NSG 554 Nurse Practitioners in Primary Care I Exam 3 – College of Nursing – 2026/2027 Academic Year – 65 Questions and Answers Covering Four Core Domains

College of Nursing



NSG 554 Nurse Practitioners in
Primary Care I Exam 3 2026/2027 |
Verified Questions
College of Nursing | University-Level Advanced Practice Nursing Students

65 Verified Questions | 4 Core Domains | Academic Year 2026/2027

Prepared by
College of Nursing | NSG 554 | Nurse Practitioners in Primary Care I
Examination 3 Actual Exam | Academic Year 2026/2027




NSG 554 Nurse Practitioners in Primary Care I Exam 3 2026/2027 | Verified Questions

,INTRODUCTION
This examination document contains 65 original Verified Questions created for the College of
Nursing NSG 554 Nurse Practitioners in Primary Care I Examination 3, organized to reflect the
official primary care content areas: Domain 1: Health Promotion and Disease Prevention (17
questions); Domain 2: Assessment and Diagnosis of Common Acute Conditions (16 questions);
Domain 3: Management of Chronic Diseases in Primary Care (16 questions); and Domain 4:
Pharmacotherapeutics and Prescribing in Primary Care (16 questions). Every question is an
original work designed to reinforce the official NSG 554 Nurse Practitioners in Primary Care I
Examination 3 course objectives, drawing on foundational advanced nursing methodology such as
the NSG 554 course materials and Buttaro's Primary Care. The content is aligned to the
2026/2027 academic year and is intended to build actual exam readiness and lasting clinical
proficiency for University-Level nursing students.

ACTUAL QUESTIONS

Domain 1: Health Promotion and Disease Prevention

Question 1. According to current screening guidance, average-risk adults should
begin colorectal cancer screening at age:
A. 45 years
B. 40 years
C. 50 years
D. 60 years
Correct Answer: A
Rationale: Colorectal cancer screening begins at 45 for average-risk adults, continuing through
75. Screening intervals follow the USPSTF and the NSG 554 curriculum.

Question 2. Current breast cancer screening guidance recommends that average-
risk women begin biennial mammography at age:
A. 30 years
B. 40 years
C. 50 years
D. 55 years
Correct Answer: B
Rationale: Biennial mammography is recommended beginning at 40 for average-risk women.
Breast cancer screening follows USPSTF guidance cited in the NSG 554 curriculum.

Question 3. For women aged 30 to 65, acceptable cervical cancer screening
strategies include:
A. Cytology every 3 years, high-risk HPV testing every 5 years, or co-testing every 5 years
B. Cytology annually only
C. High-risk HPV testing every year
D. No screening after age 30
Correct Answer: A
Rationale: Acceptable strategies for ages 30 to 65 include cytology every 3 years, hrHPV testing
every 5 years, or co-testing every 5 years. Cervical screening follows USPSTF guidance in the
NSG 554 curriculum.

Question 4. Lung cancer screening with low-dose computed tomography is
recommended for adults aged 50 to 80 years who have:
A. Any smoking history regardless of amount
B. A family history of lung cancer only


NSG 554 Nurse Practitioners in Primary Care I Exam 3 2026/2027 | Verified Questions

, C. Chronic cough of any cause
D. A 20 pack-year smoking history and currently smoke or quit within the past 15 years
Correct Answer: D
Rationale: Low-dose CT screening targets adults 50 to 80 with a 20 pack-year history who
smoke or quit within 15 years. Lung cancer screening follows USPSTF guidance in the NSG 554
curriculum.

Question 5. For adults with elevated office blood pressure, the recommended next
step before diagnosing hypertension is:
A. Immediate initiation of two antihypertensive agents
B. A single repeat office reading only
C. Confirmation with out-of-office blood pressure measurement
D. Ambulatory monitoring only in older adults
Correct Answer: C
Rationale: Out-of-office measurement confirms elevated readings and reduces misdiagnosis
from white-coat effects. Hypertension diagnosis follows USPSTF guidance in the NSG 554
curriculum.

Question 6. Screening for prediabetes and type 2 diabetes is recommended for
adults aged 35 to 70 years who:
A. Are overweight or obese
B. Have a family history of diabetes only
C. Are older than 65 regardless of weight
D. Have hypertension only
Correct Answer: A
Rationale: Diabetes screening targets adults 35 to 70 who are overweight or obese. Diabetes
screening follows USPSTF guidance cited in the NSG 554 curriculum.

Question 7. For adults aged 40 to 75 with a 10-year ASCVD risk of 10 percent or
greater, primary prevention with a statin is recommended when the patient also
has:
A. A prior myocardial infarction only
B. At least one cardiovascular risk factor such as hypertension, diabetes, dyslipidemia, or
smoking
C. A family history of premature coronary disease only
D. An LDL greater than 190 mg per dL only
Correct Answer: B
Rationale: Statin primary prevention applies to adults 40 to 75 with at least one risk factor and
a 10-year risk of 10 percent or greater. Statin guidance follows USPSTF recommendations in the
NSG 554 curriculum.

Question 8. The recombinant zoster vaccine is recommended for adults beginning
at age:
A. 60 years
B. 65 years
C. 50 years
D. 70 years
Correct Answer: C
Rationale: The two-dose recombinant zoster vaccine is recommended starting at age 50. Adult
immunization schedules follow the NSG 554 curriculum and current immunization authorities.




NSG 554 Nurse Practitioners in Primary Care I Exam 3 2026/2027 | Verified Questions