Barkley FNP Practice FLORIDA STATE FIRE
INSTRUCTOR 3 ACTUAL EXAM ALL QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Health Promotion & Disease Prevention (Questions 1-15)
Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are recommended
for her age. According to the USPSTF, which combination of screenings should the FNP
recommend?
A. Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B. Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or HPV
testing every 5 years
C. Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D. Mammogram annually, CT colonography every 5 years, Pap smear every year
Correct Answer: B
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial mammography.
Colorectal cancer screening (colonoscopy every 10 years) is recommended from ages 45-75.
Cervical cancer screening: Pap smear every 3 years (age 21-65) or primary HPV testing every 5
years (age 30-65). Annual Pap is not recommended.
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer screening.
According to USPSTF, which of the following criteria must be met for annual low-dose CT
screening?
,A. Age 55-80, current smoker, any smoking history
B. Age 50-80, ≥20 pack-year history, currently smoke or quit within past 15 years
C. Age 60-75, ≥30 pack-year history, quit within 5 years
D. Age 50-70, any smoking history, family history of lung cancer
Correct Answer: B
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20 pack-year
history who currently smoke or have quit within the past 15 years. Screening stops if the person
has not smoked for 15 years or develops a health problem limiting life expectancy.
Question 3
The FNP is counseling a 26-year-old sexually active woman about contraceptive options. She has
a history of migraines without aura and is a nonsmoker. Which contraceptive method is safe to
prescribe?
A. Combined oral contraceptive (ethinyl estradiol/norgestimate)
B. Transdermal contraceptive patch
C. Copper intrauterine device (IUD)
D. Vaginal ring
Correct Answer: A
Rationale: Combined hormonal contraceptives are contraindicated in women with migraines
with aura due to increased stroke risk. However, migraines without aura in a woman under 35
who does not smoke are not a contraindication.
Question 4
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP should
recommend:
A. No further doses are needed
B. A second dose 6-12 months later, completing the series
C. A second dose at age 13 and a third at age 15
D. Restarting the series if more than 1 year has passed
Correct Answer: B
,Rationale: For immunocompetent children who initiate the HPV series before age 15, only two
doses are recommended, with the second dose given 6-12 months after the first. A three-dose
series is recommended for those starting at age 15 or older.
Question 5
A 45-year-old male with a history of hypertension presents with a blood pressure of 148/92
mmHg on two separate occasions. He has no other comorbidities. According to current
guidelines, what is the most appropriate initial management?
A. Begin antihypertensive medication immediately
B. Recommend lifestyle modification and recheck in 3-6 months
C. Refer to cardiology
D. Begin antihypertensive medication and recommend lifestyle modification
Correct Answer: D
Rationale: For patients with stage 1 hypertension (130-139/80-89) and elevated ASCVD risk
(≥10%) or those with stage 2 hypertension (≥140/90), both lifestyle modification AND
pharmacologic therapy are recommended.
Question 6
A 50-year-old woman with a family history of breast cancer asks about genetic testing. Which
genes are most commonly associated with hereditary breast and ovarian cancer syndrome?
A. BRCA1 and BRCA2
B. TP53 and PTEN
C. CHEK2 and ATM
D. PALB2 and RAD51C
Correct Answer: A
Rationale: BRCA1 and BRCA2 mutations are the most common genetic causes of hereditary
breast and ovarian cancer syndrome. Genetic testing and counseling should be offered to
women with high-risk family histories.
Question 7
A 60-year-old man with no symptoms asks about prostate cancer screening. What is the most
appropriate recommendation?
, A. PSA screening annually starting at age 50
B. Shared decision-making discussion about risks and benefits
C. PSA screening only if family history of prostate cancer
D. No PSA screening under any circumstances
Correct Answer: B
Rationale: USPSTF recommends shared decision-making for PSA-based screening in men aged
55-69. The decision should be individualized based on patient values and risk factors. Screening
is not recommended for men ≥70.
Question 8
A 35-year-old woman is due for cervical cancer screening. Which statement about HPV testing is
correct?
A. Primary HPV testing is approved for women age 21 and older
B. Primary HPV testing every 5 years is an option for women age 30-65
C. HPV testing should be done annually
D. HPV testing is only recommended for women with abnormal Pap results
Correct Answer: B
Rationale: Primary HPV testing every 5 years is an approved screening strategy for women age
30-65. Co-testing (Pap + HPV) every 5 years is also an option. HPV testing is not recommended
for women under 30 due to high transient infection rates.
Question 9
A 28-year-old woman is considering pregnancy. Which medication should be avoided due to
teratogenicity?
A. Folic acid
B. Valproic acid
C. Iron supplements
D. Prenatal vitamins
Correct Answer: B
Rationale: Valproic acid is a known teratogen associated with neural tube defects. It should be
avoided during pregnancy. Women of childbearing potential on valproic acid should use
effective contraception.
INSTRUCTOR 3 ACTUAL EXAM ALL QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST GUIDELINES |
GRADED A+
Health Promotion & Disease Prevention (Questions 1-15)
Question 1
A 55-year-old woman with no chronic conditions asks which screening tests are recommended
for her age. According to the USPSTF, which combination of screenings should the FNP
recommend?
