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Barkley Family Nurse Practitioner (FNP) DRT Exam | 100
Practice Questions and Correct Answers
SECTION 1 – HEALTH PROMOTION & DISEASE PREVENTION (Q1–15)
1. A 55-year-old woman of average risk asks when she can stop screening
mammography. According to the USPSTF, the recommendation is to:
A. Stop at age 65
B. Stop at age 70
C. Continue biennial screening through age 74, with insufficient evidence for
women ≥75
D. Continue annual screening for life
: Correct Answer : C
Rationale: The USPSTF recommends biennial screening mammography for women
aged 50–74. For women ≥75, evidence is insufficient to assess the balance of
benefits and harms.
2. A 50-year-old man at average risk asks about colorectal cancer screening.
Which of the following is a recommended option by the USPSTF?
A. Fecal immunochemical test (FIT) annually
B. Colonoscopy every 10 years
C. CT colonography every 5 years
D. All of the above
: Correct Answer : D
Rationale: The USPSTF recommends screening for adults aged 45–75 using one of
several strategies, including FIT annually, colonoscopy every 10 years, FIT-DNA
every 3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5
years (with FIT annually).
pg. 1
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3. An 11-year-old girl presents for a well visit. She has not yet received the HPV
vaccine. The FNP should recommend:
A. One dose of HPV vaccine
B. Two doses of HPV vaccine (0 and 6–12 months)
C. Three doses of HPV vaccine
D. No vaccine because she is too young
: Correct Answer : B
Rationale: The CDC recommends a 2-dose schedule for HPV vaccination if
initiated before age 15. If started at age 15 or older, a 3-dose schedule is used.
4. A healthy 65-year-old man asks which vaccines he needs. According to the
CDC, he should receive all of the following EXCEPT:
A. Influenza (inactivated) annually
B. Tdap (once, then Td booster every 10 years)
C. Shingrix (recombinant zoster vaccine)
D. MMR (live attenuated)
: Correct Answer : D
Rationale: Adults born before 1957 are generally considered immune to measles,
mumps, and rubella. MMR is not routinely given to this age group unless there is
a specific indication (e.g., lack of immunity). The other vaccines are
recommended.
5. A 30-year-old woman with no chronic conditions presents for a well-woman
exam. Her blood pressure is 118/76 mmHg, BMI 22. She exercises regularly.
What is the appropriate interval for lipid screening?
A. Every 5 years
B. Every 2 years
C. Only if she develops risk factors
D. Not recommended for women <35
: Correct Answer : D (but the USPSTF says to screen women at increased risk;
routine screening for low-risk women is not strongly recommended before age
45. However, some guidelines screen at 20 and then every 5 years if normal. The
pg. 2
,3
question is tricky. For a low-risk 30-year-old, universal screening is not
recommended. I'll choose D, and clarify rationale.)
Rationale: The USPSTF does not recommend routine lipid screening in young
adults without risk factors. Screening is recommended in women 45 and older (or
younger if at increased risk). She is low risk.
6. A mother brings her healthy 4-month-old infant for a check-up. Which vaccine
is NOT routinely given at this age?
A. DTaP
B. MMR
C. Inactivated polio (IPV)
D. Haemophilus influenzae type b (Hib)
: Correct Answer : B
Rationale: MMR is given at 12–15 months. At 4 months, the routine vaccines
include DTaP, IPV, Hib, PCV13, and rotavirus.
7. A 16-year-old female athlete presents with fatigue, pallor, and poor
concentration. She reports heavy menstrual periods. Lab results: Hgb 9.5 g/dL,
MCV 72 fL, ferritin 8 ng/mL. The most likely diagnosis is:
A. Thalassemia minor
B. Iron deficiency anemia
C. Anemia of chronic disease
D. Vitamin B12 deficiency
: Correct Answer : B
Rationale: Microcytic hypochromic anemia with low ferritin in a menstruating
adolescent is classic for iron deficiency anemia.
8. The USPSTF recommends screening for intimate partner violence (IPV) in:
A. All pregnant women only
B. All women of reproductive age
pg. 3
, 4
C. Only women with visible injuries
D. Only women who request screening
: Correct Answer : B
Rationale: The USPSTF recommends screening all women of reproductive age for
IPV and referring those who screen positive to intervention services.
9. A 60-year-old man with a 35-pack-year smoking history quit 12 years ago.
Should he be screened for lung cancer with low-dose CT?
A. Yes, because his smoking history is ≥20 pack-years
B. No, because he quit more than 15 years ago
C. Yes, only if he has symptoms
D. No, lung cancer screening is only for current smokers
: Correct Answer : A? Wait, the USPSTF criteria: age 50–80, ≥20 pack-year
smoking history, and currently smoking or quit within the past 15 years. He quit
12 years ago, so he is within the 15-year window. So he should be screened. The
question says quit 12 years ago, so yes, he qualifies. I'll choose A. But the option
A says "Yes, because his smoking history is ≥20 pack-years" but does not
mention the quit time, though it's implied. I'll pick A. But I need to ensure it's
correct. The criteria also include age 50–80, which he is. So yes. I'll answer A.
10. Which of the following is the most effective method to prevent gonococcal
ophthalmia neonatorum?
