NURS 5434 Final Exam 2026 (Family Nurse Practitioner III /
Family III) -University of Texas at Arlington (UTA) || Complete Test
Bank with Actual Exam Questions, Verified Correct Answers &
Detailed Rationales
Question 1
In the USPSTF Grading system, which of the following grades are Recommended to DO?
(Select all that apply)
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I
Correct Answers: A, B
Rationale: USPSTF Grade A and B recommendations indicate that there is high or moderate
certainty that the net benefit is substantial or moderate, and the service should be offered or
provided.
Question 2
Which of the following are NOT examples of USPSTF Grade A or B recommendations? (Select
all that apply)
A. Routine AAA screening in women
B. AAA screening in men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching breast self-exam
E. Routine Pap smear
F. Depression screening
Correct Answers: A, C, D
Rationale: Routine AAA screening in women, routine PSA for all men, and teaching breast self-
exam are not recommended (Grade D or I). AAA screening in men 65-75 who have smoked,
routine Pap smear, and depression screening are Grade A or B recommendations.
Question 3
Patients ages 21-29 should get a Pap smear done:
A. Every year
,B. Every 2 years
C. Every 3 years
D. Every 6 months
Correct Answer: C
Rationale: USPSTF recommends Pap smear every 3 years for women ages 21-29.
Question 4
Patients ages 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every year
D. Every 10 years
Correct Answer: B
Rationale: For women ages 30-65, co-testing (Pap + HPV) every 5 years is recommended, or
Pap alone every 3 years.
Question 5
Breast cancer prevention counseling should be given to all women. True or False?
Correct Answer: False
Rationale: Breast cancer prevention counseling is recommended only for women at high risk.
Question 6
A screening for colonoscopy should be done starting at which age?
A. 35
B. 45
C. 50
D. 65
Correct Answer: C
Rationale: Colonoscopy screening for colorectal cancer begins at age 50 (or 45 per updated
guidelines).
Question 7
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
,B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years
Correct Answer: E
Rationale: Routine colonoscopy screening is recommended every 10 years for average-risk
individuals starting at age 50.
Question 8
How often do you get the Influenza vaccine? How early can you get it?
Correct Answer: Annually (starting at 6 months)
Rationale: The influenza vaccine is recommended annually for everyone 6 months and older.
Question 9
A 65-year-old man comes to a primary care facility. He states that it has been 10 years since his
last tetanus shot and he is excited about seeing his newborn grandchild. He should be offered
immunization with:
A. Tdap
B. Td only
C. DTaP
D. None of the above
Correct Answer: A
Rationale: Tdap is recommended for adults who have not received a prior dose, especially those
who will have contact with infants (to prevent pertussis transmission).
Question 10
Which of the following is Secondary prevention? (Select all that apply)
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy
Correct Answers: C, E, F
Rationale: Secondary prevention focuses on early detection and screening. Mammogram, Pap
, smear, and colonoscopy are screening tests. Vaccines are primary prevention; antibiotics treat
existing infection (tertiary/early treatment).
Question 11
Age range for HPV vaccine:
Correct Answer: 9-45 years old
Rationale: The HPV vaccine is approved for individuals ages 9 through 45.
Question 12
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. Which of
the following vaccines would you recommend for her? (Select all that apply)
A. HPV
B. Meningococcal vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
Correct Answers: C, E
Rationale: Adults 65+ should receive PCV13 and PPSV23 pneumococcal vaccines, especially
smokers. HPV and meningococcal vaccines are not routinely indicated at this age; Hepatitis B is
for at-risk adults.
Question 13
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She tells
you that she has never gotten the pneumococcal shot. Which of the following vaccines would
you recommend for her TODAY?
A. Prevnar 20 (PCV20)
B. Prevnar 13 (PCV13)
C. Pneumovax 23 (PPSV23)
D. Both B and C
Correct Answer: A
Rationale: PCV20 can be given as a single dose for adults 65+ who have not previously
received a pneumococcal vaccine.
