NURS 5434 FAMILY III FINAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | LATEST EXAM UPDATE 2026/2027– UTA
SECTION ONE: QUESTIONS 1–100
1. A 68-year-old woman is newly diagnosed with polymyalgia rheumatica. What is the first-line
pharmacologic treatment for this condition?
A. Etanercept (Enbrel)
B. Oral prednisone
C. Indomethacin
D. Methotrexate
🟢 B. Oral prednisone
🔴 RATIONALE: Oral prednisone at a low to moderate dose is the mainstay of initial therapy for polymyalgia
rheumatica and typically produces a rapid clinical response.
2. According to the USPSTF grading system, which grades are recommended to be offered or provided?
(Select all that apply)
A. Grade A
B. Grade B
C. Grade C
D. Grade D
🟢 A. Grade A
🟢 B. Grade B
,🔴 RATIONALE: The USPSTF recommends Grade A and B services be offered or provided as there is high
certainty that the net benefit is substantial or moderate.
3. Which of the following is NOT an example of a USPSTF Grade A or B recommendation?
A. AAA screening for men aged 65-75 who have ever smoked
B. Depression screening
C. Routine PSA screening for all men
D. Pap smear screening
🟢 C. Routine PSA screening for all men
🔴 RATIONALE: The USPSTF recommends against PSA-based screening for prostate cancer (Grade D) and does
not recommend routine screening for all men.
4. A patient presents with a recurrent sensation of spinning associated with nausea and vomiting. Which
diagnostic test is most appropriate to confirm the diagnosis?
A. Electroencephalogram
B. Holter monitoring
C. Neuroimaging with CT
D. Hallpike-Dix maneuver
🟢 D. Hallpike-Dix maneuver
🔴 RATIONALE: The Hallpike-Dix maneuver is a diagnostic test for benign paroxysmal positional vertigo (BPPV),
which presents with recurrent spinning sensations.
5. According to the 2017 ACC/AHA guideline, a 48-year-old Black male with a BP of 138/88 mmHg on two
separate visits and no diabetes or CKD should be managed with which next step?
A. Start hydrochlorothiazide 12.5 mg daily
B. Start amlodipine 5 mg daily
C. Recommend lifestyle modifications
,D. Start an ACE inhibitor
🟢 C. Recommend lifestyle modifications
🔴 RATIONALE: This BP is in the Stage 1 hypertension range. According to ACC/AHA guidelines, for patients
with Stage 1 hypertension and a 10-year ASCVD risk <10%, lifestyle modifications are recommended.
6. True or False: African Americans have enhanced renal sodium reabsorption, which contributes to a higher
prevalence of salt-sensitive hypertension.
A. True
B. False
🟢 A. True
🔴 RATIONALE: Enhanced renal sodium reabsorption is a pathophysiological feature more common in African
Americans, contributing to low-renin, salt-sensitive hypertension.
7. At what age should routine screening for colorectal cancer begin according to the USPSTF?
A. 35
B. 45
C. 50
D. 55
🟢 B. 45
🔴 RATIONALE: The USPSTF recommends starting colorectal cancer screening at age 45 years for average-risk
adults.
8. A patient who has been smoking for 10 years has started making small changes like throwing away
cigarettes and wants help setting a quit date. What stage of the Transtheoretical Model is she in?
A. Precontemplation
B. Contemplation
C. Preparation
, D. Action
🟢 C. Preparation
🔴 RATIONALE: The preparation stage is characterized by the intention to take action in the immediate future
(usually within the next month) and making small behavioral changes.
9. What is the recommended frequency for colonoscopy screening in average-risk individuals starting at age
45?
A. Every 3 years
B. Every 5 years
C. Every 10 years
D. Every 15 years
🟢 C. Every 10 years
🔴 RATIONALE: For average-risk individuals, a screening colonoscopy is typically repeated every 10 years if the
results are normal.
10. A 65-year-old man reports it has been 10 years since his last tetanus shot and is excited about seeing his
newborn grandchild. Which immunization should he be offered?
A. Tdap
B. Prevnar 13
C. Hepatitis B
D. Zostavax
🟢 A. Tdap
🔴 RATIONALE: The Tdap vaccine is recommended for those in close contact with an infant to prevent pertussis
transmission (cocooning). It is indicated regardless of time since last Td.
