NSG6430 Final Exam Review/ Questions with Correct
Verified Answers/ Rated A+
1. According to the USPSTF, at what age should routine cervical
cancer screening with Pap test begin?
a) Age 18
b) Age 21
c) Age 25
d) Age 30
Correct Answer: b) Age 21
Rationale: The USPSTF recommends cervical cancer screening
begin at age 21 years regardless of sexual history. Screening
before age 21 is not recommended as cervical cancer is
extremely rare in this population and screening may lead to
unnecessary procedures .
2. How often should a woman aged 30 with normal Pap and
negative HPV co-testing be rescreened?
1
,a) Every year
b) Every 3 years
c) Every 5 years
d) Every 10 years
Correct Answer: c) Every 5 years
Rationale: For women aged 30-65, the preferred screening
approach is co-testing (Pap + HPV) every 5 years if both are
normal. Pap testing alone every 3 years is also acceptable. Co-
testing every 5 years is the preferred strategy .
3. How often should a woman aged 25 with normal Pap test
results be rescreened?
a) Every year
b) Every 2 years
c) Every 3 years
d) Every 5 years
Correct Answer: c) Every 3 years
Rationale: For women aged 21-29, cytology (Pap test) alone
2
,every 3 years is recommended. HPV testing is not recommended
for routine screening in this age group due to high rates of
transient infection .
4. A 65-year-old woman with no history of cervical dysplasia
and adequate negative prior screening asks if she needs to
continue Pap smears. What is the best response?
a) Continue annual screening until age 70
b) Discontinue screening after age 65 with adequate negative
prior screening
c) Continue screening every 5 years indefinitely
d) Switch to HPV testing only every 10 years
Correct Answer: b) Discontinue screening after age 65 with
adequate negative prior screening
Rationale: The USPSTF recommends discontinuing cervical cancer
screening at age 65 for women with adequate prior negative
screening (three consecutive negative cytology results or two
3
, consecutive negative co-tests within the previous 10 years, with
the most recent test within 5 years) .
5. A 22-year-old woman requests a Pap test. She is sexually
active and has never had a Pap test. What should the NP do?
a) Perform Pap test today
b) Schedule Pap test for next year
c) Perform Pap test and HPV co-testing
d) Recommend HPV vaccination only
Correct Answer: a) Perform Pap test today
Rationale: The USPSTF recommends cervical cancer screening
begin at age 21. This patient meets the criteria for screening and
should have a Pap test performed .
6. Which of the following is TRUE regarding the HPV vaccine
(Gardasil 9)?
a) It is a series of three doses over a six-month period
b) It is effective only if given before age 18
4
Verified Answers/ Rated A+
1. According to the USPSTF, at what age should routine cervical
cancer screening with Pap test begin?
a) Age 18
b) Age 21
c) Age 25
d) Age 30
Correct Answer: b) Age 21
Rationale: The USPSTF recommends cervical cancer screening
begin at age 21 years regardless of sexual history. Screening
before age 21 is not recommended as cervical cancer is
extremely rare in this population and screening may lead to
unnecessary procedures .
2. How often should a woman aged 30 with normal Pap and
negative HPV co-testing be rescreened?
1
,a) Every year
b) Every 3 years
c) Every 5 years
d) Every 10 years
Correct Answer: c) Every 5 years
Rationale: For women aged 30-65, the preferred screening
approach is co-testing (Pap + HPV) every 5 years if both are
normal. Pap testing alone every 3 years is also acceptable. Co-
testing every 5 years is the preferred strategy .
3. How often should a woman aged 25 with normal Pap test
results be rescreened?
a) Every year
b) Every 2 years
c) Every 3 years
d) Every 5 years
Correct Answer: c) Every 3 years
Rationale: For women aged 21-29, cytology (Pap test) alone
2
,every 3 years is recommended. HPV testing is not recommended
for routine screening in this age group due to high rates of
transient infection .
4. A 65-year-old woman with no history of cervical dysplasia
and adequate negative prior screening asks if she needs to
continue Pap smears. What is the best response?
a) Continue annual screening until age 70
b) Discontinue screening after age 65 with adequate negative
prior screening
c) Continue screening every 5 years indefinitely
d) Switch to HPV testing only every 10 years
Correct Answer: b) Discontinue screening after age 65 with
adequate negative prior screening
Rationale: The USPSTF recommends discontinuing cervical cancer
screening at age 65 for women with adequate prior negative
screening (three consecutive negative cytology results or two
3
, consecutive negative co-tests within the previous 10 years, with
the most recent test within 5 years) .
5. A 22-year-old woman requests a Pap test. She is sexually
active and has never had a Pap test. What should the NP do?
a) Perform Pap test today
b) Schedule Pap test for next year
c) Perform Pap test and HPV co-testing
d) Recommend HPV vaccination only
Correct Answer: a) Perform Pap test today
Rationale: The USPSTF recommends cervical cancer screening
begin at age 21. This patient meets the criteria for screening and
should have a Pap test performed .
6. Which of the following is TRUE regarding the HPV vaccine
(Gardasil 9)?
a) It is a series of three doses over a six-month period
b) It is effective only if given before age 18
4
