Walden NRNP 6531 Primary Care of
Adults Final Actual Exam 2026/2027 |
Verified Questions
Walden University | Verified Q&A | Graduate-Level Nurse
Practitioner Students
100 Official Examination Questions | 80 Correct Selections Required (80% Passing Score)
This comprehensive examination set comprises exactly 100 original questions designed to
reinforce official Walden NRNP 6531 course objectives for actual exam readiness and clinical
proficiency, adhering strictly to the standard comprehensive Walden NRNP 6531 Primary Care
of Adults Final Examination blueprint. The examination covers four primary domains: Health
Promotion, Screening, and Disease Prevention; Acute and Chronic Disease Management
(Cardiovascular, Pulmonary, Endocrine, and Gastrointestinal); Diagnostic Reasoning,
Pharmacological Management, and Therapeutics; and Professional Role, Ethical, and Legal
Issues in Primary Care. In accordance with official Walden University advanced practice nursing
curriculum benchmarks, candidates must execute 100 questions and achieve a minimum of 80
correct selections to attain the required 80% passing score. Each item in this verified collection
addresses distinct USPSTF screening protocols, evidence-based disease management guidelines,
diagnostic reasoning scenarios, and APRN professional standards to ensure thorough mastery of
advanced practice primary care competencies in 2026/2027.
Domain: Health Promotion, Screening, and Disease Prevention
1. According to the United States Preventive Services Task Force (USPSTF)
recommendations for the 2026/2027 clinical curriculum, at what age should
average-risk asymptomatic adults initiate routine colorectal cancer screening, and
until what age is screening universally recommended?
A. Initiate at age 50 and continue universally until age 85
B. Initiate at age 45 and continue universally until age 75, with individualized decision-
making between ages 76 and 85
C. Initiate at age 40 and continue universally until age 70
D. Initiate at age 35 for individuals with a history of sedentary lifestyle
Correct Answer: B
Rationale: The USPSTF recommends initiating colorectal cancer screening in
asymptomatic average-risk adults at age 45 (Grade B recommendation) and continuing
universally until age 75 (Grade A). For adults aged 76 through 85, screening decisions
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, should be individualized based on patient health status, prior screening history, and life
expectancy.
2. What is the updated USPSTF screening recommendation regarding routine
mammography for breast cancer in asymptomatic women at average risk?
A. Annual screening mammography from age 50 until age 74
B. Biennial screening mammography for women aged 40 to 74 years
C. Monthly clinical breast examination and annual ultrasound from age 35 to 65
D. Biennial screening mammography initiating at age 45 and terminating at age 65
Correct Answer: B
Rationale: The USPSTF updated its breast cancer screening guidelines to recommend
biennial (every two years) screening mammography for asymptomatic women at average
risk beginning at age 40 and continuing through age 74 (Grade B recommendation),
aiming to reduce breast cancer mortality through earlier detection.
3. A 32-year-old asymptomatic female presents for a routine wellness
examination. According to USPSTF cervical cancer screening guidelines, which
screening protocol is recommended for women aged 30 to 65?
A. Cervical cytology (Pap smear) annually
B. Cervical cytology alone every 3 years, high-risk HPV (hrHPV) checking alone every 5
years, or hrHPV co-screening with cytology every 5 years
C. Colposcopy every 5 years regardless of HPV status
D. Cervical cytology combined with endometrial biopsy every 3 years
Correct Answer: B
Rationale: For average-risk women aged 30 to 65, the USPSTF recommends three
equivalent screening pathways: cervical cytology alone every 3 years, primary high-risk
human papillomavirus (hrHPV) screening alone every 5 years, or co-screening with
hrHPV and cytology every 5 years.
4. Which patient meets the USPSTF criteria for annual lung cancer screening using
low-dose computed tomography (LDCT)?
