Primary Care Advanced Practice Nursing
Test Bank: Interprofessional Approach &
Exam Prep
Section 1: Health Promotion & Disease Prevention (Questions 1-20)
1. When using the 5 A's model (Ask, Advise, Assess, Assist, Arrange) for smoking cessation,
which action is part of the "Assist" phase?
A. Determining the patient's readiness to quit.
B. Recommending FDA-approved pharmacotherapy. ✓
C. Providing clear, strong advice to quit.
D. Scheduling a follow-up visit or phone call.
2. For a 65-year-old woman with no personal or family history of breast cancer, the USPSTF
recommends screening mammography:
A. Annually starting at age 40.
B. Every 2 years from age 50 to 74. ✓
C. Every 3 years from age 45 to 79.
D. Based solely on clinical breast exam findings.
3. The primary goal of motivational interviewing is to:
A. Provide expert advice to ensure behavior change.
B. Confront patient resistance directly.
C. Elicit and strengthen the patient's own motivation for change. ✓
D. Set firm goals and consequences for the patient.
4. Which immunization is contraindicated in a 28-year-old pregnant patient at 30 weeks
gestation?
A. Tdap (Tetanus, diphtheria, acellular pertussis).
B. Inactivated Influenza Vaccine.
C. Recombinant HPV (Human Papillomavirus) vaccine. ✓
D. Hepatitis B vaccine.
5. When counseling on sun protection, the APRN teaches the "Shadow Rule":
A. If your shadow is shorter than you are, seek shade. ✓
B. Sunscreen is only needed if your shadow is tall.
,C. UV rays are weakest when shadows are sharp.
D. The rule applies only between 10 AM and 2 PM.
6. The USPSTF gives an "A" recommendation for screening all adults aged 18 and older for:
A. Depression, when systems are in place for accurate diagnosis and treatment. ✓
B. Anxiety disorders.
C. Vitamin D deficiency.
D. Thyroid dysfunction.
7. In the context of lipid screening, which statement aligns with a prevention-focused
interprofessional approach?
A. The APRN should manage all aspects without consultation.
B. A pharmacist is the key team member for lifestyle counseling initiation.
C. The APRN coordinates with a registered dietitian for medical nutrition therapy. ✓
D. Cardiology referral is required for all abnormal results.
8. The most effective single intervention to prevent catheter-associated urinary tract
infections (CAUTIs) is:
A. Implementing routine antibiotic prophylaxis.
B. Using silver-coated catheters.
C. Avoiding unnecessary catheterization and removing catheters promptly. ✓
D. Performing daily meatal care with antiseptic solution.
9. For a healthy 50-year-old man with a 20-pack-year smoking history who quit 5 years ago,
lung cancer screening with low-dose CT (LDCT) is recommended:
A. Annually until age 80.
B. It is not recommended; he does not meet current criteria. ✓
C. Every 3 years, starting now.
D. Only if he has developed a chronic cough.
10. Which dietary pattern is best supported by evidence for primary prevention of
cardiovascular disease?
A. Low-carbohydrate, high-protein diet.
B. Mediterranean-style diet. ✓
C. Intermittent fasting regimen.
D. Gluten-free diet.
11. Pre-exposure prophylaxis (PrEP) with tenofovir/emtricitabine is recommended for which
patient?
A. A woman in a monogamous relationship with an HIV-negative partner.
,B. An individual who started intravenous drug use 1 month ago and shares needles. ✓
C. A man who had a potential exposure 3 days ago and is seeking treatment.
D. An adolescent requesting protection against all sexually transmitted infections.
12. The Apgar score assesses which five parameters in a newborn?
A. Weight, length, head circumference, temperature, cry.
B. Heart rate, respiratory effort, muscle tone, reflex irritability, color. ✓
C. Suck, swallow, breathe coordination, Moro reflex, rooting.
D. Gestational age, skin texture, lanugo, plantar creases, ear form.
13. Which screening tool is most appropriate for assessing alcohol use disorder in a primary
care setting?
