NURS 5434 FNP I FINAL EXAM PREPARATION GUIDE
UNIVERSITY OF TEXAS AT ARLINGTON
2026 NURSING QUESTIONS AND ANSWERS
SECTION ONE: HEALTH PROMOTION AND DISEASE PREVENTION
1. According to the 2024 USPSTF guidelines, at what age should an average-risk female
begin screening mammography?
A. 40
B. 45
C. 50
D. 55
Answer: A
Rationale: The USPSTF updated their recommendation in 2024 to start biennial
screening mammography for average-risk women at age 40.
2. A 40-year-old male patient asks about lung cancer screening. Which history finding
makes him a candidate for low-dose CT screening?
A. 10 pack-year smoking history, currently smoking
B. 20 pack-year smoking history, quit 5 years ago
C. 20 pack-year smoking history, currently smoking, and age 50
,D. 15 pack-year smoking history, currently smoking
Answer: C
Rationale: USPSTF recommends annual screening for adults aged 50 to 80 who have a
20 pack-year smoking history and currently smoke or have quit within the past 15
years.
3. A 45-year-old patient presents for a wellness exam. What is the recommended
screening for colorectal cancer according to current guidelines?
A. Colonoscopy every 10 years starting at age 50
B. Annual fecal occult blood test starting at age 40
C. Colonoscopy every 10 years starting at age 45
D. Flexible sigmoidoscopy every 5 years starting at age 40
Answer: C
Rationale: The USPSTF and American Cancer Society recommend colorectal cancer
screening starting at age 45 for average-risk adults.
4. A patient with a history of hypertension and smoking presents for a wellness exam.
Which screening tool is recommended to screen for abdominal aortic aneurysm?
A. Ultrasound
B. CT scan
C. MRI
D. Physical exam palpation
Answer: A
Rationale: The USPSTF recommends a one-time ultrasound screening for abdominal
aortic aneurysm in men aged 65 to 75 who have ever smoked.
5. When calculating the 10-year ASCVD risk score for a patient, which factor is NOT
included in the algorithm?
,A. Age
B. Total cholesterol
C. BMI
D. Systolic blood pressure
Answer: C
Rationale: The Pooled Cohort Equations use age, sex, race, total cholesterol, HDL
cholesterol, systolic blood pressure, treatment for hypertension, diabetes, and
smoking status. BMI is not part of the ASCVD risk calculation.
6. A 25-year-old female patient is diagnosed with a chlamydial infection. What is the
recommended partner management strategy according to the CDC?
A. Patient referral only
B. Expedited partner therapy
C. Provider referral only
D. No partner notification required
Answer: B
Rationale: Expedited partner therapy allows healthcare providers to prescribe
antibiotics to the sexual partners of patients diagnosed with chlamydia or gonorrhea
without examining the partners.
7. What is the recommended screening interval for cervical cancer using a Pap smear
alone in a 30-year-old female with negative prior results?
A. Annually
B. Every 2 years
C. Every 3 years
D. Every 5 years
Answer: C
, Rationale: For women aged 30 to 65, cytology alone is recommended every 3 years.
Co-testing with HPV is recommended every 5 years.
8. A patient presents for a routine physical. The body mass index is calculated to be 32.
Which comorbidity should the FNP screen this patient for?
A. Asthma
B. Diabetes mellitus
C. Multiple sclerosis
D. Osteoporosis
Answer: B
Rationale: A BMI of 30 or greater indicates obesity. The USPSTF recommends screening
for abnormal blood glucose as part of cardiovascular risk assessment in overweight or
obese adults.
9. A 65-year-old patient with a history of falls is seen in the clinic. Which intervention is
recommended to prevent future falls?
A. Encourage bed rest
B. Prescribe a benzodiazepine for anxiety
C. Exercise interventions that target balance and strength
D. Use of restraints when ambulating
Answer: C
Rationale: The USPSTF recommends exercise interventions to prevent falls in
community-dwelling older adults at increased risk for falls.
10. Which vaccine is recommended by the CDC's Advisory Committee on Immunization
Practices for all adults aged 65 and older, regardless of prior vaccination history?
