NR-705 Pharmacology Mastery 2025-2026:
Practice Questions + Rationales for Exam
Success
1. Which of the following is the most effective primary
prevention strategy for hypertension?
A. Prescribing antihypertensive medication
B. Limiting alcohol consumption
C. Encouraging regular physical activity
D. Monitoring blood pressure annually
Rationale: Primary prevention focuses on preventing the onset
of disease. Regular physical activity helps maintain healthy
blood pressure before hypertension develops.
2. The FNP is seeing a 45-year-old patient for a routine check-
up. Which screening is recommended for colorectal cancer in
average-risk adults?
A. Fecal occult blood test every year
B. Colonoscopy every 10 years
C. Sigmoidoscopy every 5 years
D. All of the above depending on patient preference
Rationale: Screening for colorectal cancer in average-risk adults
can be done with multiple methods, and the choice depends on
patient preference and risk factors.
,3. A 55-year-old female patient presents for a routine check-
up. Which vaccine is recommended to prevent shingles?
A. Varicella vaccine
B. Recombinant zoster vaccine (Shingrix)
C. MMR vaccine
D. Influenza vaccine
Rationale: The recombinant zoster vaccine is recommended for
adults ≥50 years to prevent shingles.
4. A patient with a family history of type 2 diabetes asks about
prevention. Which lifestyle modification is most evidence-
based?
A. Low-fat diet
B. Weight loss and increased physical activity
C. Avoiding caffeine
D. Taking multivitamins
Rationale: Weight loss and regular physical activity significantly
reduce the risk of developing type 2 diabetes.
5. The FNP should counsel a 30-year-old patient about the
HPV vaccine. What is the recommended age range for catch-
up vaccination?
A. 15–25 years
B. Up to age 45 years
,C. 10–20 years
D. Only before age 18
Rationale: Catch-up HPV vaccination is recommended for adults
up to age 45 who were not fully vaccinated earlier.
6. Which of the following is an example of tertiary
prevention?
A. Administering the flu vaccine
B. Rehabilitation after a stroke
C. Smoking cessation programs
D. Blood pressure screening
Rationale: Tertiary prevention focuses on minimizing
complications and disability after a disease has occurred.
7. A 60-year-old male patient asks about PSA screening for
prostate cancer. Which statement is correct?
A. All men should be screened annually starting at age 50
B. PSA screening is not recommended at any age
C. Screening should be individualized based on risk factors
D. PSA screening is only for symptomatic men
Rationale: PSA screening is a shared decision-making process,
particularly for men aged 55–69 or earlier if high risk.
, 8. Which dietary recommendation is most effective for
primary prevention of cardiovascular disease?
A. High-protein diet
B. DASH (Dietary Approaches to Stop Hypertension) diet
C. High-fat, low-carb diet
D. Intermittent fasting
Rationale: The DASH diet reduces blood pressure and
cardiovascular risk.
9. A 25-year-old patient presents for preconception
counseling. Which is most important for primary prevention
of neural tube defects?
A. Vitamin C supplementation
B. Folic acid supplementation
C. Iron supplementation
D. Calcium supplementation
Rationale: Folic acid taken before conception reduces the risk of
neural tube defects in the fetus.
10. Which of the following is a secondary prevention strategy
for diabetes?
A. Healthy diet
B. Screening for microalbuminuria in diabetic patients
C. Immunization
D. Smoking cessation
Practice Questions + Rationales for Exam
Success
1. Which of the following is the most effective primary
prevention strategy for hypertension?
A. Prescribing antihypertensive medication
B. Limiting alcohol consumption
C. Encouraging regular physical activity
D. Monitoring blood pressure annually
Rationale: Primary prevention focuses on preventing the onset
of disease. Regular physical activity helps maintain healthy
blood pressure before hypertension develops.
2. The FNP is seeing a 45-year-old patient for a routine check-
up. Which screening is recommended for colorectal cancer in
average-risk adults?
A. Fecal occult blood test every year
B. Colonoscopy every 10 years
C. Sigmoidoscopy every 5 years
D. All of the above depending on patient preference
Rationale: Screening for colorectal cancer in average-risk adults
can be done with multiple methods, and the choice depends on
patient preference and risk factors.
,3. A 55-year-old female patient presents for a routine check-
up. Which vaccine is recommended to prevent shingles?
A. Varicella vaccine
B. Recombinant zoster vaccine (Shingrix)
C. MMR vaccine
D. Influenza vaccine
Rationale: The recombinant zoster vaccine is recommended for
adults ≥50 years to prevent shingles.
4. A patient with a family history of type 2 diabetes asks about
prevention. Which lifestyle modification is most evidence-
based?
A. Low-fat diet
B. Weight loss and increased physical activity
C. Avoiding caffeine
D. Taking multivitamins
Rationale: Weight loss and regular physical activity significantly
reduce the risk of developing type 2 diabetes.
5. The FNP should counsel a 30-year-old patient about the
HPV vaccine. What is the recommended age range for catch-
up vaccination?
A. 15–25 years
B. Up to age 45 years
,C. 10–20 years
D. Only before age 18
Rationale: Catch-up HPV vaccination is recommended for adults
up to age 45 who were not fully vaccinated earlier.
6. Which of the following is an example of tertiary
prevention?
A. Administering the flu vaccine
B. Rehabilitation after a stroke
C. Smoking cessation programs
D. Blood pressure screening
Rationale: Tertiary prevention focuses on minimizing
complications and disability after a disease has occurred.
7. A 60-year-old male patient asks about PSA screening for
prostate cancer. Which statement is correct?
A. All men should be screened annually starting at age 50
B. PSA screening is not recommended at any age
C. Screening should be individualized based on risk factors
D. PSA screening is only for symptomatic men
Rationale: PSA screening is a shared decision-making process,
particularly for men aged 55–69 or earlier if high risk.
, 8. Which dietary recommendation is most effective for
primary prevention of cardiovascular disease?
A. High-protein diet
B. DASH (Dietary Approaches to Stop Hypertension) diet
C. High-fat, low-carb diet
D. Intermittent fasting
Rationale: The DASH diet reduces blood pressure and
cardiovascular risk.
9. A 25-year-old patient presents for preconception
counseling. Which is most important for primary prevention
of neural tube defects?
A. Vitamin C supplementation
B. Folic acid supplementation
C. Iron supplementation
D. Calcium supplementation
Rationale: Folic acid taken before conception reduces the risk of
neural tube defects in the fetus.
10. Which of the following is a secondary prevention strategy
for diabetes?
A. Healthy diet
B. Screening for microalbuminuria in diabetic patients
C. Immunization
D. Smoking cessation
