NR 667 WEEK 4 FNP CAPSTONE CEA REVIEW 2026/2027 | EXAM
STYLE V1 | HIGH-YIELD PRACTICE QUESTIONS & ANSWERS |
CLINICAL SCENARIOS | PATIENT ASSESSMENT & MANAGEMENT |
DETAILED RATIONALES
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NR 667 WEEK 4 ACTUAL EXAM STYLE V1 — FNP CAPSTONE PRACTICUM AND INTENSIVE CEA
Page 1
,Q1 A 45-year-old patient with no significant medical history presents for a...
A 45-year-old patient with no significant medical history presents for a routine physical
examination. Which of the following screening tests is recommended by the USPSTF for this
patient?
A) Prostate-specific antigen (PSA) screening
B) Colorectal cancer screening CORRECT
C) Lung cancer screening with low-dose CT
D) Abdominal aortic aneurysm screening
Rationale
The USPSTF recommends colorectal cancer screening for adults aged 45-75. PSA screening is a
shared decision-making process for men aged 55-69. Lung cancer screening is for adults aged 50-80
with a 20 pack-year smoking history. AAA screening is for men aged 65-75 with a smoking history. ---
Q2 A 55-year-old female with a 30-pack-year smoking history presents for a...
A 55-year-old female with a 30-pack-year smoking history presents for a wellness visit. Which
screening tests should be recommended?
A) Mammography only
B) Mammography and low-dose CT for lung cancer screening CORRECT
C) Mammography and colonoscopy
D) Low-dose CT only
Rationale
USPSTF recommends mammography for women aged 40-74 every 1-2 years. Low-dose CT for lung
cancer screening is recommended for adults aged 50-80 with a 20 pack-year smoking history.
Colonoscopy screening begins at age 45 for average-risk patients. ---
Q3 A 65-year-old male with a history of smoking presents for a physical exam
A 65-year-old male with a history of smoking presents for a physical exam. Which screening test
is recommended for abdominal aortic aneurysm (AAA)?
A) Abdominal CT
B) Abdominal ultrasound CORRECT
Page 2
,C) Abdominal X-ray
D) Physical exam only
Rationale
USPSTF recommends one-time screening for AAA with abdominal ultrasound in men aged 65-75 who
have ever smoked. Physical exam is not reliable for detecting AAA. ---
Q4 A 60-year-old patient with diabetes and hypertension is at high risk for...
A 60-year-old patient with diabetes and hypertension is at high risk for cardiovascular disease.
What is the recommended blood pressure target for this patient?
A) <140/90 mmHg
B) <130/80 mmHg CORRECT
C) <150/90 mmHg
D) <120/80 mmHg
Rationale
ACC/AHA guidelines recommend a blood pressure target of <130/80 mmHg for patients with
hypertension, especially those with diabetes or chronic kidney disease. ---
Q5 A 50-year-old patient is due for colorectal cancer screening
A 50-year-old patient is due for colorectal cancer screening. Which of the following is an
acceptable screening option?
A) Fecal immunochemical test (FIT) annually
B) Colonoscopy every 10 years
C) Sigmoidoscopy every 5 years
D) All of the above CORRECT
Rationale
USPSTF recommends multiple options for colorectal cancer screening including FIT annually,
colonoscopy every 10 years, or sigmoidoscopy every 5 years. The choice depends on patient preference
and risk factors. ---
Page 3
, Q6 A 45-year-old female with no significant medical history is due for cervical...
A 45-year-old female with no significant medical history is due for cervical cancer screening.
What is the recommended screening interval for this patient?
A) Annually
B) Pap smear every 3 years or HPV testing every 5 years CORRECT
C) Pap smear every 5 years only
D) No screening needed
Rationale
For women aged 30-65, USPSTF recommends cervical cancer screening with Pap smear every 3 years
or HPV testing every 5 years. ---
Q7 A 55-year-old patient with a history of smoking and hypertension is being...
A 55-year-old patient with a history of smoking and hypertension is being evaluated for
cardiovascular risk. Which risk calculator is most appropriate?
A) Framingham Risk Score
B) ASCVD Risk Estimator CORRECT
C) Reynolds Risk Score
D) QRISK2
Rationale
The ASCVD Risk Estimator (Pooled Cohort Equations) is recommended by ACC/AHA guidelines for
estimating 10-year risk of atherosclerotic cardiovascular disease in patients aged 40-79. ---
Q8 A 60-year-old patient with diabetes is due for eye screening
A 60-year-old patient with diabetes is due for eye screening. What is the recommended screening
for diabetic retinopathy?
