NURS 5432 FNP 1 APPROVED NURS 5432 FAMILY 1 MIDTERM AND
FINAL EXAM (UTA) MODULE 1-5 EXAM ACTUAL 2026/2027 HIGH YIELD
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
1. A 24-year-old woman presents for an annual primary care visit and reports
that she is sexually active with one male partner, uses condoms
inconsistently, and has no history of sexually transmitted infections. She has
no symptoms and her physical examination is normal. Which preventive
intervention is most appropriate for the FNP to prioritize during this visit?
A. Begin routine screening colonoscopy
B. Initiate osteoporosis screening with dual-energy X-ray absorptiometry
C. Provide age-appropriate sexual health counseling and recommended
sexually transmitted infection screening based on risk
D. Recommend annual screening mammography beginning immediately
Answer: C
2. A 56-year-old woman presents for preventive care and reports no breast
symptoms, no personal history of breast cancer, and no known high-risk
hereditary cancer syndrome. She asks whether screening mammography
remains necessary because she performs monthly breast self-examinations.
Which response by the FNP is most appropriate?
A. Breast self-examination eliminates the need for screening mammography
B. Screening mammography should be discussed and performed according
to current age- and risk-based recommendations
C. Mammography is indicated only when a palpable breast mass is
discovered
D. Mammography should be discontinued after age 50 in an average-risk
woman
Answer: B
3. A 47-year-old man with no significant medical history presents for a health-
maintenance examination. He has never been screened for colorectal
cancer and has no family history of colorectal malignancy. Which approach
is most appropriate for the FNP?
pg. 1
, A. Discuss initiation of recommended colorectal cancer screening using an
accepted screening strategy
B. Wait until the patient develops rectal bleeding before screening
C. Recommend screening only after age 60
D. Order abdominal ultrasonography instead of colorectal cancer screening
Answer: A
4. A 68-year-old woman asks the FNP whether she should be screened for
osteoporosis. She is postmenopausal and has no known previous fragility
fracture. Which assessment is most relevant when determining whether
bone mineral density testing is appropriate?
A. Her preferred exercise intensity
B. Her history of seasonal allergies
C. Her current visual acuity
D. Her age, sex, and risk factors for osteoporosis and fracture
Answer: D
5. A 42-year-old patient presents for an annual examination and reports
drinking alcohol most evenings. The patient does not believe alcohol use
could affect health because there have been no recent problems. Which
FNP approach best reflects preventive primary care?
A. Avoid discussing alcohol because the patient has no symptoms
B. Use a validated alcohol-use screening approach and provide counseling
based on the findings
C. Automatically diagnose alcohol use disorder based solely on daily
consumption
D. Recommend complete abstinence without first assessing the patient's
pattern of use
Answer: B
6. A 35-year-old woman asks whether vaccination should be postponed
because she currently has a mild upper respiratory illness without fever and
otherwise feels well. Which response is most appropriate?
A. All vaccines should be postponed whenever any respiratory symptoms
pg. 2
, are present
B. Vaccination should be delayed for exactly four weeks after every
respiratory infection
C. A minor illness generally does not by itself require postponement of
routine vaccination
D. Vaccines are contraindicated whenever a patient has nasal congestion
Answer: C
7. A premature infant is brought to the primary care clinic for immunization.
The parent asks whether vaccine doses should be reduced because the
infant was born at a very low birth weight. Which response is most
appropriate?
A. Vaccine doses are generally based on chronological age and are not
routinely reduced because of prematurity or low birth weight
B. All vaccines should be postponed until the child reaches the original
expected delivery date
C. Vaccine doses should be calculated according to current weight
D. Only live vaccines should be administered to premature infants
Answer: A
8. A 15-year-old adolescent has not completed the recommended human
papillomavirus vaccination series. The parent asks whether the vaccine is
still useful because the adolescent has already reached the teenage years.
Which response is most appropriate?
A. HPV vaccination is useful only before age 10
B. HPV vaccination should be avoided after puberty
C. HPV vaccination is indicated only after a positive HPV test
D. The adolescent should receive the age-appropriate HPV vaccination
according to the recommended schedule
Answer: D
9. A 67-year-old patient asks the FNP which immunization is particularly
important for prevention of herpes zoster in older adults. Which vaccine
should the FNP discuss?
pg. 3
, A. Recombinant zoster vaccine
B. Oral polio vaccine
C. Bacillus Calmette-Guérin vaccine
D. Varicella vaccine as the routine adult substitute for zoster vaccination
Answer: A
10. A 72-year-old patient with chronic cardiopulmonary disease asks whether
an annual influenza vaccination is necessary because the patient rarely
leaves home. Which response is most appropriate?
A. Influenza vaccination is unnecessary unless the patient travels
internationally
B. Influenza vaccination is recommended only for healthcare workers
C. Older adults and people with chronic conditions are important
populations for annual influenza vaccination
D. Influenza vaccination should be avoided in patients with chronic
cardiopulmonary disease
Answer: C
11. A 30-year-old woman presents for a preventive visit and reports that her
mother had breast cancer at age 42. The patient has never discussed
hereditary cancer risk with a clinician. Which action should the FNP
prioritize?