A. Maternal prenatal screening and treatment of gonorrhea
B. Erythromycin ophthalmic ointment at birth
C. Silver nitrate drops
D. Avoidance of vaginal delivery
: Correct Answer : B
Rationale: Prophylactic ophthalmic antibiotic (erythromycin 0.5% ointment) is
mandated by law in the U.S. for all newborns to prevent gonococcal ophthalmia,
even though prenatal screening is crucial.
pg. 4
Barkley Family Nurse Practitioner (FNP) DRT Exam | 100
Practice Questions and Correct Answers
SECTION 1 – HEALTH PROMOTION & DISEASE PREVENTION (Q1–15)
1. A 55-year-old woman of average risk asks when she can stop screening
mammography. According to the USPSTF, the recommendation is to:
A. Stop at age 65
B. Stop at age 70
C. Continue biennial screening through age 74, with insufficient evidence for
women ≥75
D. Continue annual screening for life
: Correct Answer : C
Rationale: The USPSTF recommends biennial screening mammography for women
aged 50–74. For women ≥75, evidence is insufficient to assess the balance of
benefits and harms.
2. A 50-year-old man at average risk asks about colorectal cancer screening.
Which of the following is a recommended option by the USPSTF?
A. Fecal immunochemical test (FIT) annually
B. Colonoscopy every 10 years
C. CT colonography every 5 years
D. All of the above
: Correct Answer : D
Rationale: The USPSTF recommends screening for adults aged 45–75 using one of
several strategies, including FIT annually, colonoscopy every 10 years, FIT-DNA
every 3 years, CT colonography every 5 years, or flexible sigmoidoscopy every 5
years (with FIT annually).
pg. 1
,2
3. An 11-year-old girl presents for a well visit. She has not yet received the HPV
vaccine. The FNP should recommend:
A. One dose of HPV vaccine
B. Two doses of HPV vaccine (0 and 6–12 months)
C. Three doses of HPV vaccine
D. No vaccine because she is too young
: Correct Answer : B
Rationale: The CDC recommends a 2-dose schedule for HPV vaccination if
initiated before age 15. If started at age 15 or older, a 3-dose schedule is used.
4. A healthy 65-year-old man asks which vaccines he needs. According to the
CDC, he should receive all of the following EXCEPT:
A. Influenza (inactivated) annually
B. Tdap (once, then Td booster every 10 years)
C. Shingrix (recombinant zoster vaccine)
D. MMR (live attenuated)
: Correct Answer : D
Rationale: Adults born before 1957 are generally considered immune to measles,
mumps, and rubella. MMR is not routinely given to this age group unless there is
a specific indication (e.g., lack of immunity). The other vaccines are
recommended.
5. A 30-year-old woman with no chronic conditions presents for a well-woman
exam. Her blood pressure is 118/76 mmHg, BMI 22. She exercises regularly.
What is the appropriate interval for lipid screening?
A. Every 5 years
B. Every 2 years
C. Only if she develops risk factors
D. Not recommended for women <35
: Correct Answer : D (but the USPSTF says to screen women at increased risk;
routine screening for low-risk women is not strongly recommended before age
45. However, some guidelines screen at 20 and then every 5 years if normal. The
pg. 2
,3
question is tricky. For a low-risk 30-year-old, universal screening is not
recommended. I'll choose D, and clarify rationale.)
Rationale: The USPSTF does not recommend routine lipid screening in young
adults without risk factors. Screening is recommended in women 45 and older (or
younger if at increased risk). She is low risk.
6. A mother brings her healthy 4-month-old infant for a check-up. Which vaccine
is NOT routinely given at this age?
A. DTaP
B. MMR
C. Inactivated polio (IPV)
D. Haemophilus influenzae type b (Hib)
: Correct Answer : B
Rationale: MMR is given at 12–15 months. At 4 months, the routine vaccines
include DTaP, IPV, Hib, PCV13, and rotavirus.
7. A 16-year-old female athlete presents with fatigue, pallor, and poor
concentration. She reports heavy menstrual periods. Lab results: Hgb 9.5 g/dL,
MCV 72 fL, ferritin 8 ng/mL. The most likely diagnosis is:
A. Thalassemia minor
B. Iron deficiency anemia
C. Anemia of chronic disease
D. Vitamin B12 deficiency
: Correct Answer : B
Rationale: Microcytic hypochromic anemia with low ferritin in a menstruating
adolescent is classic for iron deficiency anemia.
8. The USPSTF recommends screening for intimate partner violence (IPV) in:
A. All pregnant women only
B. All women of reproductive age
pg. 3
, 4
C. Only women with visible injuries
D. Only women who request screening
: Correct Answer : B
Rationale: The USPSTF recommends screening all women of reproductive age for
IPV and referring those who screen positive to intervention services.
9. A 60-year-old man with a 35-pack-year smoking history quit 12 years ago.
Should he be screened for lung cancer with low-dose CT?
A. Yes, because his smoking history is ≥20 pack-years
B. No, because he quit more than 15 years ago
C. Yes, only if he has symptoms
D. No, lung cancer screening is only for current smokers
: Correct Answer : A? Wait, the USPSTF criteria: age 50–80, ≥20 pack-year
smoking history, and currently smoking or quit within the past 15 years. He quit
12 years ago, so he is within the 15-year window. So he should be screened. The
question says quit 12 years ago, so yes, he qualifies. I'll choose A. But the option
A says "Yes, because his smoking history is ≥20 pack-years" but does not
mention the quit time, though it's implied. I'll pick A. But I need to ensure it's
correct. The criteria also include age 50–80, which he is. So yes. I'll answer A.
10. Which of the following is the most effective method to prevent gonococcal
ophthalmia neonatorum?
A. Maternal prenatal screening and treatment of gonorrhea
B. Erythromycin ophthalmic ointment at birth
C. Silver nitrate drops
D. Avoidance of vaginal delivery
: Correct Answer : B
Rationale: Prophylactic ophthalmic antibiotic (erythromycin 0.5% ointment) is
mandated by law in the U.S. for all newborns to prevent gonococcal ophthalmia,
even though prenatal screening is crucial.
pg. 4