A. PCV15 only
B. PCV20 only
UNIVERSITY OF TEXAS AT ARLINGTON
2026 NURSING QUESTIONS AND ANSWERS
SECTION ONE: HEALTH PROMOTION AND DISEASE PREVENTION
1. According to the 2024 USPSTF guidelines, at what age should an average-risk female
begin screening mammography?
A. 40
B. 45
C. 50
D. 55
Answer: A
Rationale: The USPSTF updated their recommendation in 2024 to start biennial
screening mammography for average-risk women at age 40.
2. A 40-year-old male patient asks about lung cancer screening. Which history finding
makes him a candidate for low-dose CT screening?
A. 10 pack-year smoking history, currently smoking
B. 20 pack-year smoking history, quit 5 years ago
C. 20 pack-year smoking history, currently smoking, and age 50
,D. 15 pack-year smoking history, currently smoking
Answer: C
Rationale: USPSTF recommends annual screening for adults aged 50 to 80 who have a
20 pack-year smoking history and currently smoke or have quit within the past 15
years.
3. A 45-year-old patient presents for a wellness exam. What is the recommended
screening for colorectal cancer according to current guidelines?
A. Colonoscopy every 10 years starting at age 50
B. Annual fecal occult blood test starting at age 40
C. Colonoscopy every 10 years starting at age 45
D. Flexible sigmoidoscopy every 5 years starting at age 40
Answer: C
Rationale: The USPSTF and American Cancer Society recommend colorectal cancer
screening starting at age 45 for average-risk adults.
4. A patient with a history of hypertension and smoking presents for a wellness exam.
Which screening tool is recommended to screen for abdominal aortic aneurysm?
A. Ultrasound
B. CT scan
C. MRI
D. Physical exam palpation
Answer: A
Rationale: The USPSTF recommends a one-time ultrasound screening for abdominal
aortic aneurysm in men aged 65 to 75 who have ever smoked.
5. When calculating the 10-year ASCVD risk score for a patient, which factor is NOT
included in the algorithm?
,A. Age
B. Total cholesterol
C. BMI
D. Systolic blood pressure
Answer: C
Rationale: The Pooled Cohort Equations use age, sex, race, total cholesterol, HDL
cholesterol, systolic blood pressure, treatment for hypertension, diabetes, and
smoking status. BMI is not part of the ASCVD risk calculation.
6. A 25-year-old female patient is diagnosed with a chlamydial infection. What is the
recommended partner management strategy according to the CDC?
A. Patient referral only
B. Expedited partner therapy
C. Provider referral only
D. No partner notification required
Answer: B
Rationale: Expedited partner therapy allows healthcare providers to prescribe
antibiotics to the sexual partners of patients diagnosed with chlamydia or gonorrhea
without examining the partners.
7. What is the recommended screening interval for cervical cancer using a Pap smear
alone in a 30-year-old female with negative prior results?
A. Annually
B. Every 2 years
C. Every 3 years
D. Every 5 years
Answer: C
, Rationale: For women aged 30 to 65, cytology alone is recommended every 3 years.
Co-testing with HPV is recommended every 5 years.
8. A patient presents for a routine physical. The body mass index is calculated to be 32.
Which comorbidity should the FNP screen this patient for?
A. Asthma
B. Diabetes mellitus
C. Multiple sclerosis
D. Osteoporosis
Answer: B
Rationale: A BMI of 30 or greater indicates obesity. The USPSTF recommends screening
for abnormal blood glucose as part of cardiovascular risk assessment in overweight or
obese adults.
9. A 65-year-old patient with a history of falls is seen in the clinic. Which intervention is
recommended to prevent future falls?
A. Encourage bed rest
B. Prescribe a benzodiazepine for anxiety
C. Exercise interventions that target balance and strength
D. Use of restraints when ambulating
Answer: C
Rationale: The USPSTF recommends exercise interventions to prevent falls in
community-dwelling older adults at increased risk for falls.
10. Which vaccine is recommended by the CDC's Advisory Committee on Immunization
Practices for all adults aged 65 and older, regardless of prior vaccination history?
A. PCV15 only
B. PCV20 only
