NSG 6440 EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| NSG6440 PREDICTOR FINAL EXAM
REVIEW WITH COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. A 45-year-old patient presents for an annual physical.
Which screening is recommended by the USPSTF for this age
group?
A. Annual chest X-ray
B. Blood pressure screening every 3-5 years
C. Colorectal cancer screening starting at age 45
D. PSA screening for all men over 40
Correct Answer: C
Rationale: The USPSTF recommends colorectal cancer screening
for average-risk adults beginning at age 45. Blood pressure
should be screened annually; PSA is not recommended routinely;
chest X-ray is not a screening test .
2. A 30-year-old woman requests contraception. She has a
history of migraine with aura. Which method is
contraindicated?
A. Copper IUD
1
,B. Progestin-only pill
C. Combined oral contraceptive
D. Etonogestrel implant
Correct Answer: C
Rationale: Combined oral contraceptives (estrogen-containing)
are contraindicated in women with migraine with aura due to
increased risk of ischemic stroke. Progestin-only methods are safe
alternatives .
3. According to the USPSTF, which patients should receive
low-dose aspirin for primary prevention of cardiovascular
disease?
A. All adults over age 50
B. Adults aged 40-59 with 10% or greater 10-year CVD risk
C. Adults over 60 regardless of risk
D. All adults with hypertension
Correct Answer: B
Rationale: The USPSTF recommends low-dose aspirin for primary
prevention in adults aged 40-59 years who have a 10% or
greater 10-year CVD risk and are not at increased bleeding
risk. Benefits are less clear for those over 60 .
2
,4. A 55-year-old patient asks about lung cancer screening.
Which criteria would make the patient eligible?
A. Current smoker with 20 pack-year history
B. Former smoker who quit 20 years ago with 15 pack-year
history
C. Age 50-80 with 20 pack-year history, currently smoking or
quit within past 15 years
D. Any patient over 50 with history of secondhand smoke
exposure
Correct Answer: C
Rationale: The USPSTF recommends annual lung cancer screening
with low-dose CT for adults aged 50-80 years with a 20 pack-
year smoking history who currently smoke or have quit within the
past 15 years .
5. A 65-year-old patient has no history of falls. The USPSTF
recommends which intervention for fall prevention?
A. Vitamin D supplementation only
B. Exercise or physical therapy to prevent falls
C. Routine home safety evaluation regardless of fall history
D. No routine screening or intervention for patients without fall
history
3
, Correct Answer: D
Rationale: The USPSTF concludes that evidence is insufficient to
recommend routine fall prevention interventions for older adults
living in the community who have no history of falls or risk factors
.
6. A 60-year-old woman has a bone density T-score of -2.8 at
the femoral neck. The most appropriate next step is:
A. Calcium and vitamin D only
B. Repeat DEXA in 5 years
C. Pharmacologic therapy for osteoporosis
D. Referral for endocrinology consultation only
Correct Answer: C
Rationale: A T-score of -2.5 or lower at the femoral neck,
lumbar spine, or total hip meets criteria for osteoporosis, and
pharmacologic therapy is indicated to reduce fracture risk .
7. A 35-year-old patient presents for preconception
counseling. Which supplement should be recommended?
A. Vitamin D 2000 IU daily
B. Folic acid 400-800 mcg daily
C. Iron 65 mg daily
D. Calcium 1200 mg daily
4
TEST BANK| NSG6440 PREDICTOR FINAL EXAM
REVIEW WITH COMPLETE 350 REAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS/ ALREADY
GRADED A+ (MOST RECENT!!)
1. A 45-year-old patient presents for an annual physical.
Which screening is recommended by the USPSTF for this age
group?
A. Annual chest X-ray
B. Blood pressure screening every 3-5 years
C. Colorectal cancer screening starting at age 45
D. PSA screening for all men over 40
Correct Answer: C
Rationale: The USPSTF recommends colorectal cancer screening
for average-risk adults beginning at age 45. Blood pressure
should be screened annually; PSA is not recommended routinely;
chest X-ray is not a screening test .
2. A 30-year-old woman requests contraception. She has a
history of migraine with aura. Which method is
contraindicated?
A. Copper IUD
1
,B. Progestin-only pill
C. Combined oral contraceptive
D. Etonogestrel implant
Correct Answer: C
Rationale: Combined oral contraceptives (estrogen-containing)
are contraindicated in women with migraine with aura due to
increased risk of ischemic stroke. Progestin-only methods are safe
alternatives .
3. According to the USPSTF, which patients should receive
low-dose aspirin for primary prevention of cardiovascular
disease?
A. All adults over age 50
B. Adults aged 40-59 with 10% or greater 10-year CVD risk
C. Adults over 60 regardless of risk
D. All adults with hypertension
Correct Answer: B
Rationale: The USPSTF recommends low-dose aspirin for primary
prevention in adults aged 40-59 years who have a 10% or
greater 10-year CVD risk and are not at increased bleeding
risk. Benefits are less clear for those over 60 .
2
,4. A 55-year-old patient asks about lung cancer screening.
Which criteria would make the patient eligible?
A. Current smoker with 20 pack-year history
B. Former smoker who quit 20 years ago with 15 pack-year
history
C. Age 50-80 with 20 pack-year history, currently smoking or
quit within past 15 years
D. Any patient over 50 with history of secondhand smoke
exposure
Correct Answer: C
Rationale: The USPSTF recommends annual lung cancer screening
with low-dose CT for adults aged 50-80 years with a 20 pack-
year smoking history who currently smoke or have quit within the
past 15 years .
5. A 65-year-old patient has no history of falls. The USPSTF
recommends which intervention for fall prevention?
A. Vitamin D supplementation only
B. Exercise or physical therapy to prevent falls
C. Routine home safety evaluation regardless of fall history
D. No routine screening or intervention for patients without fall
history
3
, Correct Answer: D
Rationale: The USPSTF concludes that evidence is insufficient to
recommend routine fall prevention interventions for older adults
living in the community who have no history of falls or risk factors
.
6. A 60-year-old woman has a bone density T-score of -2.8 at
the femoral neck. The most appropriate next step is:
A. Calcium and vitamin D only
B. Repeat DEXA in 5 years
C. Pharmacologic therapy for osteoporosis
D. Referral for endocrinology consultation only
Correct Answer: C
Rationale: A T-score of -2.5 or lower at the femoral neck,
lumbar spine, or total hip meets criteria for osteoporosis, and
pharmacologic therapy is indicated to reduce fracture risk .
7. A 35-year-old patient presents for preconception
counseling. Which supplement should be recommended?
A. Vitamin D 2000 IU daily
B. Folic acid 400-800 mcg daily
C. Iron 65 mg daily
D. Calcium 1200 mg daily
4