A) Visual acuity testing
B) Dilated eye exam CORRECT
C) Fundus photography
D) Optical coherence tomography
Page 4
STYLE V1 | HIGH-YIELD PRACTICE QUESTIONS & ANSWERS |
CLINICAL SCENARIOS | PATIENT ASSESSMENT & MANAGEMENT |
DETAILED RATIONALES
250 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 NR 667 WEEK 4 ACTUAL EXAM STYLE V1 — FNP CAPSTONE PRACTICUM AND INTENSIVE CEA
Page 1
,Q1 A 45-year-old patient with no significant medical history presents for a...
A 45-year-old patient with no significant medical history presents for a routine physical
examination. Which of the following screening tests is recommended by the USPSTF for this
patient?
A) Prostate-specific antigen (PSA) screening
B) Colorectal cancer screening CORRECT
C) Lung cancer screening with low-dose CT
D) Abdominal aortic aneurysm screening
Rationale
The USPSTF recommends colorectal cancer screening for adults aged 45-75. PSA screening is a
shared decision-making process for men aged 55-69. Lung cancer screening is for adults aged 50-80
with a 20 pack-year smoking history. AAA screening is for men aged 65-75 with a smoking history. ---
Q2 A 55-year-old female with a 30-pack-year smoking history presents for a...
A 55-year-old female with a 30-pack-year smoking history presents for a wellness visit. Which
screening tests should be recommended?
A) Mammography only
B) Mammography and low-dose CT for lung cancer screening CORRECT
C) Mammography and colonoscopy
D) Low-dose CT only
Rationale
USPSTF recommends mammography for women aged 40-74 every 1-2 years. Low-dose CT for lung
cancer screening is recommended for adults aged 50-80 with a 20 pack-year smoking history.
Colonoscopy screening begins at age 45 for average-risk patients. ---
Q3 A 65-year-old male with a history of smoking presents for a physical exam
A 65-year-old male with a history of smoking presents for a physical exam. Which screening test
is recommended for abdominal aortic aneurysm (AAA)?
A) Abdominal CT
B) Abdominal ultrasound CORRECT
Page 2
,C) Abdominal X-ray
D) Physical exam only
Rationale
USPSTF recommends one-time screening for AAA with abdominal ultrasound in men aged 65-75 who
have ever smoked. Physical exam is not reliable for detecting AAA. ---
Q4 A 60-year-old patient with diabetes and hypertension is at high risk for...
A 60-year-old patient with diabetes and hypertension is at high risk for cardiovascular disease.
What is the recommended blood pressure target for this patient?
A) <140/90 mmHg
B) <130/80 mmHg CORRECT
C) <150/90 mmHg
D) <120/80 mmHg
Rationale
ACC/AHA guidelines recommend a blood pressure target of <130/80 mmHg for patients with
hypertension, especially those with diabetes or chronic kidney disease. ---
Q5 A 50-year-old patient is due for colorectal cancer screening
A 50-year-old patient is due for colorectal cancer screening. Which of the following is an
acceptable screening option?
A) Fecal immunochemical test (FIT) annually
B) Colonoscopy every 10 years
C) Sigmoidoscopy every 5 years
D) All of the above CORRECT
Rationale
USPSTF recommends multiple options for colorectal cancer screening including FIT annually,
colonoscopy every 10 years, or sigmoidoscopy every 5 years. The choice depends on patient preference
and risk factors. ---
Page 3
, Q6 A 45-year-old female with no significant medical history is due for cervical...
A 45-year-old female with no significant medical history is due for cervical cancer screening.
What is the recommended screening interval for this patient?
A) Annually
B) Pap smear every 3 years or HPV testing every 5 years CORRECT
C) Pap smear every 5 years only
D) No screening needed
Rationale
For women aged 30-65, USPSTF recommends cervical cancer screening with Pap smear every 3 years
or HPV testing every 5 years. ---
Q7 A 55-year-old patient with a history of smoking and hypertension is being...
A 55-year-old patient with a history of smoking and hypertension is being evaluated for
cardiovascular risk. Which risk calculator is most appropriate?
A) Framingham Risk Score
B) ASCVD Risk Estimator CORRECT
C) Reynolds Risk Score
D) QRISK2
Rationale
The ASCVD Risk Estimator (Pooled Cohort Equations) is recommended by ACC/AHA guidelines for
estimating 10-year risk of atherosclerotic cardiovascular disease in patients aged 40-79. ---
Q8 A 60-year-old patient with diabetes is due for eye screening
A 60-year-old patient with diabetes is due for eye screening. What is the recommended screening
for diabetic retinopathy?
A) Visual acuity testing
B) Dilated eye exam CORRECT
C) Fundus photography
D) Optical coherence tomography
Page 4