A. CAGE Questionnaire ✓
B. PHQ-9
C. GAD-7
D. MMSE
14. The principle of "herd immunity" protects:
A. Only those who are vaccinated.
B. The vaccinated and unvaccinated individuals who cannot be immunized. ✓
C. Only against bacterial infections.
D. Adults but not children.
15. For fall prevention in community-dwelling older adults, the most effective
interprofessional strategy involves:
A. Prescribing a benzodiazepine for anxiety.
B. A home safety assessment by an occupational therapist. ✓
C. Recommending bed rest during dizzy episodes.
D. Prescribing vitamin E supplements.
16. The "Choose My Plate" guideline recommends that half of one's plate consist of:
A. Lean protein.
B. Fruits and vegetables. ✓
C. Whole grains.
D. Dairy products.
17. Secondary prevention is best defined as:
A. Preventing disease before it occurs (e.g., immunization).
B. Early detection and intervention to halt disease progression (e.g., screening). ✓
, C. Rehabilitation and management of established disease.
D. Population-level health policy changes.
18. When discussing colorectal cancer screening options with a 50-year-old average-risk
patient, which statement is correct?
A. Colonoscopy is the only recommended screening test.
B. A positive FIT (fecal immunochemical test) requires follow-up with colonoscopy. ✓
C. Flexible sigmoidoscopy screens the entire colon.
D. CT colonography is recommended every 5 years as a first-line test.
19. Which vitamin's supplementation is strongly recommended for all pregnant individuals to
prevent neural tube defects?
A. Vitamin A
B. Folic Acid (Folate) ✓
C. Vitamin B12
D. Vitamin D
20. In the Transtheoretical Model (Stages of Change), a patient who states, "I have started
walking 3 times a week and plan to continue," is in which stage?
A. Contemplation
B. Preparation
C. Action ✓
D. Maintenance
Section 2: Diagnosis & Management of Common Conditions (Questions 21-50)
21. A 45-year-old female presents with fatigue, weight gain, cold intolerance, and dry skin.
The most likely diagnosis and initial lab test is:
A. Hyperthyroidism; TSH, Free T4.
B. Hypothyroidism; TSH, Free T4. ✓
C. Depression; CBC, TSH.
D. Anemia; CBC, Ferritin.
22. According to JNC 8 guidelines, the first-line pharmacological treatment for hypertension in
a non-black patient without chronic kidney disease is:
A. ACE inhibitor or ARB.
B. Thiazide diuretic or ACE inhibitor or ARB or CCB. ✓
C. Beta-blocker.
D. Alpha-blocker.
Test Bank: Interprofessional Approach &
Exam Prep
Section 1: Health Promotion & Disease Prevention (Questions 1-20)
1. When using the 5 A's model (Ask, Advise, Assess, Assist, Arrange) for smoking cessation,
which action is part of the "Assist" phase?
A. Determining the patient's readiness to quit.
B. Recommending FDA-approved pharmacotherapy. ✓
C. Providing clear, strong advice to quit.
D. Scheduling a follow-up visit or phone call.
2. For a 65-year-old woman with no personal or family history of breast cancer, the USPSTF
recommends screening mammography:
A. Annually starting at age 40.
B. Every 2 years from age 50 to 74. ✓
C. Every 3 years from age 45 to 79.
D. Based solely on clinical breast exam findings.
3. The primary goal of motivational interviewing is to:
A. Provide expert advice to ensure behavior change.
B. Confront patient resistance directly.
C. Elicit and strengthen the patient's own motivation for change. ✓
D. Set firm goals and consequences for the patient.
4. Which immunization is contraindicated in a 28-year-old pregnant patient at 30 weeks
gestation?
A. Tdap (Tetanus, diphtheria, acellular pertussis).
B. Inactivated Influenza Vaccine.
C. Recombinant HPV (Human Papillomavirus) vaccine. ✓
D. Hepatitis B vaccine.
5. When counseling on sun protection, the APRN teaches the "Shadow Rule":
A. If your shadow is shorter than you are, seek shade. ✓
B. Sunscreen is only needed if your shadow is tall.
,C. UV rays are weakest when shadows are sharp.
D. The rule applies only between 10 AM and 2 PM.
6. The USPSTF gives an "A" recommendation for screening all adults aged 18 and older for:
A. Depression, when systems are in place for accurate diagnosis and treatment. ✓
B. Anxiety disorders.
C. Vitamin D deficiency.
D. Thyroid dysfunction.
7. In the context of lipid screening, which statement aligns with a prevention-focused
interprofessional approach?
