NURS 5434
Final Exam | Practice Questions, Answers & Detailed
Rationales | Family Nurse Practitioner Review
Resource Features
➢ NURS 5434 Family III practice questions
➢ Final-exam review
➢ Detailed answers and rationales
➢ Clinical case scenarios
➢ Differential-diagnosis practice
, NURS 5434 Final Exam | Practice Questions,
Answers & Detailed Rationales | Family Nurse
Practitioner Review
1. 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
Answer: A, C, D
Rationale: USPSTF Grade A or B recommendations are those with
high certainty of substantial or moderate net benefit. Routine
AAA screening in women is not recommended (Grade D). Routine
PSA for all men is not recommended (Grade C) - shared decision-
making is advised. Teaching breast self-exam is not
recommended (Grade D). AAA screening in men 65-75 with
,smoking history (Grade B), routine Pap smears (Grade A), and
depression screening (Grade B) are all recommended.
2. 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
Answer: C. Every 3 years
Rationale: For women aged 21-29, cervical cancer screening with
Pap smear alone is recommended every 3 years. Annual screening
is not recommended as it does not provide additional benefit and
increases unnecessary procedures. Co-testing with HPV is not
routinely recommended for this age group as HPV infections are
common and typically transient.
3. 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
Answer: C, E, F
Rationale: Secondary prevention involves early detection of
disease in asymptomatic individuals. Mammograms detect breast
cancer early, Pap smears detect cervical dysplasia/cancer, and
colonoscopies detect colorectal polyps/cancer. Vaccines (A, B) are
primary prevention (preventing disease before it occurs).
Antibiotics for an STI (D) is tertiary prevention (treating
established disease to prevent complications).
4. Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
Answer: B. Every 5 years
Final Exam | Practice Questions, Answers & Detailed
Rationales | Family Nurse Practitioner Review
Resource Features
➢ NURS 5434 Family III practice questions
➢ Final-exam review
➢ Detailed answers and rationales
➢ Clinical case scenarios
➢ Differential-diagnosis practice
, NURS 5434 Final Exam | Practice Questions,
Answers & Detailed Rationales | Family Nurse
Practitioner Review
1. 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
Answer: A, C, D
Rationale: USPSTF Grade A or B recommendations are those with
high certainty of substantial or moderate net benefit. Routine
AAA screening in women is not recommended (Grade D). Routine
PSA for all men is not recommended (Grade C) - shared decision-
making is advised. Teaching breast self-exam is not
recommended (Grade D). AAA screening in men 65-75 with
,smoking history (Grade B), routine Pap smears (Grade A), and
depression screening (Grade B) are all recommended.
2. 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
Answer: C. Every 3 years
Rationale: For women aged 21-29, cervical cancer screening with
Pap smear alone is recommended every 3 years. Annual screening
is not recommended as it does not provide additional benefit and
increases unnecessary procedures. Co-testing with HPV is not
routinely recommended for this age group as HPV infections are
common and typically transient.
3. 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
Answer: C, E, F
Rationale: Secondary prevention involves early detection of
disease in asymptomatic individuals. Mammograms detect breast
cancer early, Pap smears detect cervical dysplasia/cancer, and
colonoscopies detect colorectal polyps/cancer. Vaccines (A, B) are
primary prevention (preventing disease before it occurs).
Antibiotics for an STI (D) is tertiary prevention (treating
established disease to prevent complications).
4. Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
Answer: B. Every 5 years
