NURS 5434 Family III (FNP 3) Final Assessment
Review Questions and Answers
1. Colorectal Cancer Screening
At what age does the USPSTF recommend routine colorectal cancer screening for
average-risk adults?
A. 40
• B. 45
C. 50
D. 55
Rationale: Updated USPSTF guidelines lowered the starting age to 45 due to rising
incidence in younger adults.
2. Hypertension Diagnosis
Which BP reading confirms hypertension in adults?
A. ≥130/80 mmHg on one visit
• B. ≥130/80 mmHg on two separate visits
C. ≥140/90 mmHg once
D. ≥120/80 mmHg consistently
Rationale: Diagnosis requires two elevated readings on separate occasions.
3. Pediatric Otitis Media First-Line Treatment
A. Azithromycin
• B. Amoxicillin
C. Ceftriaxone
D. Levofloxacin
Rationale: First-line unless allergy or resistance risk.
4. Diabetes Screening
USPSTF recommends screening for type 2 diabetes beginning at what age for
overweight adults?
A. 30
B. 35
• C. 40
D. 45
Rationale: Screening begins at age 40 for overweight/obese adults.
5. Acute Stroke – First Step
What is the immediate diagnostic test for suspected acute ischemic stroke?
A. MRI
• B. Non-contrast CT head
C. Carotid Doppler
D. EEG
Rationale: Rapid CT rules out hemorrhage before thrombolysis.
,6. Asthma Step Therapy (Mild Persistent)
A. SABA only
• B. Low-dose ICS + SABA PRN
C. LABA only
D. Oral steroids
Rationale: ICS is cornerstone for persistent asthma.
7. Pediatric Immunization – MMR
At what age is the first MMR dose given?
A. 6 months
B. 9 months
• C. 12–15 months
D. 18 months
Rationale: First dose at 12–15 months, second at 4–6 years.
8. Depression Screening
USPSTF recommends depression screening for:
A. Adults only
B. Adolescents only
• C. All adults and adolescents
D. Elderly only
Rationale: Universal screening recommended.
9. Cervical Cancer Screening
Women aged 21–29 should be screened with:
• A. Cytology (Pap) every 3 years
B. HPV testing every 5 years
C. Pap + HPV every 5 years
D. No screening until 30
Rationale: HPV testing begins at age 30.
10. Acute Otitis Externa (Swimmer’s Ear)
First-line treatment:
A. Oral antibiotics
• B. Topical fluoroquinolone drops
C. Oral steroids
D. Antihistamines
Rationale: Local therapy is most effective.
11. Breast Cancer Screening
USPSTF recommends mammography for women aged:
A. 35–49 every 2 years
• B. 50–74 every 2 years
C. 40–60 annually
D. 55–80 every 3 years
Rationale: Biennial screening reduces mortality while minimizing overdiagnosis.
, 12. Lung Cancer Screening
Annual low-dose CT is recommended for:
A. Adults ≥40 with asthma
• B. Adults 50–80 with 20 pack-year history, current or quit <15 years
C. Adults ≥60 with COPD
D. Adults ≥65 with hypertension
Rationale: USPSTF guideline for high-risk smokers.
13. Prostate Cancer Screening
Shared decision-making for PSA testing begins at:
A. 40
• B. 55–69
C. 70
D. 75
Rationale: USPSTF Grade C – individualized decision.
14. Pediatric Developmental Milestone
At what age should a child be able to walk independently?
A. 9 months
B. 12 months
• C. 15 months
D. 18 months
Rationale: Most children walk independently by 15 months.
15. ECG – Atrial Fibrillation
Key finding:
A. Regular rhythm, P waves present
• B. Irregularly irregular rhythm, absent P waves
C. ST elevation in contiguous leads
D. Sawtooth flutter waves
Rationale: Classic hallmark of AFib.
16. ECG – STEMI
ST elevation in contiguous leads indicates:
A. Stable angina
B. NSTEMI
• C. STEMI
D. Pericarditis
Rationale: Requires immediate reperfusion therapy.
