy two years ago with normal
findings. According to current USPSTF guidelines, which screening should be recommended
at this time?
A. Annual or biennial mammography continuing through age 74 based on USPSTF grade
B recommendation
B. Repeat colonoscopy every five years starting at age 50 given her family risk profile
C. Annual low-dose CT scan for lung cancer screening regardless of smoking history
D. Pap smear alone every three years through age 65 as the sole recommended cervical
screening strategy
Correct Answer: A
Rationale:
The USPSTF recommends biennial mammography for women aged 50 to 74 with a grade B
recommendation. Option D is incorrect because the preferred cervical screening is Pap with HPV
co-testing every five years, not Pap alone every three years. Option B is wrong because colonoscopy with
normal findings is repeated every 10 years, not every five.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 2
,Q2 Question 2 of 50
A 65-year-old man with well-controlled hypertension received the pneumococcal conjugate
vaccine (PCV15) last year and the inactivated influenza vaccine three months ago. He has
never received PPSV23. He presents for a follow-up visit and asks about his immunization
status. According to ACIP recommendations, what should be done today?
A. Administer PPSV23 at least one year after PCV15 to complete the pneumococcal series for
adults 65 and older
B. No additional pneumococcal vaccination is needed since he already received PCV15
C. Administer a second dose of PCV15 to complete the pneumococcal conjugate series
D. Give both PCV15 and PPSV23 simultaneously at this visit for complete coverage
Correct Answer: B
Rationale:
When PCV15 is used in adults 65 and older, PPSV23 should follow at least one year later to complete the
series. Option A is incorrect because PPSV23 is still required after PCV15 in this age group. Option D is
wrong because PCV15 and PPSV23 should never be given at the same visit due to immune response
interference.
Q3 Question 3 of 50
A 45-year-old African American man with a BMI of 32 and a family history of type 2 diabetes
asks about reducing his diabetes risk. He leads a sedentary lifestyle and eats a diet high in
processed foods. The nurse practitioner recommends a structured lifestyle intervention.
Which outcome is most strongly supported by the Diabetes Prevention Program trial?
A. Elimination of all simple carbohydrates from the daily meal plan to achieve normoglycemia
B. Moderate-intensity physical activity for 150 minutes per week combined with dietary changes
reduces diabetes incidence by 58 percent
C. Weight loss of 5 to 7 percent of body weight through dietary changes alone without
exercise
D. Metformin therapy alone reduces diabetes incidence more effectively than lifestyle
modification
Correct Answer: C
Rationale:
The DPP trial demonstrated that intensive lifestyle modification with 150 minutes per week of
moderate-intensity activity reduced type 2 diabetes incidence by 58 percent. Option A is incomplete
because diet alone is less effective without exercise. Option D is incorrect because lifestyle changes were
nearly twice as effective as metformin in reducing diabetes risk.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 3
, Q4 Question 4 of 50
A 70-year-old woman who lives independently is evaluated for fall risk during a routine visit.
She reports two near-falls in the past month and takes hydrochlorothiazide 25 mg daily for
hypertension. Orthostatic blood pressure shows a 15 mmHg systolic drop upon standing.
The most appropriate initial intervention is to:
A. Refer the patient to a physical therapist for gait and balance training as the sole intervention
B. Recommend vitamin D supplementation of 1000 IU daily to improve bone density and reduce
fractures
C. Review and adjust medications contributing to orthostatic hypotension and initiate a
multifactorial fall prevention plan
D. Discontinue hydrochlorothiazide immediately and switch to a calcium channel blocker
Correct Answer: D
Rationale:
The USPSTF and AGS recommend reviewing medications contributing to fall risk, including thiazide
diuretics causing orthostatic hypotension, combined with a multifactorial fall prevention approach. Option
A is too abrupt without considering blood pressure control. Option B is valuable but should follow
medication review, not replace it. Option C addresses bone health but does not directly reduce fall risk
from orthostatic hypotension.
Q5 Question 5 of 50
A 58-year-old man with a 30-pack-year smoking history quit smoking six months ago with the
help of varenicline. He is motivated to maintain abstinence and asks about strategies to
prevent relapse. The nurse practitioner's best recommendation is to:
A. Continue follow-up counseling sessions and reinforce coping strategies for high-risk
trigger situations
B. Switch to over-the-counter nicotine replacement therapy for ongoing craving management
C. Participate in a structured aerobic exercise program as the sole intervention to reduce
withdrawal symptoms
D. Undergo annual low-dose CT screening to monitor for lung cancer as the primary preventive
measure
Correct Answer: A
Rationale:
Continued behavioral counseling and relapse prevention strategies are the most evidence-based
approach for maintaining smoking cessation after pharmacotherapy. Option B is less effective after six
months of abstinence. Option C is a helpful adjunct but not a primary relapse prevention strategy. Option
D addresses cancer screening rather than relapse prevention.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 4
NR 601 Week 1 Quiz
Questions, Options, and Correct Answers
Official Practice Exam -- 2026/2027 Edition
50 Questions | 60 Minutes | 80% Passing Score | Graded A+
FNP Primary Care of Adults and Older Adults
Table of Contents
Section 1 Health Promotion & Disease Prevention Q1 - Q13 | 13 Questions
Section 2 Health Assessment & Diagnostic Reasoning Q14 - Q26 | 13 Questions
Section 3 Common Acute Conditions in Primary Care Q27 - Q38 | 12 Questions
Section 4 Pharmacotherapeutics & Prescribing Principles Q39 - Q50 | 12 Questions
Exam Instructions
This practice exam consists of 50 multiple-choice questions divided into four sections. Each question presents a
clinical scenario followed by four answer options (A through D). Select the single best answer for each question.
