1
Grand Canyon University FNP652
FNP 6552 Actual Exam Questions and
Answers with Rationales 2026/2027 |
Family Primary Care I Midterm | Pass
Guarantee
Q001: A healthy 16-year-old female presents for a routine sports physical. She
denies chest pain, syncope, or palpitations; family history is negative for sudden
cardiac death. HR 62 bpm, BP 108/68 mmHg. Which screening tool is
recommended by AHA/ACC 2026 guidelines for risk stratification before sports
participation?
Options:
A. 12-lead ECG for all adolescents
B. Echocardiography
C. AHA 14-point cardiovascular screening history and physical - CORRECT
D. Exercise stress testing
ANSWER: C
Q002: A 35-year-old woman requests contraception. She has migraine with aura
and smokes ½ pack per day. BP 118/76 mmHg. Which contraceptive method is
contraindicated?
Options:
A. Copper intrauterine device
B. Combined oral contraceptive pill - CORRECT
, 2
C. Depot medroxyprogesterone acetate
D. Progestin-only pill
ANSWER: B
Q003: A 42-year-old man presents for an annual physical. BP 148/92 mmHg on
two occasions, no comorbidities. According to ACC/AHA 2023 (2026 update)
guidelines, what is the correct BP classification and initial management?
Options:
A. Elevated BP; lifestyle only
B. Stage 1 hypertension; lifestyle ± pharmacologic therapy - CORRECT
C. Stage 2 hypertension; two-drug therapy immediately
D. White-coat hypertension; reassess in 1 year
ANSWER: B
Q004: A 28-year-old G2P1 at 16 weeks gestation presents for prenatal visit. She
asks about Down-syndrome screening. Which screening option is recommended
first-line in 2026?
Options:
A. Chorionic villus sampling at this visit
B. Cell-free DNA (NIPT) any time after 10 weeks - CORRECT
C. Amniocentesis today
D. No screening needed until 24 weeks
ANSWER: B
Q005: A healthy 65-year-old woman asks about aspirin for primary CVD
prevention. She has no diabetes, BP 128/78 mmHg, LDL 140 mg/dL, ASCVD risk
8%. Per USPSTF 2026, what is recommended?
Options:
A. Aspirin 81 mg daily
, 3
B. Aspirin 325 mg daily
C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10% -
CORRECT
D. No aspirin; start statin only
ANSWER: C
Q006: A 50-year-old male smoker (30 pack-years) asks about lung-cancer
screening. He is asymptomatic. Which test and interval is appropriate?
Options:
A. Annual chest X-ray
B. Annual low-dose CT until age 80 if he continues to smoke or quit <15 years -
CORRECT
C. Spirometry every 2 years
D. No screening until age 55
ANSWER: B
Q007: A healthy 11-year-old girl is due for vaccinations. She had Tdap at age 10.
Which vaccine is indicated today?
Options:
A. Meningococcal B
B. HPV 9-valent first dose - CORRECT
C. Shingles
D. Pneumococcal polysaccharide
ANSWER: B
Q008: A 30-year-old man has acute low back pain after lifting, 6/10 pain, no
neurological deficits, no red flags. Which intervention is first-line?
Options:
A. Immediate MRI lumbar spine
Grand Canyon University FNP652
FNP 6552 Actual Exam Questions and
Answers with Rationales 2026/2027 |
Family Primary Care I Midterm | Pass
Guarantee
Q001: A healthy 16-year-old female presents for a routine sports physical. She
denies chest pain, syncope, or palpitations; family history is negative for sudden
cardiac death. HR 62 bpm, BP 108/68 mmHg. Which screening tool is
recommended by AHA/ACC 2026 guidelines for risk stratification before sports
participation?
Options:
A. 12-lead ECG for all adolescents
B. Echocardiography
C. AHA 14-point cardiovascular screening history and physical - CORRECT
D. Exercise stress testing
ANSWER: C
Q002: A 35-year-old woman requests contraception. She has migraine with aura
and smokes ½ pack per day. BP 118/76 mmHg. Which contraceptive method is
contraindicated?
Options:
A. Copper intrauterine device
B. Combined oral contraceptive pill - CORRECT
, 2
C. Depot medroxyprogesterone acetate
D. Progestin-only pill
ANSWER: B
Q003: A 42-year-old man presents for an annual physical. BP 148/92 mmHg on
two occasions, no comorbidities. According to ACC/AHA 2023 (2026 update)
guidelines, what is the correct BP classification and initial management?
Options:
A. Elevated BP; lifestyle only
B. Stage 1 hypertension; lifestyle ± pharmacologic therapy - CORRECT
C. Stage 2 hypertension; two-drug therapy immediately
D. White-coat hypertension; reassess in 1 year
ANSWER: B
Q004: A 28-year-old G2P1 at 16 weeks gestation presents for prenatal visit. She
asks about Down-syndrome screening. Which screening option is recommended
first-line in 2026?
Options:
A. Chorionic villus sampling at this visit
B. Cell-free DNA (NIPT) any time after 10 weeks - CORRECT
C. Amniocentesis today
D. No screening needed until 24 weeks
ANSWER: B
Q005: A healthy 65-year-old woman asks about aspirin for primary CVD
prevention. She has no diabetes, BP 128/78 mmHg, LDL 140 mg/dL, ASCVD risk
8%. Per USPSTF 2026, what is recommended?
Options:
A. Aspirin 81 mg daily
, 3
B. Aspirin 325 mg daily
C. Individual risk discussion; consider 81 mg if age 40-70 and risk ≥10% -
CORRECT
D. No aspirin; start statin only
ANSWER: C
Q006: A 50-year-old male smoker (30 pack-years) asks about lung-cancer
screening. He is asymptomatic. Which test and interval is appropriate?
Options:
A. Annual chest X-ray
B. Annual low-dose CT until age 80 if he continues to smoke or quit <15 years -
CORRECT
C. Spirometry every 2 years
D. No screening until age 55
ANSWER: B
Q007: A healthy 11-year-old girl is due for vaccinations. She had Tdap at age 10.
Which vaccine is indicated today?
Options:
A. Meningococcal B
B. HPV 9-valent first dose - CORRECT
C. Shingles
D. Pneumococcal polysaccharide
ANSWER: B
Q008: A 30-year-old man has acute low back pain after lifting, 6/10 pain, no
neurological deficits, no red flags. Which intervention is first-line?
Options:
A. Immediate MRI lumbar spine
