NURS 5434 FNP III Final Exam (PDF) | 2026
Nursing Questions | UTA Prep
Section 1: Professional Role & Scope of Practice
Question 1. A patient asks the Family Nurse Practitioner (FNP) about the
difference between an FNP and a physician assistant (PA). Which statement
accurately describes a key difference in educational preparation?
A. FNPs are trained in the medical model; PAs are trained in the nursing model
B. FNPs are educated in a nursing model with a focus on health promotion and
disease prevention; PAs are educated in a medical model
C. FNPs cannot prescribe controlled substances; PAs can
D. FNPs require physician supervision in all states; PAs practice independently
Answer: B
Rationale: FNPs are educated in graduate-level nursing programs based on the
nursing model, emphasizing holistic care, health promotion, and prevention. PAs
are educated in the medical model, similar to physicians, with a focus on disease
diagnosis and treatment. Scope of practice varies by state for both professions.
Question 2. Which of the following is an essential element of informed consent
obtained by the FNP?
A. The patient's insurance coverage
B. The risks, benefits, and alternatives to the proposed treatment
C. The provider's personal opinion about the treatment
D. The clinic's financial policies
Answer: B
,Rationale: Informed consent requires disclosure of material risks, benefits, and
reasonable alternatives to the proposed treatment or procedure. This is a legal
and ethical requirement for all healthcare providers.
Question 3. According to the AANP Standards of Practice, the FNP's scope of
practice is determined by:
A. Only the employing institution
B. The FNP's personal preference
C. State Nurse Practice Act, national certification, and educational preparation
D. Supervising physician's discretion
Answer: C
Rationale: FNP scope of practice is defined by the state Nurse Practice Act,
national certification (e.g., AANP or ANCC), educational preparation, and
institutional policies. FNPs must practice within these defined boundaries.
Question 4. An FNP who practices beyond their competency may be at risk for:
A. Professional recognition
B. Increased patient satisfaction
C. Malpractice liability
D. Improved clinical outcomes
Answer: C
Rationale: Practicing beyond one's competency increases the risk of medical
errors, adverse patient outcomes, and subsequent malpractice liability. Staying
within scope of practice is essential for patient safety and legal protection.
Question 5. Which statement best describes the FNP's role in patient education?
, A. Providing written materials only
B. Empowering patients to manage their own health through teaching and
counseling
C. Referring all education to a health educator
D. Prescribing educational videos for home viewing
Answer: B
Rationale: FNPs incorporate patient education as a core component of practice,
empowering patients to take an active role in their health management through
individualized teaching and counseling.
Section 2: Health Promotion & Disease Prevention
Question 6. The USPSTF recommends screening for colorectal cancer starting at
what age for average-risk adults?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Answer: B (Age 45)
Rationale: USPSTF recommends colorectal cancer screening starting at age 45 for
average-risk adults (Grade B). Screening options include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years.
Question 7. A 55-year-old female presents for a wellness visit. According to
USPSTF guidelines, which preventive service is recommended?
A. Annual Pap smear
B. Mammogram every 2 years (or based on shared decision-making)
C. Prostate-specific antigen (PSA) screening
D. Annual chest X-ray
Nursing Questions | UTA Prep
Section 1: Professional Role & Scope of Practice
Question 1. A patient asks the Family Nurse Practitioner (FNP) about the
difference between an FNP and a physician assistant (PA). Which statement
accurately describes a key difference in educational preparation?
A. FNPs are trained in the medical model; PAs are trained in the nursing model
B. FNPs are educated in a nursing model with a focus on health promotion and
disease prevention; PAs are educated in a medical model
C. FNPs cannot prescribe controlled substances; PAs can
D. FNPs require physician supervision in all states; PAs practice independently
Answer: B
Rationale: FNPs are educated in graduate-level nursing programs based on the
nursing model, emphasizing holistic care, health promotion, and prevention. PAs
are educated in the medical model, similar to physicians, with a focus on disease
diagnosis and treatment. Scope of practice varies by state for both professions.
Question 2. Which of the following is an essential element of informed consent
obtained by the FNP?
A. The patient's insurance coverage
B. The risks, benefits, and alternatives to the proposed treatment
C. The provider's personal opinion about the treatment
D. The clinic's financial policies
Answer: B
,Rationale: Informed consent requires disclosure of material risks, benefits, and
reasonable alternatives to the proposed treatment or procedure. This is a legal
and ethical requirement for all healthcare providers.
Question 3. According to the AANP Standards of Practice, the FNP's scope of
practice is determined by:
A. Only the employing institution
B. The FNP's personal preference
C. State Nurse Practice Act, national certification, and educational preparation
D. Supervising physician's discretion
Answer: C
Rationale: FNP scope of practice is defined by the state Nurse Practice Act,
national certification (e.g., AANP or ANCC), educational preparation, and
institutional policies. FNPs must practice within these defined boundaries.
Question 4. An FNP who practices beyond their competency may be at risk for:
A. Professional recognition
B. Increased patient satisfaction
C. Malpractice liability
D. Improved clinical outcomes
Answer: C
Rationale: Practicing beyond one's competency increases the risk of medical
errors, adverse patient outcomes, and subsequent malpractice liability. Staying
within scope of practice is essential for patient safety and legal protection.
Question 5. Which statement best describes the FNP's role in patient education?
, A. Providing written materials only
B. Empowering patients to manage their own health through teaching and
counseling
C. Referring all education to a health educator
D. Prescribing educational videos for home viewing
Answer: B
Rationale: FNPs incorporate patient education as a core component of practice,
empowering patients to take an active role in their health management through
individualized teaching and counseling.
Section 2: Health Promotion & Disease Prevention
Question 6. The USPSTF recommends screening for colorectal cancer starting at
what age for average-risk adults?
A. Age 40
B. Age 45
C. Age 50
D. Age 55
Answer: B (Age 45)
Rationale: USPSTF recommends colorectal cancer screening starting at age 45 for
average-risk adults (Grade B). Screening options include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years.
Question 7. A 55-year-old female presents for a wellness visit. According to
USPSTF guidelines, which preventive service is recommended?
A. Annual Pap smear
B. Mammogram every 2 years (or based on shared decision-making)
C. Prostate-specific antigen (PSA) screening
D. Annual chest X-ray