A. Mammogram every 2 years, colonoscopy every 10 years, annual Pap smear
B. Mammogram every 2 years, colonoscopy every 10 years, Pap smear every 3 years or HPV
testing every 5 years
C. Mammogram annually, colonoscopy every 5 years, Pap smear every 5 years
D. Mammogram annually, CT colonography every 5 years, Pap smear every year
Correct Answer: B
Rationale: For average-risk women aged 50-74, USPSTF recommends biennial mammography.
Colorectal cancer screening (colonoscopy every 10 years) is recommended from ages 45-75.
Cervical cancer screening: Pap smear every 3 years (age 21-65) or primary HPV testing every 5
years (age 30-65). Annual Pap is not recommended.
Question 2
A 65-year-old man with a 40-pack-year smoking history asks about lung cancer screening.
According to USPSTF, which of the following criteria must be met for annual low-dose CT
screening?
,A. Age 55-80, current smoker, any smoking history
B. Age 50-80, ≥20 pack-year history, currently smoke or quit within past 15 years
C. Age 60-75, ≥30 pack-year history, quit within 5 years
D. Age 50-70, any smoking history, family history of lung cancer
Correct Answer: B
Rationale: USPSTF recommends annual low-dose CT for adults aged 50-80 with a ≥20 pack-year
history who currently smoke or have quit within the past 15 years. Screening stops if the person
has not smoked for 15 years or develops a health problem limiting life expectancy.
Question 3
The FNP is counseling a 26-year-old sexually active woman about contraceptive options. She has
a history of migraines without aura and is a nonsmoker. Which contraceptive method is safe to
prescribe?
A. Combined oral contraceptive (ethinyl estradiol/norgestimate)
B. Transdermal contraceptive patch
C. Copper intrauterine device (IUD)
D. Vaginal ring
Correct Answer: A
Rationale: Combined hormonal contraceptives are contraindicated in women with migraines
with aura due to increased stroke risk. However, migraines without aura in a woman under 35
who does not smoke are not a contraindication.
Question 4
A 12-year-old child received the first dose of HPV vaccine at age 11. The FNP should
recommend:
A. No further doses are needed
B. A second dose 6-12 months later, completing the series
C. A second dose at age 13 and a third at age 15
D. Restarting the series if more than 1 year has passed
Correct Answer: B
,Rationale: For immunocompetent children who initiate the HPV series before age 15, only two
doses are recommended, with the second dose given 6-12 months after the first. A three-dose
series is recommended for those starting at age 15 or older.
Question 5
A 45-year-old male with a history of hypertension presents with a blood pressure of 148/92
mmHg on two separate occasions. He has no other comorbidities. According to current
guidelines, what is the most appropriate initial management?
A. Begin antihypertensive medication immediately
B. Recommend lifestyle modification and recheck in 3-6 months
C. Refer to cardiology
D. Begin antihypertensive medication and recommend lifestyle modification
Correct Answer: D
Rationale: For patients with stage 1 hypertension (130-139/80-89) and elevated ASCVD risk
(≥10%) or those with stage 2 hypertension (≥140/90), both lifestyle modification AND
pharmacologic therapy are recommended.
Question 6
A 50-year-old woman with a family history of breast cancer asks about genetic testing. Which
genes are most commonly associated with hereditary breast and ovarian cancer syndrome?
A. BRCA1 and BRCA2
B. TP53 and PTEN
C. CHEK2 and ATM
D. PALB2 and RAD51C
Correct Answer: A
Rationale: BRCA1 and BRCA2 mutations are the most common genetic causes of hereditary
breast and ovarian cancer syndrome. Genetic testing and counseling should be offered to
women with high-risk family histories.
Question 7
A 60-year-old man with no symptoms asks about prostate cancer screening. What is the most
appropriate recommendation?
, A. PSA screening annually starting at age 50
B. Shared decision-making discussion about risks and benefits
C. PSA screening only if family history of prostate cancer
D. No PSA screening under any circumstances
Correct Answer: B
Rationale: USPSTF recommends shared decision-making for PSA-based screening in men aged
55-69. The decision should be individualized based on patient values and risk factors. Screening
is not recommended for men ≥70.
Question 8
A 35-year-old woman is due for cervical cancer screening. Which statement about HPV testing is
correct?
A. Primary HPV testing is approved for women age 21 and older
B. Primary HPV testing every 5 years is an option for women age 30-65
C. HPV testing should be done annually
D. HPV testing is only recommended for women with abnormal Pap results
Correct Answer: B
Rationale: Primary HPV testing every 5 years is an approved screening strategy for women age
30-65. Co-testing (Pap + HPV) every 5 years is also an option. HPV testing is not recommended
for women under 30 due to high transient infection rates.
Question 9
A 28-year-old woman is considering pregnancy. Which medication should be avoided due to
teratogenicity?
A. Folic acid
B. Valproic acid
C. Iron supplements
D. Prenatal vitamins
Correct Answer: B
Rationale: Valproic acid is a known teratogen associated with neural tube defects. It should be
avoided during pregnancy. Women of childbearing potential on valproic acid should use
effective contraception.
