1
NURS 5434 Family Nurse Practitioner III Final
Exam UTA Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Preventive Health & Screening Guidelines | Q1 – Q10
Section 2 | Rheumatology & Autoimmune Disorders | Q11 – Q20
Section 3 | Neurology, Pain Management & Pharmacology | Q21 – Q30
Section 4 | Cardiovascular, Respiratory & Endocrine | Q31 – Q40
Section 5 | Women's Health, Special Populations & NGN-Style Case Analysis |
Q41 – Q50
Instructions: Choose the single best answer. Pass: 40 in 90 minutes.
══════════════════════════════════════
SECTION 1: PREVENTIVE HEALTH & SCREENING GUIDELINES Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 32-year-old G2P2 presents for her well-woman exam. Her cervical screenings
have always been normal. What is the most appropriate cervical cancer screening
strategy for this patient?
,2
A. Pap smear alone every 3 years
B. Pap smear alone every 5 years
C. Pap smear with HPV co-testing every 5 years ✓ CORRECT
D. HPV testing alone every 3 years
Correct Answer: C
Rationale: USPSTF guidelines recommend Pap smear with HPV co-testing every 5
years for women ages 30 to 65 with previously normal results. Pap smear alone
every 3 years is an acceptable alternative but does not provide the extended 5-year
interval that co-testing allows. Remembering the age cutoff at 30 for co-testing is a
key exam milestone.
Question 2 of 50
A 44-year-old African American male with no family history of colorectal cancer
asks when he should start screening. When should you initiate colorectal cancer
screening for this patient?
A. Age 45 with a colonoscopy every 10 years ✓ CORRECT
B. Age 50 with a colonoscopy every 10 years
C. Age 45 with a fecal immunochemical test annually
D. Age 40 with a flexible sigmoidoscopy every 5 years
Correct Answer: A
Rationale: Current guidelines recommend initiating colorectal cancer screening at
age 45 for average-risk adults, with colonoscopy every 10 years as a preferred
option. Starting at age 50 reflects outdated guidelines, while age 40 is reserved for
high-risk populations. The recent shift from age 50 to 45 is a highly tested update.
,3
Question 3 of 50
A 68-year-old male with a 40-pack-year smoking history presents for a Medicare
wellness visit. His abdominal exam is benign. What screening is specifically
indicated for him based on USPSTF recommendations?
A. Annual abdominal ultrasound
B. One-time CT angiography of the abdomen
C. Biennial abdominal palpation
D. One-time ultrasonography for abdominal aortic aneurysm ✓ CORRECT
Correct Answer: D
Rationale: The USPSTF recommends a one-time screening for abdominal aortic
aneurysm (AAA) via ultrasonography in men ages 65 to 75 who have ever
smoked. Repeating the ultrasound annually or using CT angiography misapplies
the screening frequency and modality. This is a Grade B recommendation and does
not apply routinely to women.
Question 4 of 50
A 55-year-old asymptomatic male asks about prostate cancer screening during his
annual physical. How should the FNP respond regarding PSA testing?
A. Order a PSA annually as a Grade A recommendation
B. Engage in shared decision-making as it is a Grade C recommendation ✓
CORRECT
C. Recommend against screening entirely as a Grade D recommendation
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D. Order a baseline PSA with a reflex free-to-total ratio
Correct Answer: B
Rationale: PSA screening is a USPSTF Grade C recommendation for men ages 55
to 69, requiring shared decision-making rather than routine automatic ordering.
Routine annual ordering (Grade A) or absolute refusal (Grade D) misrepresents the
current evidence-based guidelines. Always associate Grade C with individualized,
shared decision-making.
Question 5 of 50
A 67-year-old grandmother asks about vaccinations before meeting her newborn
grandchild. She received the Tdap vaccine 8 years ago. What vaccine is
specifically prioritized for her to protect the infant?
A. Inactivated influenza vaccine
B. Pneumococcal conjugate vaccine
C. Tdap booster ✓ CORRECT
D. Shingrix vaccine
Correct Answer: C
Rationale: Adults 65 and older who anticipate close contact with an infant younger
than 12 months should receive a Tdap booster if it has been 5 or more years since
their previous dose, creating a cocoon of protection. While influenza is also
important, Tdap directly prevents pertussis transmission to vulnerable neonates.
Prioritize cocooning strategies for pertussis prevention.