A. A 48-year-old adult with a 15 pack-year smoking history who currently smokes
B. A 62-year-old adult with a 20 pack-year smoking history who currently smokes or quit
within the past 15 years
C. A 72-year-old adult with a 10 pack-year smoking history who quit 20 years ago
D. An 82-year-old adult with a 30 pack-year smoking history who currently smokes
Correct Answer: B
Rationale: The USPSTF recommends annual screening for lung cancer with low-dose
computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year
smoking history and currently smoke or have quit within the past 15 years. Screening
discontinues once a person has not smoked for 15 years or develops a health problem that
limits life expectancy.
5. According to USPSTF guidelines, which patient population should receive a one-
time screening ultrasonography for an abdominal aortic aneurysm (AAA)?
A. All women aged 65 to 75 who have ever smoked
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, B. Men aged 65 to 75 who have ever smoked (defined as smoking at least 100 cigarettes in
their lifetime)
C. All adults aged 50 to 65 with a family history of coronary artery disease
D. Asymptomatic men aged 76 to 85 regardless of smoking history
Correct Answer: B
Rationale: The USPSTF recommends a one-time screening for abdominal aortic aneurysm
(AAA) by ultrasonography in men aged 65 to 75 years who have ever smoked (100 or more
cigarettes in a lifetime) (Grade B recommendation). For women who have never smoked,
the USPSTF recommends against routine AAA screening.
6. Under USPSTF osteoporosis screening guidelines, which postmenopausal
woman under age 65 is recommended to undergo dual-energy x-ray
absorptiometry (DEXA) screening?
A. A 58-year-old woman whose 10-year fracture risk calculated by FRAX is equal to or
greater than that of a 65-year-old white woman with no additional risk factors (3.4 percent
or greater 10-year hip fracture risk)
B. Any postmenopausal woman over age 50 who consumes less than 1,000 mg of dietary
calcium daily
C. A 55-year-old woman with a BMI of 28 and no history of fractures
D. A 60-year-old woman who exercises three times weekly
Correct Answer: A
Rationale: The USPSTF recommends osteoporosis screening with DEXA in all women aged
65 years and older, and in postmenopausal women younger than 65 years whose 10-year
major osteoporotic fracture risk (calculated via FRAX) is equal to or greater than that of a
65-year-old white woman without additional risk factors (equivalent to a 9.3% major
osteoporotic fracture risk or 3.4% hip fracture risk).
7. What is the current USPSTF screening recommendation regarding Hepatitis C
Virus (HCV) infection in asymptomatic adults?
A. Screen only individuals born between 1945 and 1965
B. Conduct one-time screening for HCV infection in all asymptomatic adults aged 18 to 79
years
C. Screen only patients with elevated liver transaminases or history of intravenous drug use
D. Perform annual serological HCV antibody screening for all hospitalized adults
Correct Answer: B
Rationale: The USPSTF recommends universal one-time screening for Hepatitis C Virus
(HCV) infection in all adults aged 18 to 79 years (Grade B recommendation), expanding
prior age-cohort screening to catch asymptomatic infections and prevent long-term
cirrhosis and hepatocellular carcinoma.
8. Which screening protocol represents the USPSTF recommendation for Human
Immunodeficiency Virus (HIV) infection in primary care settings?
A. Screen only individuals who report unprotected sexual contact with multiple partners
B. Perform routine screening for HIV infection in adolescents and adults aged 15 to 65 years,
as well as younger or older individuals at increased risk
C. Conduct screening exclusively during prenatal visits for pregnant women
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, D. Screen asymptomatic adults once at age 50 using Western blot analysis
Correct Answer: B
Rationale: The USPSTF recommends routine screening for HIV infection in all adolescents
and adults aged 15 to 65 years, as well as in younger or older individuals who are at
increased risk of infection, and in all pregnant women (Grade A recommendation).
9. According to USPSTF guidelines, which asymptomatic patient meets criteria for
screening for prediabetes and Type 2 Diabetes Mellitus?
