KAPLAN FNP CERTIFICATION PREDICTOR
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A |LATEST EXAM UPDATE
2026/2027..
Question 1
A 65-year-old woman with no chronic illnesses presents for an annual wellness
visit. She received the influenza vaccine 2 months ago. According to current
USPSTF guidelines, which screening is MOST appropriate at this visit?
A. Colonoscopy
B. Bone density scan (DEXA)
C. Mammogram
D. Lipid panel
Correct Answer: B) Bone density scan (DEXA)
Rationale: The USPSTF recommends osteoporosis screening with DEXA scan for
all women aged 65 and older. Mammography is recommended biennially for
women aged 50–74. Colonoscopy screening is recommended through age 75. Lipid
panel screening is recommended for adults aged 40–75 with cardiovascular risk
factors. This patient has no chronic illnesses, making DEXA the most appropriate
universal screening at this visit.
,Question 2
A 55-year-old man with a 30-pack-year smoking history, who quit smoking 8 years
ago, presents for a health maintenance visit. Which screening test is MOST
appropriate according to USPSTF guidelines?
A. Chest X-ray annually
B. Low-dose CT chest annually
C. Spirometry
D. No screening is indicated
Correct Answer: B) Low-dose CT chest annually
Rationale: The USPSTF recommends annual lung cancer screening with low-dose
CT for adults aged 50–80 with a 20-pack-year smoking history who currently smoke
or have quit within the past 15 years. This patient meets the criteria: age 55, 30-
pack-year history, and quit within the past 15 years.
Question 3
According to USPSTF, at what age should routine screening for colorectal cancer
begin for average-risk adults?
A. 40 years
B. 45 years
C. 50 years
D. 55 years
Correct Answer: B) 45 years
,Rationale: The USPSTF recommends that colorectal cancer screening begin at age
45 for average-risk adults. This is a change from the previous recommendation of
age 50.
Question 4
A 28-year-old pregnant woman at her first prenatal visit asks about genetic
screening. What test is offered to all pregnant women regardless of age?
A. Chorionic villus sampling (CVS)
B. Amniocentesis
C. First-trimester combined screening (nuchal translucency + PAPP-A + hCG)
D. Cell-free fetal DNA (cfDNA) for aneuploidy
Correct Answer: C) First-trimester combined screening (nuchal translucency +
PAPP-A + hCG)
Rationale: First-trimester combined screening (nuchal translucency ultrasound +
PAPP-A + hCG) is offered to all pregnant women regardless of age. CVS and
amniocentesis are invasive diagnostic tests offered based on risk factors. cfDNA is
offered to high-risk women or those with abnormal screening results.
Question 5
A 70-year-old man without a history of abdominal aortic aneurysm (AAA) screening
asks about it. The USPSTF recommends one-time screening for AAA in men who:
A. Have ever smoked and are aged 65-75
B. Are aged 65-75 regardless of smoking history
, C. Are aged 60-80 with a family history
D. All men over 65
Correct Answer: A) Have ever smoked and are aged 65-75
Rationale: USPSTF recommends one-time screening for AAA with ultrasound in
men aged 65-75 who have ever smoked. Women aged 65-75 with a smoking
history are not routinely screened due to low prevalence.
Question 6
A 45-year-old woman presents for her annual gynecologic exam. She has no history
of abnormal Pap smears. According to current guidelines, how often should she
undergo cervical cancer screening?
A. Every year
B. Every 3 years with cytology alone
C. Every 5 years with cytology + HPV co-testing
D. Either B or C
Correct Answer: D) Either B or C
Rationale: For women aged 30-65, cervical cancer screening can be performed
every 3 years with cytology alone or every 5 years with cytology + HPV co-testing.
Both options are acceptable, and the choice depends on patient preference and
shared decision-making.
Question 7
A 60-year-old woman with a history of hypertension and hyperlipidemia presents
EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A |LATEST EXAM UPDATE
2026/2027..
Question 1
A 65-year-old woman with no chronic illnesses presents for an annual wellness
visit. She received the influenza vaccine 2 months ago. According to current
USPSTF guidelines, which screening is MOST appropriate at this visit?
A. Colonoscopy
B. Bone density scan (DEXA)
C. Mammogram
D. Lipid panel
Correct Answer: B) Bone density scan (DEXA)
Rationale: The USPSTF recommends osteoporosis screening with DEXA scan for
all women aged 65 and older. Mammography is recommended biennially for
women aged 50–74. Colonoscopy screening is recommended through age 75. Lipid
panel screening is recommended for adults aged 40–75 with cardiovascular risk
factors. This patient has no chronic illnesses, making DEXA the most appropriate
universal screening at this visit.
,Question 2
A 55-year-old man with a 30-pack-year smoking history, who quit smoking 8 years
ago, presents for a health maintenance visit. Which screening test is MOST
appropriate according to USPSTF guidelines?
A. Chest X-ray annually
B. Low-dose CT chest annually
C. Spirometry
D. No screening is indicated
Correct Answer: B) Low-dose CT chest annually
Rationale: The USPSTF recommends annual lung cancer screening with low-dose
CT for adults aged 50–80 with a 20-pack-year smoking history who currently smoke
or have quit within the past 15 years. This patient meets the criteria: age 55, 30-
pack-year history, and quit within the past 15 years.
Question 3
According to USPSTF, at what age should routine screening for colorectal cancer
begin for average-risk adults?
A. 40 years
B. 45 years
C. 50 years
D. 55 years
Correct Answer: B) 45 years
,Rationale: The USPSTF recommends that colorectal cancer screening begin at age
45 for average-risk adults. This is a change from the previous recommendation of
age 50.
Question 4
A 28-year-old pregnant woman at her first prenatal visit asks about genetic
screening. What test is offered to all pregnant women regardless of age?
A. Chorionic villus sampling (CVS)
B. Amniocentesis
C. First-trimester combined screening (nuchal translucency + PAPP-A + hCG)
D. Cell-free fetal DNA (cfDNA) for aneuploidy
Correct Answer: C) First-trimester combined screening (nuchal translucency +
PAPP-A + hCG)
Rationale: First-trimester combined screening (nuchal translucency ultrasound +
PAPP-A + hCG) is offered to all pregnant women regardless of age. CVS and
amniocentesis are invasive diagnostic tests offered based on risk factors. cfDNA is
offered to high-risk women or those with abnormal screening results.
Question 5
A 70-year-old man without a history of abdominal aortic aneurysm (AAA) screening
asks about it. The USPSTF recommends one-time screening for AAA in men who:
A. Have ever smoked and are aged 65-75
B. Are aged 65-75 regardless of smoking history
, C. Are aged 60-80 with a family history
D. All men over 65
Correct Answer: A) Have ever smoked and are aged 65-75
Rationale: USPSTF recommends one-time screening for AAA with ultrasound in
men aged 65-75 who have ever smoked. Women aged 65-75 with a smoking
history are not routinely screened due to low prevalence.
Question 6
A 45-year-old woman presents for her annual gynecologic exam. She has no history
of abnormal Pap smears. According to current guidelines, how often should she
undergo cervical cancer screening?
A. Every year
B. Every 3 years with cytology alone
C. Every 5 years with cytology + HPV co-testing
D. Either B or C
Correct Answer: D) Either B or C
Rationale: For women aged 30-65, cervical cancer screening can be performed
every 3 years with cytology alone or every 5 years with cytology + HPV co-testing.
Both options are acceptable, and the choice depends on patient preference and
shared decision-making.
Question 7
A 60-year-old woman with a history of hypertension and hyperlipidemia presents