Question 14
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She tells
Family III) -University of Texas at Arlington (UTA) || Complete Test
Bank with Actual Exam Questions, Verified Correct Answers &
Detailed Rationales
Question 1
In the USPSTF Grading system, which of the following grades are Recommended to DO?
(Select all that apply)
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I
Correct Answers: A, B
Rationale: USPSTF Grade A and B recommendations indicate that there is high or moderate
certainty that the net benefit is substantial or moderate, and the service should be offered or
provided.
Question 2
Which of the following are NOT examples of USPSTF Grade A or B recommendations? (Select
all that apply)
A. Routine AAA screening in women
B. AAA screening in men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching breast self-exam
E. Routine Pap smear
F. Depression screening
Correct Answers: A, C, D
Rationale: Routine AAA screening in women, routine PSA for all men, and teaching breast self-
exam are not recommended (Grade D or I). AAA screening in men 65-75 who have smoked,
routine Pap smear, and depression screening are Grade A or B recommendations.
Question 3
Patients ages 21-29 should get a Pap smear done:
A. Every year
,B. Every 2 years
C. Every 3 years
D. Every 6 months
Correct Answer: C
Rationale: USPSTF recommends Pap smear every 3 years for women ages 21-29.
Question 4
Patients ages 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every year
D. Every 10 years
Correct Answer: B
Rationale: For women ages 30-65, co-testing (Pap + HPV) every 5 years is recommended, or
Pap alone every 3 years.
Question 5
Breast cancer prevention counseling should be given to all women. True or False?
Correct Answer: False
Rationale: Breast cancer prevention counseling is recommended only for women at high risk.
Question 6
A screening for colonoscopy should be done starting at which age?
A. 35
B. 45
C. 50
D. 65
Correct Answer: C
Rationale: Colonoscopy screening for colorectal cancer begins at age 50 (or 45 per updated
guidelines).
Question 7
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
,B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years
Correct Answer: E
Rationale: Routine colonoscopy screening is recommended every 10 years for average-risk
individuals starting at age 50.
Question 8
How often do you get the Influenza vaccine? How early can you get it?
Correct Answer: Annually (starting at 6 months)
Rationale: The influenza vaccine is recommended annually for everyone 6 months and older.
Question 9
A 65-year-old man comes to a primary care facility. He states that it has been 10 years since his
last tetanus shot and he is excited about seeing his newborn grandchild. He should be offered
immunization with:
A. Tdap
B. Td only
C. DTaP
D. None of the above
Correct Answer: A
Rationale: Tdap is recommended for adults who have not received a prior dose, especially those
who will have contact with infants (to prevent pertussis transmission).
Question 10
Which of the following is Secondary prevention? (Select all that apply)
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy
Correct Answers: C, E, F
Rationale: Secondary prevention focuses on early detection and screening. Mammogram, Pap
, smear, and colonoscopy are screening tests. Vaccines are primary prevention; antibiotics treat
existing infection (tertiary/early treatment).
Question 11
Age range for HPV vaccine:
Correct Answer: 9-45 years old
Rationale: The HPV vaccine is approved for individuals ages 9 through 45.
Question 12
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. Which of
the following vaccines would you recommend for her? (Select all that apply)
A. HPV
B. Meningococcal vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
Correct Answers: C, E
Rationale: Adults 65+ should receive PCV13 and PPSV23 pneumococcal vaccines, especially
smokers. HPV and meningococcal vaccines are not routinely indicated at this age; Hepatitis B is
for at-risk adults.
Question 13
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She tells
you that she has never gotten the pneumococcal shot. Which of the following vaccines would
you recommend for her TODAY?
A. Prevnar 20 (PCV20)
B. Prevnar 13 (PCV13)
C. Pneumovax 23 (PPSV23)
D. Both B and C
Correct Answer: A
Rationale: PCV20 can be given as a single dose for adults 65+ who have not previously
received a pneumococcal vaccine.
Question 14
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a week. She tells
