NURS 5432 FINAL EXAM (FAMILY NP / FAMILY I) – ACTUAL
QUESTIONS WITH ANSWERS AND RATIONALES (2026
EDITION) UNIVERSITY OF TEXAS – ARLINGTON | INSTANT
DOWNLOAD PDF
Topics typically covered in a Family NP / Family I (NURS 5432) final:
Primary care management across the lifespan
Health promotion, screening, and prevention
Common acute and chronic conditions in family practice
Women’s health, pediatrics, geriatrics
Psych/behavioral health in primary care
Pharmacotherapy and prescribing basics for FNP
Clinical reasoning, diagnostics, and guidelines
Format: single best answer, correct option in bold, with a brief rationale. Use this as a
study aid only, not as the real exam.
Health Promotion, Screening & Prevention (Q1–20)
1. Which of the following best describes the primary goal of health promotion in
family practice?
A. Treat advanced disease only
B. Prevent disease and optimize health across the lifespan through education and
lifestyle changes
,C. Focus only on immunizations
D. Focus only on chronic disease
Health promotion emphasizes prevention and wellness.
2. A 45-year-old male with no significant history presents for a routine visit. Which
screening is most appropriate to discuss?
A. Colonoscopy now
B. Blood pressure, lipid screening, and diabetes risk assessment based on
guidelines
C. PSA immediately
D. Bone density scan
Middle-aged adults need BP, lipids, and diabetes risk screening.
3. Which of the following best describes “primary prevention”?
A. Treating complications of disease
B. Interventions that prevent disease before it occurs (e.g., vaccines, education)
C. Screening for early disease
D. Rehabilitation after stroke
Primary prevention stops disease before onset.
4. A 2-year-old child receives routine immunizations. This is an example of:
A. Tertiary prevention
B. Primary prevention
,C. Secondary prevention
D. Palliative care
Vaccines are primary prevention.
5. Which of the following best describes “secondary prevention”?
A. Vaccination
B. Screening to detect disease early (e.g., mammograms, colon cancer screening)
C. Rehabilitation
D. Hospice care
Secondary prevention = early detection.
6. A 50-year-old female receives a mammogram. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Palliative care
Cancer screening is secondary prevention.
7. Which of the following best describes “tertiary prevention”?
A. Immunizations
B. Managing established disease to prevent complications and disability
C. Screening labs
D. Health education only
, Tertiary prevention minimizes impact of existing disease.
8. A patient with diabetes receives foot care education to prevent ulcers. This is:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Palliative care
Preventing complications in known disease is tertiary prevention.
9. Which of the following best describes the USPSTF recommendation for colorectal
cancer screening in average-risk adults?
A. Start at age 30
B. Start at age 45 with various modalities (e.g., FIT, colonoscopy)
C. Start at age 60 only
D. No screening recommended
USPSTF recommends starting at 45 for average risk.
10. A 46-year-old average-risk patient asks about colon cancer screening. What is
most appropriate?
A. No screening yet
B. Offer screening options (e.g., FIT annually, colonoscopy every 10 years)
C. CT colonography only
D. Only if symptomatic
QUESTIONS WITH ANSWERS AND RATIONALES (2026
EDITION) UNIVERSITY OF TEXAS – ARLINGTON | INSTANT
DOWNLOAD PDF
Topics typically covered in a Family NP / Family I (NURS 5432) final:
Primary care management across the lifespan
Health promotion, screening, and prevention
Common acute and chronic conditions in family practice
Women’s health, pediatrics, geriatrics
Psych/behavioral health in primary care
Pharmacotherapy and prescribing basics for FNP
Clinical reasoning, diagnostics, and guidelines
Format: single best answer, correct option in bold, with a brief rationale. Use this as a
study aid only, not as the real exam.
Health Promotion, Screening & Prevention (Q1–20)
1. Which of the following best describes the primary goal of health promotion in
family practice?
A. Treat advanced disease only
B. Prevent disease and optimize health across the lifespan through education and
lifestyle changes
,C. Focus only on immunizations
D. Focus only on chronic disease
Health promotion emphasizes prevention and wellness.
2. A 45-year-old male with no significant history presents for a routine visit. Which
screening is most appropriate to discuss?
A. Colonoscopy now
B. Blood pressure, lipid screening, and diabetes risk assessment based on
guidelines
C. PSA immediately
D. Bone density scan
Middle-aged adults need BP, lipids, and diabetes risk screening.
3. Which of the following best describes “primary prevention”?
A. Treating complications of disease
B. Interventions that prevent disease before it occurs (e.g., vaccines, education)
C. Screening for early disease
D. Rehabilitation after stroke
Primary prevention stops disease before onset.
4. A 2-year-old child receives routine immunizations. This is an example of:
A. Tertiary prevention
B. Primary prevention
,C. Secondary prevention
D. Palliative care
Vaccines are primary prevention.
5. Which of the following best describes “secondary prevention”?
A. Vaccination
B. Screening to detect disease early (e.g., mammograms, colon cancer screening)
C. Rehabilitation
D. Hospice care
Secondary prevention = early detection.
6. A 50-year-old female receives a mammogram. This is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Palliative care
Cancer screening is secondary prevention.
7. Which of the following best describes “tertiary prevention”?
A. Immunizations
B. Managing established disease to prevent complications and disability
C. Screening labs
D. Health education only
, Tertiary prevention minimizes impact of existing disease.
8. A patient with diabetes receives foot care education to prevent ulcers. This is:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Palliative care
Preventing complications in known disease is tertiary prevention.
9. Which of the following best describes the USPSTF recommendation for colorectal
cancer screening in average-risk adults?
A. Start at age 30
B. Start at age 45 with various modalities (e.g., FIT, colonoscopy)
C. Start at age 60 only
D. No screening recommended
USPSTF recommends starting at 45 for average risk.
10. A 46-year-old average-risk patient asks about colon cancer screening. What is
most appropriate?
A. No screening yet
B. Offer screening options (e.g., FIT annually, colonoscopy every 10 years)
C. CT colonography only
D. Only if symptomatic
