NURS 5433 FNP II Midterm & Final Exam Bundle – 300 Questions
University of Texas at Arlington (UTA) – | Family Nurse
Practitioner II | Complete Study Guide with Rationales | Primary
Care Management
Section 1: Primary Care & Health Promotion Guidelines
1. According to the USPSTF, at what age should routine screening for colorectal
cancer begin in average-risk adults?
a) 40 years
b) 45 years
c) 50 years
d) 45 years
*The USPSTF recommends screening for colorectal cancer starting at age 45 for average-
risk adults and continuing until age 75. Screening options include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years.*
2. What is the USPSTF recommendation for aspirin use for primary prevention of
cardiovascular disease in adults aged 50-59?
a) Aspirin is recommended for all adults in this age group
b) Aspirin is recommended for those with a 10% or greater 10-year CVD risk and not
at increased bleeding risk
c) Aspirin is not recommended for any adults in this age group
d) Aspirin is recommended only for those with diabetes
*The USPSTF recommends low-dose aspirin for primary prevention of CVD in adults aged
50-59 who have a 10% or greater 10-year CVD risk and are not at increased bleeding risk.
The decision should be individualized.*
3. What is the recommended screening interval for cervical cancer in women aged 30-
65 with a normal Pap and negative HPV test?
a) Annually
b) Every 2 years
,c) Every 5 years
d) Every 10 years
*For women aged 30-65, co-testing (Pap + HPV) every 5 years is recommended. Pap alone
every 3 years is also acceptable. Screening should stop at age 65 if adequate prior
screening and no history of CIN2+.*
4. What is the USPSTF recommendation for lung cancer screening?
a) Annual CXR for all smokers
b) Annual low-dose CT for adults aged 50-80 with a 20 pack-year smoking history
who currently smoke or quit within 15 years
c) CT every 5 years for all adults over 50
d) No screening recommended
*The USPSTF recommends annual low-dose CT screening for lung cancer in adults aged
50-80 with a 20 pack-year smoking history who currently smoke or have quit within the past
15 years. Screening should be discontinued once a person has not smoked for 15 years or
develops a health problem that limits life expectancy.*
5. What is the USPSTF grade for screening for depression in adults?
a) Grade D (not recommended)
b) Grade I (insufficient evidence)
c) Grade B (recommended)
d) Grade C (selectively recommended)
The USPSTF recommends screening for depression in the general adult population,
including pregnant and postpartum women. Screening should be implemented with
adequate systems in place for diagnosis, treatment, and follow-up. This is a Grade B
recommendation.
6. At what age should routine screening for lipid disorders begin in men without
known cardiovascular disease?
a) 20 years
b) 30 years
c) 35 years
d) 40 years
,*The USPSTF recommends screening for lipid disorders in men aged 35 and older without
known CVD. For men aged 20-35, screening may be considered if other risk factors are
present. For women, screening is recommended at age 45 and older.*
7. What is the recommended frequency for blood pressure screening in adults with
normal BP (less than 120/80)?
a) Annually
b) Every 2 years
c) Every 3-5 years
d) Every 10 years
*For adults with normal blood pressure (less than 120/80), the USPSTF recommends
screening every 3-5 years. More frequent screening is recommended for those with
elevated blood pressure or risk factors.*
8. What is the USPSTF recommendation regarding vitamin D supplementation for
prevention of falls in community-dwelling adults aged 65 and older?
a) Recommend against supplementation
b) Recommend supplementation for prevention of falls
c) Insufficient evidence to recommend
d) Recommend only for those with osteoporosis
*The USPSTF recommends vitamin D supplementation for the prevention of falls in
community-dwelling adults aged 65 and older. Vitamin D should be taken with or without
calcium. However, the USPSTF does not recommend supplementation for prevention of
fractures in this population.*
9. Which of the following is a USPSTF Grade A recommendation?
a) Screening for lung cancer with low-dose CT
b) Screening for depression in adults
c) Aspirin for prevention of preeclampsia in high-risk pregnant women
d) Screening for vitamin D deficiency
Grade A recommendations include: aspirin for prevention of preeclampsia in high-risk
pregnant women, folic acid supplementation for prevention of neural tube defects, and
tobacco cessation interventions. Grade B recommendations include depression screening
and lung cancer screening.
, 10. What is the USPSTF recommendation regarding screening for abdominal aortic
aneurysm (AAA)?
a) Screen all adults over 50
b) One-time screening for men aged 65-75 who have ever smoked
c) Screen all men over 65 regardless of smoking history
d) No screening recommended
*The USPSTF recommends one-time screening for AAA with ultrasonography in men aged
65-75 who have ever smoked. Screening is not recommended for women unless they have
a family history or other risk factors.*
11. What is the recommended interval for routine mammography screening for
women aged 50-74 according to the USPSTF?
a) Annually
b) Every 2 years
c) Every 3 years
d) Every 5 years
*The USPSTF recommends biennial screening mammography for women aged 50-74. For
women aged 40-49, the decision to screen should be individualized. The American Cancer
Society recommends annual screening starting at age 45.*
12. What is the USPSTF recommendation regarding obesity screening?
a) Screen only if symptomatic
b) Screen all adults for obesity
c) Screen only those with family history
d) No screening recommended
The USPSTF recommends screening all adults for obesity. Patients with a body mass index
(BMI) of 30 or higher should be referred to or offered intensive, multicomponent behavioral
interventions.