11. Which of the following are considered secondary prevention? (Select all that apply)
A. Influenza vaccine
RATIONALES 2026 Q&A | LATEST EXAM UPDATE 2026/2027– UTA
SECTION ONE: QUESTIONS 1–100
1. A 68-year-old woman is newly diagnosed with polymyalgia rheumatica. What is the first-line
pharmacologic treatment for this condition?
A. Etanercept (Enbrel)
B. Oral prednisone
C. Indomethacin
D. Methotrexate
🟢 B. Oral prednisone
🔴 RATIONALE: Oral prednisone at a low to moderate dose is the mainstay of initial therapy for polymyalgia
rheumatica and typically produces a rapid clinical response.
2. According to the USPSTF grading system, which grades are recommended to be offered or provided?
(Select all that apply)
A. Grade A
B. Grade B
C. Grade C
D. Grade D
🟢 A. Grade A
🟢 B. Grade B
,🔴 RATIONALE: The USPSTF recommends Grade A and B services be offered or provided as there is high
certainty that the net benefit is substantial or moderate.
3. Which of the following is NOT an example of a USPSTF Grade A or B recommendation?
A. AAA screening for men aged 65-75 who have ever smoked
B. Depression screening
C. Routine PSA screening for all men
D. Pap smear screening
🟢 C. Routine PSA screening for all men
🔴 RATIONALE: The USPSTF recommends against PSA-based screening for prostate cancer (Grade D) and does
not recommend routine screening for all men.
4. A patient presents with a recurrent sensation of spinning associated with nausea and vomiting. Which
diagnostic test is most appropriate to confirm the diagnosis?
A. Electroencephalogram
B. Holter monitoring
C. Neuroimaging with CT
D. Hallpike-Dix maneuver
🟢 D. Hallpike-Dix maneuver
🔴 RATIONALE: The Hallpike-Dix maneuver is a diagnostic test for benign paroxysmal positional vertigo (BPPV),
which presents with recurrent spinning sensations.
5. According to the 2017 ACC/AHA guideline, a 48-year-old Black male with a BP of 138/88 mmHg on two
separate visits and no diabetes or CKD should be managed with which next step?
A. Start hydrochlorothiazide 12.5 mg daily
B. Start amlodipine 5 mg daily
C. Recommend lifestyle modifications
,D. Start an ACE inhibitor
🟢 C. Recommend lifestyle modifications
🔴 RATIONALE: This BP is in the Stage 1 hypertension range. According to ACC/AHA guidelines, for patients
with Stage 1 hypertension and a 10-year ASCVD risk <10%, lifestyle modifications are recommended.
6. True or False: African Americans have enhanced renal sodium reabsorption, which contributes to a higher
prevalence of salt-sensitive hypertension.
A. True
B. False
🟢 A. True
🔴 RATIONALE: Enhanced renal sodium reabsorption is a pathophysiological feature more common in African
Americans, contributing to low-renin, salt-sensitive hypertension.
7. At what age should routine screening for colorectal cancer begin according to the USPSTF?
A. 35
B. 45
C. 50
D. 55
🟢 B. 45
🔴 RATIONALE: The USPSTF recommends starting colorectal cancer screening at age 45 years for average-risk
adults.
8. A patient who has been smoking for 10 years has started making small changes like throwing away
cigarettes and wants help setting a quit date. What stage of the Transtheoretical Model is she in?
A. Precontemplation
B. Contemplation
C. Preparation
, D. Action
🟢 C. Preparation
🔴 RATIONALE: The preparation stage is characterized by the intention to take action in the immediate future
(usually within the next month) and making small behavioral changes.
9. What is the recommended frequency for colonoscopy screening in average-risk individuals starting at age
45?
A. Every 3 years
B. Every 5 years
C. Every 10 years
D. Every 15 years
🟢 C. Every 10 years
🔴 RATIONALE: For average-risk individuals, a screening colonoscopy is typically repeated every 10 years if the
results are normal.
10. A 65-year-old man reports it has been 10 years since his last tetanus shot and is excited about seeing his
newborn grandchild. Which immunization should he be offered?
A. Tdap
B. Prevnar 13
C. Hepatitis B
D. Zostavax
🟢 A. Tdap
🔴 RATIONALE: The Tdap vaccine is recommended for those in close contact with an infant to prevent pertussis
transmission (cocooning). It is indicated regardless of time since last Td.
11. Which of the following are considered secondary prevention? (Select all that apply)
A. Influenza vaccine