A. Reassure her that family history does not affect breast cancer risk
B. Obtain a detailed personal and family cancer history and assess whether
hereditary risk evaluation is indicated
C. Order screening mammography every month
D. Recommend prophylactic bilateral mastectomy without further
assessment
Answer: B
12. A 52-year-old patient has a body mass index of 33 kg/m² and reports a
sedentary lifestyle. The patient says weight is a personal matter and asks
why the FNP is discussing it during a routine examination. Which response
best reflects patient-centered preventive care?
pg. 4
FINAL EXAM (UTA) MODULE 1-5 EXAM ACTUAL 2026/2027 HIGH YIELD
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
1. A 24-year-old woman presents for an annual primary care visit and reports
that she is sexually active with one male partner, uses condoms
inconsistently, and has no history of sexually transmitted infections. She has
no symptoms and her physical examination is normal. Which preventive
intervention is most appropriate for the FNP to prioritize during this visit?
A. Begin routine screening colonoscopy
B. Initiate osteoporosis screening with dual-energy X-ray absorptiometry
C. Provide age-appropriate sexual health counseling and recommended
sexually transmitted infection screening based on risk
D. Recommend annual screening mammography beginning immediately
Answer: C
2. A 56-year-old woman presents for preventive care and reports no breast
symptoms, no personal history of breast cancer, and no known high-risk
hereditary cancer syndrome. She asks whether screening mammography
remains necessary because she performs monthly breast self-examinations.
Which response by the FNP is most appropriate?
A. Breast self-examination eliminates the need for screening mammography
B. Screening mammography should be discussed and performed according
to current age- and risk-based recommendations
C. Mammography is indicated only when a palpable breast mass is
discovered
D. Mammography should be discontinued after age 50 in an average-risk
woman
Answer: B
3. A 47-year-old man with no significant medical history presents for a health-
maintenance examination. He has never been screened for colorectal
cancer and has no family history of colorectal malignancy. Which approach
is most appropriate for the FNP?
pg. 1
, A. Discuss initiation of recommended colorectal cancer screening using an
accepted screening strategy
B. Wait until the patient develops rectal bleeding before screening
C. Recommend screening only after age 60
D. Order abdominal ultrasonography instead of colorectal cancer screening
Answer: A
4. A 68-year-old woman asks the FNP whether she should be screened for
osteoporosis. She is postmenopausal and has no known previous fragility
fracture. Which assessment is most relevant when determining whether
bone mineral density testing is appropriate?
A. Her preferred exercise intensity
B. Her history of seasonal allergies
C. Her current visual acuity
D. Her age, sex, and risk factors for osteoporosis and fracture
Answer: D
5. A 42-year-old patient presents for an annual examination and reports
drinking alcohol most evenings. The patient does not believe alcohol use
could affect health because there have been no recent problems. Which
FNP approach best reflects preventive primary care?
A. Avoid discussing alcohol because the patient has no symptoms
B. Use a validated alcohol-use screening approach and provide counseling
based on the findings
C. Automatically diagnose alcohol use disorder based solely on daily
consumption
D. Recommend complete abstinence without first assessing the patient's
pattern of use
Answer: B
6. A 35-year-old woman asks whether vaccination should be postponed
because she currently has a mild upper respiratory illness without fever and
otherwise feels well. Which response is most appropriate?
A. All vaccines should be postponed whenever any respiratory symptoms
pg. 2
, are present
B. Vaccination should be delayed for exactly four weeks after every
respiratory infection
C. A minor illness generally does not by itself require postponement of
routine vaccination
D. Vaccines are contraindicated whenever a patient has nasal congestion
Answer: C
7. A premature infant is brought to the primary care clinic for immunization.
The parent asks whether vaccine doses should be reduced because the
infant was born at a very low birth weight. Which response is most
appropriate?
A. Vaccine doses are generally based on chronological age and are not
routinely reduced because of prematurity or low birth weight
B. All vaccines should be postponed until the child reaches the original
expected delivery date
C. Vaccine doses should be calculated according to current weight
D. Only live vaccines should be administered to premature infants
Answer: A
8. A 15-year-old adolescent has not completed the recommended human
papillomavirus vaccination series. The parent asks whether the vaccine is
still useful because the adolescent has already reached the teenage years.
Which response is most appropriate?
A. HPV vaccination is useful only before age 10
B. HPV vaccination should be avoided after puberty
C. HPV vaccination is indicated only after a positive HPV test
D. The adolescent should receive the age-appropriate HPV vaccination
according to the recommended schedule
Answer: D
9. A 67-year-old patient asks the FNP which immunization is particularly
important for prevention of herpes zoster in older adults. Which vaccine
should the FNP discuss?
pg. 3
, A. Recombinant zoster vaccine
B. Oral polio vaccine
C. Bacillus Calmette-Guérin vaccine
D. Varicella vaccine as the routine adult substitute for zoster vaccination
Answer: A
10. A 72-year-old patient with chronic cardiopulmonary disease asks whether
an annual influenza vaccination is necessary because the patient rarely
leaves home. Which response is most appropriate?
A. Influenza vaccination is unnecessary unless the patient travels
internationally
B. Influenza vaccination is recommended only for healthcare workers
C. Older adults and people with chronic conditions are important
populations for annual influenza vaccination
D. Influenza vaccination should be avoided in patients with chronic
cardiopulmonary disease
Answer: C
11. A 30-year-old woman presents for a preventive visit and reports that her
mother had breast cancer at age 42. The patient has never discussed
hereditary cancer risk with a clinician. Which action should the FNP
prioritize?
A. Reassure her that family history does not affect breast cancer risk
B. Obtain a detailed personal and family cancer history and assess whether
hereditary risk evaluation is indicated
C. Order screening mammography every month
D. Recommend prophylactic bilateral mastectomy without further
assessment
Answer: B
12. A 52-year-old patient has a body mass index of 33 kg/m² and reports a
sedentary lifestyle. The patient says weight is a personal matter and asks
why the FNP is discussing it during a routine examination. Which response
best reflects patient-centered preventive care?
pg. 4
