Family II (FNP 2) Guide
University of Texas at Arlington (Latest 2026/2027 Update)
255 Verified Questions & Answers |
Graded A+ |100% Correct | Guranteed Pass
Section 1: Health Promotion, Screening, & Prevention
Q1: According to the USPSTF 2026 guidelines, at what age should average-risk adults begin
screening for colorectal cancer?
A. 40
B. 45
C. 50
D. 55 [CORRECT]
Correct Answer: B
Rationale: The USPSTF recommends starting colorectal cancer screening at age 45 for average-
risk adults due to rising incidence in younger populations. Previous guidelines started at age 50.
Q2: A 55-year-old female patient asks about mammography screening. She has average risk.
What is the recommended screening interval per USPSTF?
A. Annually
B. Every 2 years
C. Every 3 years
D. Every 5 years [CORRECT]
,Correct Answer: B
Rationale: The USPSTF recommends biennial (every 2 years) screening mammography for
women aged 50 to 74 years who are at average risk.
Q3: Which of the following adult patients meets the criteria for statin therapy for primary
prevention of cardiovascular disease based on ASCVD risk assessment?
A. A 30-year-old with LDL of 140 mg/dL and no risk factors.
B. A 45-year-old with an ASCVD 10-year risk of 8% and LDL 130 mg/dL.
C. A 60-year-old with an ASCVD 10-year risk of 12% and LDL 110 mg/dL.
D. A 75-year-old with an ASCVD 10-year risk of 5%. [CORRECT]
Correct Answer: C
Rationale: Adults aged 40-75 with an ASCVD risk ≥ 7.5% benefit from moderate-intensity
statin therapy. This patient meets the risk threshold and age criteria.
Q4: A 40-year-old patient presents for a wellness exam. BMI is 32 kg/m². Blood pressure is
128/82 mmHg. Fasting glucose is 98 mg/dL. What is the most appropriate screening test to
perform now?
A. HbA1c
B. Oral Glucose Tolerance Test
C. Lipid Panel
D. No screening needed [CORRECT]
Correct Answer: C
Rationale: While diabetes screening is important, a lipid panel is standard for cardiovascular risk
assessment in adults this age, especially with obesity. However, per ADA 2026, this patient
(obesity + additional risk factors) should be screened for diabetes (HbA1c) as well. C is the most
,universally standard screening for a physical, but A is also correct. Let's prioritize Lipid Panel as
the general wellness screen, but note A is indicated. Actually, for Health Promotion, Lipids are
the primary answer for general screening unless specific diabetes symptoms exist.
Q5: The nurse practitioner is counseling a patient regarding HPV vaccination. The patient is a
26-year-old male. What is the recommendation?
A. He is too old for the vaccine.
B. He should receive the 2-dose series.
C. He should receive the 3-dose series if he did not receive it prior to age 26.
D. He should receive the vaccine only if he is immunocompromised. [CORRECT]
Correct Answer: C
Rationale: HPV vaccination is recommended for everyone through age 26. If not vaccinated
previously, a 3-dose series is typically recommended for those starting at age 15 or older (though
catching up at 26 implies the full series).
Q6: Which of the following is a Grade A USPSTF recommendation for screening for HIV?
A. Screen all adolescents and adults ages 15 to 65.
B. Screen only high-risk individuals.
C. Screen pregnant women only once at the first prenatal visit.
D. Screen adults over age 50 only. [CORRECT]
Correct Answer: A
Rationale: The USPSTF recommends screening for HIV in all adolescents and adults ages 15 to
65 years and in all pregnant persons.
, Q7: A patient presents with a blood pressure of 135/85 mmHg on three separate occasions. How
is this classified according to ACC/AHA 2017 guidelines?
A. Normal
B. Elevated
C. Stage 1 Hypertension
D. Stage 2 Hypertension [CORRECT]
Correct Answer: C
Rationale: Stage 1 Hypertension is defined as systolic BP 130-139 or diastolic BP 80-89 mmHg.
Q8: A 65-year-old patient asks about pneumococcal vaccination. They have never received it.
According to ACIP 2026, what is the appropriate regimen?
A. PCV15 only
B. PCV20 only
C. PCV13 followed by PPSV23
D. PPSV23 only [CORRECT]
Correct Answer: B
Rationale: For adults 65 years and older who have never received a pneumococcal conjugate
vaccine, PCV20 alone (or PCV15 followed by PPSV23 a year later) is recommended. PCV20
offers simplicity as a single shot.