1
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A healthy 18-month-old presents for a well-child visit. The child has
received all recommended immunizations to date. Which vaccination should the
FNP administer today according to the 2026 CDC schedule?
A. Hepatitis A (first dose)
B. MMR (first dose)
C. Varicella (first dose)
D. HPV (first dose)
ANSWER: B
Q002: A 45-year-old male with no chronic conditions asks about lung cancer
screening. He has a 30-pack-year smoking history and quit 5 years ago. What is the
USPSTF 2026 recommendation?
A. No screening needed since he quit
B. Annual LDCT until age 80
C. Annual LDCT for 3 years only
D. Chest X-ray every 2 years
ANSWER: B
Q003: A 32-year-old woman presents with a 2-day history of dysuria, frequency,
and urgency. She is afebrile and has no flank pain. Urinalysis shows positive
nitrites and leukocyte esterase. What is the first-line outpatient treatment?
, 2
A. Ceftriaxone IM
B. Nitrofurantoin 100 mg BID x 5 days
C. Ciprofloxacin 500 mg BID x 7 days
D. Amoxicillin 500 mg TID x 3 days
ANSWER: B
Q004: A 60-year-old African American male presents for a routine physical. His
BP is 142/88 mmHg on two occasions. According to ACC/AHA 2026 guidelines,
what is his BP classification?
A. Normal
B. Elevated
C. Stage 1 HTN
D. Stage 2 HTN
ANSWER: C
Q005: A 24-year-old female requests contraception. She has migraines with aura
and smokes half a pack per day. Which method is contraindicated?
A. Copper IUD
B. Combined oral contraceptives
C. Depot medroxyprogesterone
D. Levonorgestrel IUD
ANSWER: B
Q006: A 55-year-old postmenopausal woman asks about osteoporosis screening.
She has no risk factors. When should her first DXA scan be scheduled?
A. Age 60
B. Age 65
C. Age 70
, 3
D. Now
ANSWER: B
Q007: A 40-year-old male presents with acute low back pain after lifting boxes. He
has no red flags. What is the first-line recommendation?
A. Immediate MRI
B. Bed rest for 1 week
C. NSAIDs and continue normal activity
D. Opioids for pain relief
ANSWER: C
Q008: A 16-year-old presents for a sports physical. He has never received a tetanus
booster. Which vaccine should be given?
A. Td only
B. Tdap
C. DTaP
D. No vaccine needed until age 18
ANSWER: B
Q009: A 70-year-old female with DM2 and HTN presents for follow-up. Her
HbA1c is 7.8%. According to ADA 2026 guidelines, what is the next step?
A. Increase lifestyle counseling only
B. Add GLP-1 receptor agonist
C. Add basal insulin
D. Add SGLT2 inhibitor
ANSWER: D
Q010: A 30-year-old pregnant woman at 28 weeks asks about Tdap vaccination.
What is the current recommendation?
FNP 652 / FNP 6552 Midterm Exam
Actual Exam 2026/2027 | Family
Primary Care I | GCU | Questions with
Verified Answers | 100% Correct | Pass
Guaranteed
Q001: A healthy 18-month-old presents for a well-child visit. The child has
received all recommended immunizations to date. Which vaccination should the
FNP administer today according to the 2026 CDC schedule?
A. Hepatitis A (first dose)
B. MMR (first dose)
C. Varicella (first dose)
D. HPV (first dose)
ANSWER: B
Q002: A 45-year-old male with no chronic conditions asks about lung cancer
screening. He has a 30-pack-year smoking history and quit 5 years ago. What is the
USPSTF 2026 recommendation?
A. No screening needed since he quit
B. Annual LDCT until age 80
C. Annual LDCT for 3 years only
D. Chest X-ray every 2 years
ANSWER: B
Q003: A 32-year-old woman presents with a 2-day history of dysuria, frequency,
and urgency. She is afebrile and has no flank pain. Urinalysis shows positive
nitrites and leukocyte esterase. What is the first-line outpatient treatment?
, 2
A. Ceftriaxone IM
B. Nitrofurantoin 100 mg BID x 5 days
C. Ciprofloxacin 500 mg BID x 7 days
D. Amoxicillin 500 mg TID x 3 days
ANSWER: B
Q004: A 60-year-old African American male presents for a routine physical. His
BP is 142/88 mmHg on two occasions. According to ACC/AHA 2026 guidelines,
what is his BP classification?
A. Normal
B. Elevated
C. Stage 1 HTN
D. Stage 2 HTN
ANSWER: C
Q005: A 24-year-old female requests contraception. She has migraines with aura
and smokes half a pack per day. Which method is contraindicated?
A. Copper IUD
B. Combined oral contraceptives
C. Depot medroxyprogesterone
D. Levonorgestrel IUD
ANSWER: B
Q006: A 55-year-old postmenopausal woman asks about osteoporosis screening.
She has no risk factors. When should her first DXA scan be scheduled?
A. Age 60
B. Age 65
C. Age 70
, 3
D. Now
ANSWER: B
Q007: A 40-year-old male presents with acute low back pain after lifting boxes. He
has no red flags. What is the first-line recommendation?
A. Immediate MRI
B. Bed rest for 1 week
C. NSAIDs and continue normal activity
D. Opioids for pain relief
ANSWER: C
Q008: A 16-year-old presents for a sports physical. He has never received a tetanus
booster. Which vaccine should be given?
A. Td only
B. Tdap
C. DTaP
D. No vaccine needed until age 18
ANSWER: B
Q009: A 70-year-old female with DM2 and HTN presents for follow-up. Her
HbA1c is 7.8%. According to ADA 2026 guidelines, what is the next step?
A. Increase lifestyle counseling only
B. Add GLP-1 receptor agonist
C. Add basal insulin
D. Add SGLT2 inhibitor
ANSWER: D
Q010: A 30-year-old pregnant woman at 28 weeks asks about Tdap vaccination.
What is the current recommendation?