You have 60 minutes to complete the exam. A minimum score of 80% (40 correct answers out of 50) is required
to pass. Each question includes the correct answer and a detailed rationale explaining why the correct answer is
right and why the top distractor is wrong. Review all rationales carefully to strengthen your clinical reasoning skills
for the NR 601 course.
This practice exam is intended for educational purposes only and is not affiliated with any official certification body.
Content reflects NR 601 FNP Primary Care curriculum. 2026/2027 Update.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 1
,SECTION 1: HEALTH PROMOTION & DISEASE PREVENTION
Q1 Question 1 of 50
A 52-year-old woman presents for her annual wellness visit with no significant medical
history. She asks about appropriate cancer screening tests now that she is in her 50s. Her
last mammogram was at age 50, and she had a colonoscopy two years ago with normal
findings. According to current USPSTF guidelines, which screening should be recommended
at this time?
A. Annual or biennial mammography continuing through age 74 based on USPSTF grade
B recommendation
B. Repeat colonoscopy every five years starting at age 50 given her family risk profile
C. Annual low-dose CT scan for lung cancer screening regardless of smoking history
D. Pap smear alone every three years through age 65 as the sole recommended cervical
screening strategy
Correct Answer: A
Rationale:
The USPSTF recommends biennial mammography for women aged 50 to 74 with a grade B
recommendation. Option D is incorrect because the preferred cervical screening is Pap with HPV
co-testing every five years, not Pap alone every three years. Option B is wrong because colonoscopy with
normal findings is repeated every 10 years, not every five.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 2
,Q2 Question 2 of 50
A 65-year-old man with well-controlled hypertension received the pneumococcal conjugate
vaccine (PCV15) last year and the inactivated influenza vaccine three months ago. He has
never received PPSV23. He presents for a follow-up visit and asks about his immunization
status. According to ACIP recommendations, what should be done today?
A. Administer PPSV23 at least one year after PCV15 to complete the pneumococcal series for
adults 65 and older
B. No additional pneumococcal vaccination is needed since he already received PCV15
C. Administer a second dose of PCV15 to complete the pneumococcal conjugate series
D. Give both PCV15 and PPSV23 simultaneously at this visit for complete coverage
Correct Answer: B
Rationale:
When PCV15 is used in adults 65 and older, PPSV23 should follow at least one year later to complete the
series. Option A is incorrect because PPSV23 is still required after PCV15 in this age group. Option D is
wrong because PCV15 and PPSV23 should never be given at the same visit due to immune response
interference.
Q3 Question 3 of 50
A 45-year-old African American man with a BMI of 32 and a family history of type 2 diabetes
asks about reducing his diabetes risk. He leads a sedentary lifestyle and eats a diet high in
processed foods. The nurse practitioner recommends a structured lifestyle intervention.
Which outcome is most strongly supported by the Diabetes Prevention Program trial?
A. Elimination of all simple carbohydrates from the daily meal plan to achieve normoglycemia
B. Moderate-intensity physical activity for 150 minutes per week combined with dietary changes
reduces diabetes incidence by 58 percent
C. Weight loss of 5 to 7 percent of body weight through dietary changes alone without
exercise
D. Metformin therapy alone reduces diabetes incidence more effectively than lifestyle
modification
Correct Answer: C
Rationale:
The DPP trial demonstrated that intensive lifestyle modification with 150 minutes per week of
moderate-intensity activity reduced type 2 diabetes incidence by 58 percent. Option A is incomplete
because diet alone is less effective without exercise. Option D is incorrect because lifestyle changes were
nearly twice as effective as metformin in reducing diabetes risk.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 3
, Q4 Question 4 of 50
A 70-year-old woman who lives independently is evaluated for fall risk during a routine visit.
She reports two near-falls in the past month and takes hydrochlorothiazide 25 mg daily for
hypertension. Orthostatic blood pressure shows a 15 mmHg systolic drop upon standing.
The most appropriate initial intervention is to:
A. Refer the patient to a physical therapist for gait and balance training as the sole intervention
B. Recommend vitamin D supplementation of 1000 IU daily to improve bone density and reduce
fractures
C. Review and adjust medications contributing to orthostatic hypotension and initiate a
multifactorial fall prevention plan
D. Discontinue hydrochlorothiazide immediately and switch to a calcium channel blocker
Correct Answer: D
Rationale:
The USPSTF and AGS recommend reviewing medications contributing to fall risk, including thiazide
diuretics causing orthostatic hypotension, combined with a multifactorial fall prevention approach. Option
A is too abrupt without considering blood pressure control. Option B is valuable but should follow
medication review, not replace it. Option C addresses bone health but does not directly reduce fall risk
from orthostatic hypotension.
Q5 Question 5 of 50
A 58-year-old man with a 30-pack-year smoking history quit smoking six months ago with the
help of varenicline. He is motivated to maintain abstinence and asks about strategies to
prevent relapse. The nurse practitioner's best recommendation is to:
A. Continue follow-up counseling sessions and reinforce coping strategies for high-risk
trigger situations
B. Switch to over-the-counter nicotine replacement therapy for ongoing craving management
C. Participate in a structured aerobic exercise program as the sole intervention to reduce
withdrawal symptoms
D. Undergo annual low-dose CT screening to monitor for lung cancer as the primary preventive
measure
Correct Answer: A
Rationale:
Continued behavioral counseling and relapse prevention strategies are the most evidence-based
approach for maintaining smoking cessation after pharmacotherapy. Option B is less effective after six
months of abstinence. Option C is a helpful adjunct but not a primary relapse prevention strategy. Option
D addresses cancer screening rather than relapse prevention.
NR 601 Week 1 Quiz -- 2026/2027 | Passing Score: 80% | Page 4