13. What is the recommended treatment for tobacco dependence according to
USPSTF guidelines?
University of Texas at Arlington (UTA) – | Family Nurse
Practitioner II | Complete Study Guide with Rationales | Primary
Care Management
Section 1: Primary Care & Health Promotion Guidelines
1. According to the USPSTF, at what age should routine screening for colorectal
cancer begin in average-risk adults?
a) 40 years
b) 45 years
c) 50 years
d) 45 years
*The USPSTF recommends screening for colorectal cancer starting at age 45 for average-
risk adults and continuing until age 75. Screening options include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years.*
2. What is the USPSTF recommendation for aspirin use for primary prevention of
cardiovascular disease in adults aged 50-59?
a) Aspirin is recommended for all adults in this age group
b) Aspirin is recommended for those with a 10% or greater 10-year CVD risk and not
at increased bleeding risk
c) Aspirin is not recommended for any adults in this age group
d) Aspirin is recommended only for those with diabetes
*The USPSTF recommends low-dose aspirin for primary prevention of CVD in adults aged
50-59 who have a 10% or greater 10-year CVD risk and are not at increased bleeding risk.
The decision should be individualized.*
3. What is the recommended screening interval for cervical cancer in women aged 30-
65 with a normal Pap and negative HPV test?
a) Annually
b) Every 2 years
,c) Every 5 years
d) Every 10 years
*For women aged 30-65, co-testing (Pap + HPV) every 5 years is recommended. Pap alone
every 3 years is also acceptable. Screening should stop at age 65 if adequate prior
screening and no history of CIN2+.*
4. What is the USPSTF recommendation for lung cancer screening?
a) Annual CXR for all smokers
b) Annual low-dose CT for adults aged 50-80 with a 20 pack-year smoking history
who currently smoke or quit within 15 years
c) CT every 5 years for all adults over 50
d) No screening recommended
*The USPSTF recommends annual low-dose CT screening for lung cancer in adults aged
50-80 with a 20 pack-year smoking history who currently smoke or have quit within the past
15 years. Screening should be discontinued once a person has not smoked for 15 years or
develops a health problem that limits life expectancy.*
5. What is the USPSTF grade for screening for depression in adults?
a) Grade D (not recommended)
b) Grade I (insufficient evidence)
c) Grade B (recommended)
d) Grade C (selectively recommended)
The USPSTF recommends screening for depression in the general adult population,
including pregnant and postpartum women. Screening should be implemented with
adequate systems in place for diagnosis, treatment, and follow-up. This is a Grade B
recommendation.
6. At what age should routine screening for lipid disorders begin in men without
known cardiovascular disease?
a) 20 years
b) 30 years
c) 35 years
d) 40 years
,*The USPSTF recommends screening for lipid disorders in men aged 35 and older without
known CVD. For men aged 20-35, screening may be considered if other risk factors are
present. For women, screening is recommended at age 45 and older.*
7. What is the recommended frequency for blood pressure screening in adults with
normal BP (less than 120/80)?
a) Annually
b) Every 2 years
c) Every 3-5 years
d) Every 10 years
*For adults with normal blood pressure (less than 120/80), the USPSTF recommends
screening every 3-5 years. More frequent screening is recommended for those with
elevated blood pressure or risk factors.*
8. What is the USPSTF recommendation regarding vitamin D supplementation for
prevention of falls in community-dwelling adults aged 65 and older?
a) Recommend against supplementation
b) Recommend supplementation for prevention of falls
c) Insufficient evidence to recommend
d) Recommend only for those with osteoporosis
*The USPSTF recommends vitamin D supplementation for the prevention of falls in
community-dwelling adults aged 65 and older. Vitamin D should be taken with or without
calcium. However, the USPSTF does not recommend supplementation for prevention of
fractures in this population.*
9. Which of the following is a USPSTF Grade A recommendation?
a) Screening for lung cancer with low-dose CT
b) Screening for depression in adults
c) Aspirin for prevention of preeclampsia in high-risk pregnant women
d) Screening for vitamin D deficiency
Grade A recommendations include: aspirin for prevention of preeclampsia in high-risk
pregnant women, folic acid supplementation for prevention of neural tube defects, and
tobacco cessation interventions. Grade B recommendations include depression screening
and lung cancer screening.
, 10. What is the USPSTF recommendation regarding screening for abdominal aortic
aneurysm (AAA)?
a) Screen all adults over 50
b) One-time screening for men aged 65-75 who have ever smoked
c) Screen all men over 65 regardless of smoking history
d) No screening recommended
*The USPSTF recommends one-time screening for AAA with ultrasonography in men aged
65-75 who have ever smoked. Screening is not recommended for women unless they have
a family history or other risk factors.*
11. What is the recommended interval for routine mammography screening for
women aged 50-74 according to the USPSTF?
a) Annually
b) Every 2 years
c) Every 3 years
d) Every 5 years
*The USPSTF recommends biennial screening mammography for women aged 50-74. For
women aged 40-49, the decision to screen should be individualized. The American Cancer
Society recommends annual screening starting at age 45.*
12. What is the USPSTF recommendation regarding obesity screening?
a) Screen only if symptomatic
b) Screen all adults for obesity
c) Screen only those with family history
d) No screening recommended
The USPSTF recommends screening all adults for obesity. Patients with a body mass index
(BMI) of 30 or higher should be referred to or offered intensive, multicomponent behavioral
interventions.
13. What is the recommended treatment for tobacco dependence according to
USPSTF guidelines?