A. An adult aged 35 to 70 years who has overweight or obesity (BMI of 25 or greater)
B. All adults aged 21 and older regardless of body mass index
C. Only individuals aged 50 and older with a family history of diabetes
D. Adults aged 40 to 60 with a fasting plasma glucose under 80 mg/dL
Correct Answer: A
Rationale: The USPSTF recommends screening for prediabetes and type 2 diabetes in
asymptomatic adults aged 35 to 70 years who have overweight or obesity (BMI >= 25
kg/m2, or >= 23 kg/m2 in Asian American individuals) (Grade B recommendation),
allowing early lifestyle and pharmacological intervention.
10. What is the USPSTF recommendation regarding screening for hypertension in
adults aged 18 and older?
A. Screen every 5 years for adults with normal blood pressure
B. Screen annually with office blood pressure measurement for adults aged 40 and older,
and obtain confirmation outside the clinical setting (via ambulatory or home blood pressure
monitoring) before initiating treatment
C. Diagnose hypertension immediately upon a single office reading exceeding 130/80 mm
Hg
D. Screen only individuals with a BMI exceeding 30
Correct Answer: B
Rationale: The USPSTF recommends screening for hypertension in adults aged 18 years
and older, with annual office screening for adults aged 40 and older or those at increased
risk. The USPSTF explicitly recommends obtaining blood pressure measurements outside
the clinical setting (ambulatory or home monitoring) for diagnostic confirmation before
initiating treatment.
11. Under USPSTF guidelines, which patient meets criteria for initiating primary
prevention statin therapy for atherosclerotic cardiovascular disease (ASCVD)?
A. An adult aged 30 with an LDL-C of 110 mg/dL and no CVD risk factors
B. An adult aged 40 to 75 years with no history of CVD, one or more CVD risk factors
(dyslipidemia, diabetes, hypertension, smoking), and a calculated 10-year ASCVD event risk
of 10 percent or greater
C. An adult aged 80 with a 10-year ASCVD risk of 5 percent
D. Any adult with an HDL cholesterol under 50 mg/dL
Correct Answer: B
Rationale: The USPSTF recommends initiating a low- to moderate-dose statin for primary
prevention of ASCVD in adults aged 40 to 75 years who have no history of CVD, possess 1
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
Adults Final Actual Exam 2026/2027 |
Verified Questions
Walden University | Verified Q&A | Graduate-Level Nurse
Practitioner Students
100 Official Examination Questions | 80 Correct Selections Required (80% Passing Score)
This comprehensive examination set comprises exactly 100 original questions designed to
reinforce official Walden NRNP 6531 course objectives for actual exam readiness and clinical
proficiency, adhering strictly to the standard comprehensive Walden NRNP 6531 Primary Care
of Adults Final Examination blueprint. The examination covers four primary domains: Health
Promotion, Screening, and Disease Prevention; Acute and Chronic Disease Management
(Cardiovascular, Pulmonary, Endocrine, and Gastrointestinal); Diagnostic Reasoning,
Pharmacological Management, and Therapeutics; and Professional Role, Ethical, and Legal
Issues in Primary Care. In accordance with official Walden University advanced practice nursing
curriculum benchmarks, candidates must execute 100 questions and achieve a minimum of 80
correct selections to attain the required 80% passing score. Each item in this verified collection
addresses distinct USPSTF screening protocols, evidence-based disease management guidelines,
diagnostic reasoning scenarios, and APRN professional standards to ensure thorough mastery of
advanced practice primary care competencies in 2026/2027.
Domain: Health Promotion, Screening, and Disease Prevention
1. According to the United States Preventive Services Task Force (USPSTF)
recommendations for the 2026/2027 clinical curriculum, at what age should
average-risk asymptomatic adults initiate routine colorectal cancer screening, and
until what age is screening universally recommended?
A. Initiate at age 50 and continue universally until age 85
B. Initiate at age 45 and continue universally until age 75, with individualized decision-
making between ages 76 and 85
C. Initiate at age 40 and continue universally until age 70
D. Initiate at age 35 for individuals with a history of sedentary lifestyle
Correct Answer: B
Rationale: The USPSTF recommends initiating colorectal cancer screening in
asymptomatic average-risk adults at age 45 (Grade B recommendation) and continuing
universally until age 75 (Grade A). For adults aged 76 through 85, screening decisions
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, should be individualized based on patient health status, prior screening history, and life
expectancy.
