NSG 5544 Exam 3 | Questions and Answers | 2026 Update | 100% Correct - South College.

NSG 5544 Exam 3 | Questions
and Answers | 2026 Update |
100% Correct - South
College.


SECTION 1: USPSTF RECOMMENDATIONS & GRADING (Questions 1-25)

Q1. According to the USPSTF, a Grade A recommendation indicates:

A) The service is selectively recommended based on patient situation and judgment
B) There is insufficient evidence to make a recommendation
C) The service is recommended with high certainty of substantial net benefit
D) The service is recommended against; harms outweigh benefits

,,,ANSWER,,,: C) The service is recommended with high certainty of substantial
net benefit

Rationale: Grade A indicates that the USPSTF recommends the service with high
certainty that the net benefit is substantial. Grade B indicates moderate certainty of
moderate-to-substantial benefit .

,Q2. According to the USPSTF, a Grade B recommendation indicates:

A) The service is recommended with high certainty of substantial net benefit
B) The service is recommended with moderate certainty of moderate-to-substantial
net benefit
C) The service is selectively recommended based on professional judgment
D) The service is recommended against

,,,ANSWER,,,: B) The service is recommended with moderate certainty of
moderate-to-substantial net benefit

Rationale: Grade B indicates the USPSTF recommends the service with moderate
certainty that the net benefit is moderate to substantial .




Q3. According to the USPSTF, a Grade C recommendation indicates:

A) The service is strongly recommended for all patients
B) The service is recommended against
C) The decision to offer the service should be individualized based on patient
circumstances and preferences
D) There is insufficient evidence to make a recommendation

,,,ANSWER,,,: C) The decision to offer the service should be individualized based
on patient circumstances and preferences

Rationale: Grade C indicates a small net benefit, and the decision should be
individualized .

,Q4. According to the USPSTF, a Grade D recommendation indicates:

A) The service should be offered to all patients
B) The service is recommended against; there is moderate or high certainty of no net
benefit or that harms outweigh benefits
C) The decision should be individualized
D) More research is needed

,,,ANSWER,,,: B) The service is recommended against; there is moderate or high
certainty of no net benefit or that harms outweigh benefits

Rationale: Grade D services should be discouraged. An example is PSA-based
screening for prostate cancer in men 70 years and older .




Q5. According to the USPSTF, a Grade I recommendation indicates:

A) The service is strongly recommended
B) The service is recommended against
C) Current evidence is insufficient to assess the balance of benefits and harms
D) The service should be individualized based on patient preference

,,,ANSWER,,,: C) Current evidence is insufficient to assess the balance of benefits
and harms

Rationale: An "I" statement means more research is needed to determine the net
benefit of the preventive service .

, Q6. Under the Affordable Care Act (ACA), which USPSTF recommendation grades
are required to be covered by insurance without cost-sharing?

A) Grade A only
B) Grade A and Grade B
C) Grade A, B, and C
D) All grades except D

,,,ANSWER,,,: B) Grade A and Grade B

Rationale: Services with an A or B rating from the USPSTF must be covered without
copay or deductible under ACA provisions .




Q7. The USPSTF recommends colorectal cancer screening (Grade A) for adults in
which age range?

A) 40-70 years
B) 45-75 years
C) 50-75 years
D) 55-80 years

,,,ANSWER,,,: B) 45-75 years

Rationale: The USPSTF recommends screening for colorectal cancer in all adults
aged 45 to 75 years (Grade A for 50-75; Grade B for 45-49). Colonoscopy every 10
years is one accepted method .