A. The APRN should manage all aspects without consultation.
B. A pharmacist is the key team member for lifestyle counseling initiation.
C. The APRN coordinates with a registered dietitian for medical nutrition therapy. ✓
D. Cardiology referral is required for all abnormal results.
8. The most effective single intervention to prevent catheter-associated urinary tract
infections (CAUTIs) is:
A. Implementing routine antibiotic prophylaxis.
B. Using silver-coated catheters.
C. Avoiding unnecessary catheterization and removing catheters promptly. ✓
D. Performing daily meatal care with antiseptic solution.
9. For a healthy 50-year-old man with a 20-pack-year smoking history who quit 5 years ago,
lung cancer screening with low-dose CT (LDCT) is recommended:
A. Annually until age 80.
B. It is not recommended; he does not meet current criteria. ✓
C. Every 3 years, starting now.
D. Only if he has developed a chronic cough.
10. Which dietary pattern is best supported by evidence for primary prevention of
cardiovascular disease?
A. Low-carbohydrate, high-protein diet.
B. Mediterranean-style diet. ✓
C. Intermittent fasting regimen.
D. Gluten-free diet.
11. Pre-exposure prophylaxis (PrEP) with tenofovir/emtricitabine is recommended for which
patient?
A. A woman in a monogamous relationship with an HIV-negative partner.
,B. An individual who started intravenous drug use 1 month ago and shares needles. ✓
C. A man who had a potential exposure 3 days ago and is seeking treatment.
D. An adolescent requesting protection against all sexually transmitted infections.
12. The Apgar score assesses which five parameters in a newborn?
A. Weight, length, head circumference, temperature, cry.
B. Heart rate, respiratory effort, muscle tone, reflex irritability, color. ✓
C. Suck, swallow, breathe coordination, Moro reflex, rooting.
D. Gestational age, skin texture, lanugo, plantar creases, ear form.
13. Which screening tool is most appropriate for assessing alcohol use disorder in a primary
care setting?
A. CAGE Questionnaire ✓
B. PHQ-9
C. GAD-7
D. MMSE
14. The principle of "herd immunity" protects:
A. Only those who are vaccinated.
B. The vaccinated and unvaccinated individuals who cannot be immunized. ✓
C. Only against bacterial infections.
D. Adults but not children.
15. For fall prevention in community-dwelling older adults, the most effective
interprofessional strategy involves:
A. Prescribing a benzodiazepine for anxiety.
B. A home safety assessment by an occupational therapist. ✓
C. Recommending bed rest during dizzy episodes.
D. Prescribing vitamin E supplements.
16. The "Choose My Plate" guideline recommends that half of one's plate consist of:
A. Lean protein.
B. Fruits and vegetables. ✓
C. Whole grains.
D. Dairy products.
17. Secondary prevention is best defined as:
A. Preventing disease before it occurs (e.g., immunization).
B. Early detection and intervention to halt disease progression (e.g., screening). ✓
, C. Rehabilitation and management of established disease.
D. Population-level health policy changes.
18. When discussing colorectal cancer screening options with a 50-year-old average-risk
patient, which statement is correct?
A. Colonoscopy is the only recommended screening test.
B. A positive FIT (fecal immunochemical test) requires follow-up with colonoscopy. ✓
C. Flexible sigmoidoscopy screens the entire colon.
D. CT colonography is recommended every 5 years as a first-line test.
19. Which vitamin's supplementation is strongly recommended for all pregnant individuals to
prevent neural tube defects?
A. Vitamin A
B. Folic Acid (Folate) ✓
C. Vitamin B12
D. Vitamin D
20. In the Transtheoretical Model (Stages of Change), a patient who states, "I have started
walking 3 times a week and plan to continue," is in which stage?
A. Contemplation
B. Preparation
C. Action ✓
D. Maintenance
Section 2: Diagnosis & Management of Common Conditions (Questions 21-50)
21. A 45-year-old female presents with fatigue, weight gain, cold intolerance, and dry skin.
The most likely diagnosis and initial lab test is:
A. Hyperthyroidism; TSH, Free T4.
B. Hypothyroidism; TSH, Free T4. ✓
C. Depression; CBC, TSH.
D. Anemia; CBC, Ferritin.
22. According to JNC 8 guidelines, the first-line pharmacological treatment for hypertension in
a non-black patient without chronic kidney disease is:
A. ACE inhibitor or ARB.
B. Thiazide diuretic or ACE inhibitor or ARB or CCB. ✓
C. Beta-blocker.
D. Alpha-blocker.