2. What is the updated USPSTF screening recommendation regarding routine
mammography for breast cancer in asymptomatic women at average risk?
A. Annual screening mammography from age 50 until age 74
B. Biennial screening mammography for women aged 40 to 74 years
C. Monthly clinical breast examination and annual ultrasound from age 35 to 65
D. Biennial screening mammography initiating at age 45 and terminating at age 65
Correct Answer: B
Rationale: The USPSTF updated its breast cancer screening guidelines to recommend
biennial (every two years) screening mammography for asymptomatic women at average
risk beginning at age 40 and continuing through age 74 (Grade B recommendation),
aiming to reduce breast cancer mortality through earlier detection.
3. A 32-year-old asymptomatic female presents for a routine wellness
examination. According to USPSTF cervical cancer screening guidelines, which
screening protocol is recommended for women aged 30 to 65?
A. Cervical cytology (Pap smear) annually
B. Cervical cytology alone every 3 years, high-risk HPV (hrHPV) checking alone every 5
years, or hrHPV co-screening with cytology every 5 years
C. Colposcopy every 5 years regardless of HPV status
D. Cervical cytology combined with endometrial biopsy every 3 years
Correct Answer: B
Rationale: For average-risk women aged 30 to 65, the USPSTF recommends three
equivalent screening pathways: cervical cytology alone every 3 years, primary high-risk
human papillomavirus (hrHPV) screening alone every 5 years, or co-screening with
hrHPV and cytology every 5 years.
4. Which patient meets the USPSTF criteria for annual lung cancer screening using
low-dose computed tomography (LDCT)?
A. A 48-year-old adult with a 15 pack-year smoking history who currently smokes
B. A 62-year-old adult with a 20 pack-year smoking history who currently smokes or quit
within the past 15 years
C. A 72-year-old adult with a 10 pack-year smoking history who quit 20 years ago
D. An 82-year-old adult with a 30 pack-year smoking history who currently smokes
Correct Answer: B
Rationale: The USPSTF recommends annual screening for lung cancer with low-dose
computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year
smoking history and currently smoke or have quit within the past 15 years. Screening
discontinues once a person has not smoked for 15 years or develops a health problem that
limits life expectancy.
5. According to USPSTF guidelines, which patient population should receive a one-
time screening ultrasonography for an abdominal aortic aneurysm (AAA)?
A. All women aged 65 to 75 who have ever smoked
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, B. Men aged 65 to 75 who have ever smoked (defined as smoking at least 100 cigarettes in
their lifetime)
C. All adults aged 50 to 65 with a family history of coronary artery disease
D. Asymptomatic men aged 76 to 85 regardless of smoking history
Correct Answer: B
Rationale: The USPSTF recommends a one-time screening for abdominal aortic aneurysm
(AAA) by ultrasonography in men aged 65 to 75 years who have ever smoked (100 or more
cigarettes in a lifetime) (Grade B recommendation). For women who have never smoked,
the USPSTF recommends against routine AAA screening.
6. Under USPSTF osteoporosis screening guidelines, which postmenopausal
woman under age 65 is recommended to undergo dual-energy x-ray
absorptiometry (DEXA) screening?
A. A 58-year-old woman whose 10-year fracture risk calculated by FRAX is equal to or
greater than that of a 65-year-old white woman with no additional risk factors (3.4 percent
or greater 10-year hip fracture risk)
B. Any postmenopausal woman over age 50 who consumes less than 1,000 mg of dietary
calcium daily
C. A 55-year-old woman with a BMI of 28 and no history of fractures
D. A 60-year-old woman who exercises three times weekly
Correct Answer: A
Rationale: The USPSTF recommends osteoporosis screening with DEXA in all women aged
65 years and older, and in postmenopausal women younger than 65 years whose 10-year
major osteoporotic fracture risk (calculated via FRAX) is equal to or greater than that of a
65-year-old white woman without additional risk factors (equivalent to a 9.3% major
osteoporotic fracture risk or 3.4% hip fracture risk).