17. Stroke – tPA Window
IV tPA is indicated within:
A. 1 hour
B. 2 hours
• C. 4.5 hours
Review Questions and Answers
1. Colorectal Cancer Screening
At what age does the USPSTF recommend routine colorectal cancer screening for
average-risk adults?
A. 40
• B. 45
C. 50
D. 55
Rationale: Updated USPSTF guidelines lowered the starting age to 45 due to rising
incidence in younger adults.
2. Hypertension Diagnosis
Which BP reading confirms hypertension in adults?
A. ≥130/80 mmHg on one visit
• B. ≥130/80 mmHg on two separate visits
C. ≥140/90 mmHg once
D. ≥120/80 mmHg consistently
Rationale: Diagnosis requires two elevated readings on separate occasions.
3. Pediatric Otitis Media First-Line Treatment
A. Azithromycin
• B. Amoxicillin
C. Ceftriaxone
D. Levofloxacin
Rationale: First-line unless allergy or resistance risk.
4. Diabetes Screening
USPSTF recommends screening for type 2 diabetes beginning at what age for
overweight adults?
A. 30
B. 35
• C. 40
D. 45
Rationale: Screening begins at age 40 for overweight/obese adults.
5. Acute Stroke – First Step
What is the immediate diagnostic test for suspected acute ischemic stroke?
A. MRI
• B. Non-contrast CT head
C. Carotid Doppler
D. EEG
Rationale: Rapid CT rules out hemorrhage before thrombolysis.
,6. Asthma Step Therapy (Mild Persistent)
A. SABA only
• B. Low-dose ICS + SABA PRN
C. LABA only
D. Oral steroids
Rationale: ICS is cornerstone for persistent asthma.
7. Pediatric Immunization – MMR
At what age is the first MMR dose given?
A. 6 months
B. 9 months
• C. 12–15 months
D. 18 months
Rationale: First dose at 12–15 months, second at 4–6 years.
8. Depression Screening
USPSTF recommends depression screening for:
A. Adults only
B. Adolescents only
• C. All adults and adolescents
D. Elderly only
Rationale: Universal screening recommended.
9. Cervical Cancer Screening
Women aged 21–29 should be screened with:
• A. Cytology (Pap) every 3 years
B. HPV testing every 5 years
C. Pap + HPV every 5 years
D. No screening until 30
Rationale: HPV testing begins at age 30.
10. Acute Otitis Externa (Swimmer’s Ear)
First-line treatment:
A. Oral antibiotics
• B. Topical fluoroquinolone drops
C. Oral steroids
D. Antihistamines
Rationale: Local therapy is most effective.
11. Breast Cancer Screening
USPSTF recommends mammography for women aged:
A. 35–49 every 2 years
• B. 50–74 every 2 years
C. 40–60 annually
D. 55–80 every 3 years
Rationale: Biennial screening reduces mortality while minimizing overdiagnosis.
, 12. Lung Cancer Screening
Annual low-dose CT is recommended for:
A. Adults ≥40 with asthma
• B. Adults 50–80 with 20 pack-year history, current or quit <15 years
C. Adults ≥60 with COPD
D. Adults ≥65 with hypertension
Rationale: USPSTF guideline for high-risk smokers.
13. Prostate Cancer Screening
Shared decision-making for PSA testing begins at:
A. 40
• B. 55–69
C. 70
D. 75
Rationale: USPSTF Grade C – individualized decision.
14. Pediatric Developmental Milestone
At what age should a child be able to walk independently?
A. 9 months
B. 12 months
• C. 15 months
D. 18 months
Rationale: Most children walk independently by 15 months.
15. ECG – Atrial Fibrillation
Key finding:
A. Regular rhythm, P waves present
• B. Irregularly irregular rhythm, absent P waves
C. ST elevation in contiguous leads
D. Sawtooth flutter waves
Rationale: Classic hallmark of AFib.
16. ECG – STEMI
ST elevation in contiguous leads indicates:
A. Stable angina
B. NSTEMI
• C. STEMI
D. Pericarditis
Rationale: Requires immediate reperfusion therapy.
17. Stroke – tPA Window
IV tPA is indicated within:
A. 1 hour
B. 2 hours
• C. 4.5 hours
