NURS 5434 Final Exam 2026: Family Nurse Practitioner III
Latest Update 2026
In the USPSTF Grading system which of the following grades are Recommended to DO?
SATA
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I – Correct Answer A. Grade A
B. Grade B
Which of the following are NOT examples of USPSTF Grade A or B recommendations? SATA
A. Routine AAA screening in women
B. AAA Screening in Men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching Breast Self Exam
E. Routine Pap Smear
F. Depression Screening – Correct Answer A. Routine AAA screening in women
C. Routine PSA for all men
D. Teaching Breast Self Exam
Patient ages 21-29 should get a Pap Smear done:
A. Every year
B. Every 2 years
C. Every 3 years
,D. Every 6 months – Correct Answer C. Every 3 years
Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every 6 years
D. Every 10 years – Correct Answer B. Every 5 years
Breast cancer prevention counseling should be given to all women, True or False? – Correct
Answer False
Only High risk women
A screening for colonoscopy should be done starting age?
A. 35
B. 45
C. 50
D. 65 – Correct Answer C. 50 years old
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years – Correct Answer E. Every 10 years
How often do you get the Influenza vaccine? How early can you get it? – Correct Answer
Annually (staring at 6 months)
,A 65 year old man comes to a primary care facility. He states that it has been 10 years since
his last Tetanus shot and he is excited about seeing his newborn grandchild, he should be
offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV – Correct Answer A. Tdap
Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy – Correct Answer C. Mammogram
E. Pap smear
F. Colonoscopy
Age range for HPV vaccine – Correct Answer 9-45 years old
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week.
Which of the following vaccines would you recommend for her? SATA
A. HPV
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer C. Prevnar 13 (PCV13)
, E. Pneumovax 23 (PPSV23)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She
tells you that she has never gotten the pneumococcal shot. Which of the following
vaccines would you recommend for her TODAY?
A. Prevnar 20 (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer A. Prevnar 20 (PCV 20)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She
tells you that she has never gotten the pneumococcal shot. You give PCV 20 today, what do
you give 1 year from now?
A. Prevnar 20 booster (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer E. Pneumovax 23 (PPSV23)
All of the following patients received the pneumococcal vaccine 5 years ago. Who’s is the
best candidate for the second dose AntiPneumococcal vaccination at this time.
A. A 66 year old male on dialysis
B. A 70 year old female with diabetes
C. A 65 year old male who is sexually active and has multiple partners
D. A 66 year old woman with COPD – Correct Answer D. A 66 year old woman with COPD
Prevnar 13 (PCV13) and Pneumovax 23 (PPSV23) are indicated for which age group?
Latest Update 2026
In the USPSTF Grading system which of the following grades are Recommended to DO?
SATA
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I – Correct Answer A. Grade A
B. Grade B
Which of the following are NOT examples of USPSTF Grade A or B recommendations? SATA
A. Routine AAA screening in women
B. AAA Screening in Men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching Breast Self Exam
E. Routine Pap Smear
F. Depression Screening – Correct Answer A. Routine AAA screening in women
C. Routine PSA for all men
D. Teaching Breast Self Exam
Patient ages 21-29 should get a Pap Smear done:
A. Every year
B. Every 2 years
C. Every 3 years
,D. Every 6 months – Correct Answer C. Every 3 years
Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every 6 years
D. Every 10 years – Correct Answer B. Every 5 years
Breast cancer prevention counseling should be given to all women, True or False? – Correct
Answer False
Only High risk women
A screening for colonoscopy should be done starting age?
A. 35
B. 45
C. 50
D. 65 – Correct Answer C. 50 years old
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years – Correct Answer E. Every 10 years
How often do you get the Influenza vaccine? How early can you get it? – Correct Answer
Annually (staring at 6 months)
,A 65 year old man comes to a primary care facility. He states that it has been 10 years since
his last Tetanus shot and he is excited about seeing his newborn grandchild, he should be
offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV – Correct Answer A. Tdap
Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy – Correct Answer C. Mammogram
E. Pap smear
F. Colonoscopy
Age range for HPV vaccine – Correct Answer 9-45 years old
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week.
Which of the following vaccines would you recommend for her? SATA
A. HPV
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer C. Prevnar 13 (PCV13)
, E. Pneumovax 23 (PPSV23)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She
tells you that she has never gotten the pneumococcal shot. Which of the following
vaccines would you recommend for her TODAY?
A. Prevnar 20 (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer A. Prevnar 20 (PCV 20)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She
tells you that she has never gotten the pneumococcal shot. You give PCV 20 today, what do
you give 1 year from now?
A. Prevnar 20 booster (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23) – Correct Answer E. Pneumovax 23 (PPSV23)
All of the following patients received the pneumococcal vaccine 5 years ago. Who’s is the
best candidate for the second dose AntiPneumococcal vaccination at this time.
A. A 66 year old male on dialysis
B. A 70 year old female with diabetes
C. A 65 year old male who is sexually active and has multiple partners
D. A 66 year old woman with COPD – Correct Answer D. A 66 year old woman with COPD
Prevnar 13 (PCV13) and Pneumovax 23 (PPSV23) are indicated for which age group?