7. What is the current USPSTF screening recommendation regarding Hepatitis C
Virus (HCV) infection in asymptomatic adults?
A. Screen only individuals born between 1945 and 1965
B. Conduct one-time screening for HCV infection in all asymptomatic adults aged 18 to 79
years
C. Screen only patients with elevated liver transaminases or history of intravenous drug use
D. Perform annual serological HCV antibody screening for all hospitalized adults
Correct Answer: B
Rationale: The USPSTF recommends universal one-time screening for Hepatitis C Virus
(HCV) infection in all adults aged 18 to 79 years (Grade B recommendation), expanding
prior age-cohort screening to catch asymptomatic infections and prevent long-term
cirrhosis and hepatocellular carcinoma.
8. Which screening protocol represents the USPSTF recommendation for Human
Immunodeficiency Virus (HIV) infection in primary care settings?
A. Screen only individuals who report unprotected sexual contact with multiple partners
B. Perform routine screening for HIV infection in adolescents and adults aged 15 to 65 years,
as well as younger or older individuals at increased risk
C. Conduct screening exclusively during prenatal visits for pregnant women
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
, D. Screen asymptomatic adults once at age 50 using Western blot analysis
Correct Answer: B
Rationale: The USPSTF recommends routine screening for HIV infection in all adolescents
and adults aged 15 to 65 years, as well as in younger or older individuals who are at
increased risk of infection, and in all pregnant women (Grade A recommendation).
9. According to USPSTF guidelines, which asymptomatic patient meets criteria for
screening for prediabetes and Type 2 Diabetes Mellitus?
A. An adult aged 35 to 70 years who has overweight or obesity (BMI of 25 or greater)
B. All adults aged 21 and older regardless of body mass index
C. Only individuals aged 50 and older with a family history of diabetes
D. Adults aged 40 to 60 with a fasting plasma glucose under 80 mg/dL
Correct Answer: A
Rationale: The USPSTF recommends screening for prediabetes and type 2 diabetes in
asymptomatic adults aged 35 to 70 years who have overweight or obesity (BMI >= 25
kg/m2, or >= 23 kg/m2 in Asian American individuals) (Grade B recommendation),
allowing early lifestyle and pharmacological intervention.
10. What is the USPSTF recommendation regarding screening for hypertension in
adults aged 18 and older?
A. Screen every 5 years for adults with normal blood pressure
B. Screen annually with office blood pressure measurement for adults aged 40 and older,
and obtain confirmation outside the clinical setting (via ambulatory or home blood pressure
monitoring) before initiating treatment
C. Diagnose hypertension immediately upon a single office reading exceeding 130/80 mm
Hg
D. Screen only individuals with a BMI exceeding 30
Correct Answer: B
Rationale: The USPSTF recommends screening for hypertension in adults aged 18 years
and older, with annual office screening for adults aged 40 and older or those at increased
risk. The USPSTF explicitly recommends obtaining blood pressure measurements outside
the clinical setting (ambulatory or home monitoring) for diagnostic confirmation before
initiating treatment.
11. Under USPSTF guidelines, which patient meets criteria for initiating primary
prevention statin therapy for atherosclerotic cardiovascular disease (ASCVD)?
A. An adult aged 30 with an LDL-C of 110 mg/dL and no CVD risk factors
B. An adult aged 40 to 75 years with no history of CVD, one or more CVD risk factors
(dyslipidemia, diabetes, hypertension, smoking), and a calculated 10-year ASCVD event risk
of 10 percent or greater
C. An adult aged 80 with a 10-year ASCVD risk of 5 percent
D. Any adult with an HDL cholesterol under 50 mg/dL
Correct Answer: B
Rationale: The USPSTF recommends initiating a low- to moderate-dose statin for primary
prevention of ASCVD in adults aged 40 to 75 years who have no history of CVD, possess 1
Walden NRNP 6531 Primary Care of Adults Final Actual Exam 2026/2027 | Verified Questions