Question 6 of 50
NURS 5434 Family Nurse Practitioner III Final
Exam UTA Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales | Complete
Exam-Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Preventive Health & Screening Guidelines | Q1 – Q10
Section 2 | Rheumatology & Autoimmune Disorders | Q11 – Q20
Section 3 | Neurology, Pain Management & Pharmacology | Q21 – Q30
Section 4 | Cardiovascular, Respiratory & Endocrine | Q31 – Q40
Section 5 | Women's Health, Special Populations & NGN-Style Case Analysis |
Q41 – Q50
Instructions: Choose the single best answer. Pass: 40 in 90 minutes.
══════════════════════════════════════
SECTION 1: PREVENTIVE HEALTH & SCREENING GUIDELINES Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 32-year-old G2P2 presents for her well-woman exam. Her cervical screenings
have always been normal. What is the most appropriate cervical cancer screening
strategy for this patient?
,2
A. Pap smear alone every 3 years
B. Pap smear alone every 5 years
C. Pap smear with HPV co-testing every 5 years ✓ CORRECT
D. HPV testing alone every 3 years
Correct Answer: C
Rationale: USPSTF guidelines recommend Pap smear with HPV co-testing every 5
years for women ages 30 to 65 with previously normal results. Pap smear alone
every 3 years is an acceptable alternative but does not provide the extended 5-year
interval that co-testing allows. Remembering the age cutoff at 30 for co-testing is a
key exam milestone.
Question 2 of 50
A 44-year-old African American male with no family history of colorectal cancer
asks when he should start screening. When should you initiate colorectal cancer
screening for this patient?
A. Age 45 with a colonoscopy every 10 years ✓ CORRECT
B. Age 50 with a colonoscopy every 10 years
C. Age 45 with a fecal immunochemical test annually
D. Age 40 with a flexible sigmoidoscopy every 5 years
Correct Answer: A
Rationale: Current guidelines recommend initiating colorectal cancer screening at
age 45 for average-risk adults, with colonoscopy every 10 years as a preferred
option. Starting at age 50 reflects outdated guidelines, while age 40 is reserved for
high-risk populations. The recent shift from age 50 to 45 is a highly tested update.
,3
Question 3 of 50
A 68-year-old male with a 40-pack-year smoking history presents for a Medicare
wellness visit. His abdominal exam is benign. What screening is specifically
indicated for him based on USPSTF recommendations?
A. Annual abdominal ultrasound
B. One-time CT angiography of the abdomen
C. Biennial abdominal palpation
D. One-time ultrasonography for abdominal aortic aneurysm ✓ CORRECT
Correct Answer: D
Rationale: The USPSTF recommends a one-time screening for abdominal aortic
aneurysm (AAA) via ultrasonography in men ages 65 to 75 who have ever
smoked. Repeating the ultrasound annually or using CT angiography misapplies
the screening frequency and modality. This is a Grade B recommendation and does
not apply routinely to women.
Question 4 of 50
A 55-year-old asymptomatic male asks about prostate cancer screening during his
annual physical. How should the FNP respond regarding PSA testing?
A. Order a PSA annually as a Grade A recommendation
B. Engage in shared decision-making as it is a Grade C recommendation ✓
CORRECT
C. Recommend against screening entirely as a Grade D recommendation
, 4
D. Order a baseline PSA with a reflex free-to-total ratio
Correct Answer: B
Rationale: PSA screening is a USPSTF Grade C recommendation for men ages 55
to 69, requiring shared decision-making rather than routine automatic ordering.
Routine annual ordering (Grade A) or absolute refusal (Grade D) misrepresents the
current evidence-based guidelines. Always associate Grade C with individualized,
shared decision-making.
Question 5 of 50
A 67-year-old grandmother asks about vaccinations before meeting her newborn
grandchild. She received the Tdap vaccine 8 years ago. What vaccine is
specifically prioritized for her to protect the infant?
A. Inactivated influenza vaccine
B. Pneumococcal conjugate vaccine
C. Tdap booster ✓ CORRECT
D. Shingrix vaccine
Correct Answer: C
Rationale: Adults 65 and older who anticipate close contact with an infant younger
than 12 months should receive a Tdap booster if it has been 5 or more years since
their previous dose, creating a cocoon of protection. While influenza is also
important, Tdap directly prevents pertussis transmission to vulnerable neonates.
Prioritize cocooning strategies for pertussis prevention.
Question 6 of 50
