NURS 5434 Final Assessment – Family III (FNP 3) UTA
Latest Updated Questions and Answers
1. At what age should colorectal cancer screening begin for average-risk adults?
Answer: 45 years
Rationale: USPSTF updated guideline lowered from 50 to 45.
2. Which USPSTF grade applies to cervical cancer screening for women aged 21–
29?
Answer: Grade A
Rationale: Strong evidence supports Pap smear every 3 years.
3. For lung cancer screening, which patients qualify?
Answer: Adults 50–80 with ≥20 pack-year history, currently smoking or quit within 15
years
Rationale: USPSTF Grade B recommendation.
4. Which screening is NOT recommended for asymptomatic adults?
Answer: Ovarian cancer
Rationale: USPSTF Grade D — harms outweigh benefits.
5. Breast cancer screening frequency for women 50–74?
Answer: Biennial mammogram
Rationale: USPSTF Grade B.
6. First-line therapy for hypertension in African American adults?
Answer: Thiazide diuretic or calcium channel blocker
Rationale: Evidence shows better outcomes compared to ACE inhibitors.
7. Best initial test for suspected diabetes?
Answer: Fasting plasma glucose
Rationale: Simple, reproducible, diagnostic threshold ≥126 mg/dL.
8. Which vaccine is contraindicated in pregnancy?
Answer: Live attenuated vaccines (MMR, varicella)
Rationale: Risk to fetus.
9. Recommended statin therapy for a 55-year-old with diabetes and LDL 110?
Answer: Moderate-intensity statin
Rationale: ADA and USPSTF guidelines.
10. Which medication improves survival in heart failure with reduced EF?
Answer: ACE inhibitors
, Rationale: Proven mortality benefit.
11. First-line treatment for acute otitis media in children?
Answer: Amoxicillin
Rationale: Narrow-spectrum, effective, safe.
12. At what age should HPV vaccination begin?
Answer: 11–12 years
Rationale: CDC recommendation.
13. Which contraceptive is contraindicated in smokers >35 years?
Answer: Combined oral contraceptives
Rationale: Increased risk of thromboembolism.
14. Best diagnostic test for suspected appendicitis in children?
Answer: Ultrasound
Rationale: Avoids radiation, high sensitivity.
15. Which supplement prevents neural tube defects?
Answer: Folic acid
Rationale: 400 mcg daily before conception.
16. First-line therapy for status asthmaticus?
Answer: High-dose inhaled beta-agonist (albuterol)
Rationale: Rapid bronchodilation.
17. Initial management of STEMI in primary care setting?
Answer: Activate EMS and give aspirin
Rationale: Time-sensitive, aspirin reduces mortality.
18. Best imaging for suspected stroke within 6 hours?
Answer: Non-contrast CT head
Rationale: Rule out hemorrhage before thrombolysis.
19. Which rhythm requires immediate defibrillation?
Answer: Ventricular fibrillation
Rationale: Shockable rhythm, ACLS protocol.
20. First-line antibiotic for community-acquired pneumonia in healthy adults?
Answer: Amoxicillin or doxycycline
Rationale: Covers common pathogens.
21. Principle of beneficence means?
Answer: Acting in the patient’s best interest
Rationale: Ethical duty to promote well-being.
Latest Updated Questions and Answers
1. At what age should colorectal cancer screening begin for average-risk adults?
Answer: 45 years
Rationale: USPSTF updated guideline lowered from 50 to 45.
2. Which USPSTF grade applies to cervical cancer screening for women aged 21–
29?
Answer: Grade A
Rationale: Strong evidence supports Pap smear every 3 years.
3. For lung cancer screening, which patients qualify?
Answer: Adults 50–80 with ≥20 pack-year history, currently smoking or quit within 15
years
Rationale: USPSTF Grade B recommendation.
4. Which screening is NOT recommended for asymptomatic adults?
Answer: Ovarian cancer
Rationale: USPSTF Grade D — harms outweigh benefits.
5. Breast cancer screening frequency for women 50–74?
Answer: Biennial mammogram
Rationale: USPSTF Grade B.
6. First-line therapy for hypertension in African American adults?
Answer: Thiazide diuretic or calcium channel blocker
Rationale: Evidence shows better outcomes compared to ACE inhibitors.
7. Best initial test for suspected diabetes?
Answer: Fasting plasma glucose
Rationale: Simple, reproducible, diagnostic threshold ≥126 mg/dL.
8. Which vaccine is contraindicated in pregnancy?
Answer: Live attenuated vaccines (MMR, varicella)
Rationale: Risk to fetus.
9. Recommended statin therapy for a 55-year-old with diabetes and LDL 110?
Answer: Moderate-intensity statin
Rationale: ADA and USPSTF guidelines.
10. Which medication improves survival in heart failure with reduced EF?
Answer: ACE inhibitors
, Rationale: Proven mortality benefit.
11. First-line treatment for acute otitis media in children?
Answer: Amoxicillin
Rationale: Narrow-spectrum, effective, safe.
12. At what age should HPV vaccination begin?
Answer: 11–12 years
Rationale: CDC recommendation.
13. Which contraceptive is contraindicated in smokers >35 years?
Answer: Combined oral contraceptives
Rationale: Increased risk of thromboembolism.
14. Best diagnostic test for suspected appendicitis in children?
Answer: Ultrasound
Rationale: Avoids radiation, high sensitivity.
15. Which supplement prevents neural tube defects?
Answer: Folic acid
Rationale: 400 mcg daily before conception.
16. First-line therapy for status asthmaticus?
Answer: High-dose inhaled beta-agonist (albuterol)
Rationale: Rapid bronchodilation.
17. Initial management of STEMI in primary care setting?
Answer: Activate EMS and give aspirin
Rationale: Time-sensitive, aspirin reduces mortality.
18. Best imaging for suspected stroke within 6 hours?
Answer: Non-contrast CT head
Rationale: Rule out hemorrhage before thrombolysis.
19. Which rhythm requires immediate defibrillation?
Answer: Ventricular fibrillation
Rationale: Shockable rhythm, ACLS protocol.
20. First-line antibiotic for community-acquired pneumonia in healthy adults?
Answer: Amoxicillin or doxycycline
Rationale: Covers common pathogens.
21. Principle of beneficence means?
Answer: Acting in the patient’s best interest
Rationale: Ethical duty to promote well-being.
