https://www.stuvia.com/user/Performance
PRIMARY CARE: THE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING PRACTICE EXAMINATION – QUESTIONS
With Answers and Rationales
SECTION 1: HEALTH PROMOTION AND SCREENING (Questions)
1. The USPSTF recommends colorectal cancer screening
beginning at age:
A) 40
B) 45
C) 50
D) 55
Answer: B
Rationale: The USPSTF recommends colorectal cancer screening
starting at age 45 for average-risk adults.
2. The recommended screening test for cervical cancer in a 30-
year-old woman is:
A) Pap smear alone every year
B) HPV testing alone every 5 years or HPV/Pap co-testing every
5 years
C) Pap smear alone every 3 years only
D) No screening needed
,https://www.stuvia.com/user/Performance
Answer: B
Rationale: For women aged 30-65, HPV testing alone every 5
years or co-testing every 5 years is recommended; Pap alone
every 3 years is also acceptable.
3. Breast cancer screening with mammography is
recommended by USPSTF for average-risk women beginning at
age:
A) 40
B) 45
C) 50
D) 55
Answer: C
Rationale: USPSTF recommends biennial mammography
starting at age 50; individual decision for ages 40-49.
4. The "ABCDE" rule for melanoma includes all EXCEPT:
A) Asymmetry
B) Border irregularity
C) Color variation
D) Elevation only
Answer: D
Rationale: ABCDE = Asymmetry, Border, Color, Diameter,
Evolving. "Elevation" is not part of the modern mnemonic.
5. The recommended blood pressure screening interval for
adults with normal BP (<120/80) is:
,https://www.stuvia.com/user/Performance
A) Monthly
B) Every 6 months
C) Annually
D) Every 3 years
Answer: C
Rationale: Adults with normal BP should be screened annually.
6. The USPSTF recommends diabetes screening for adults aged
35-70 who are:
A) Underweight
B) Overweight or obese
C) Normal weight
D) Only symptomatic
Answer: B
Rationale: Screening for type 2 diabetes is recommended for
overweight/obese adults aged 35-70.
7. Osteoporosis screening with DXA is recommended for
women beginning at age:
A) 50
B) 55
C) 60
D) 65
Answer: D
Rationale: USPSTF recommends routine osteoporosis screening
for women at age 65.
, https://www.stuvia.com/user/Performance
8. The "A1c" goal for most adults with diabetes is:
A) <6.0%
B) <7.0%
C) <8.0%
D) <9.0%
Answer: B
Rationale: The general A1c goal is <7.0%, individualized based
on patient factors.
9. The "Pneumococcal vaccine" is recommended for all adults
aged:
A) 50
B) 60
C) 65
D) 70
Answer: C
Rationale: Pneumococcal vaccination is recommended for
adults ≥65.
10. The "Tdap" booster is recommended for all adults every:
A) 5 years
B) 10 years
C) 15 years
D) Never
Answer: B
Rationale: Tdap booster is recommended every 10 years.
PRIMARY CARE: THE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING PRACTICE EXAMINATION – QUESTIONS
With Answers and Rationales
SECTION 1: HEALTH PROMOTION AND SCREENING (Questions)
1. The USPSTF recommends colorectal cancer screening
beginning at age:
A) 40
B) 45
C) 50
D) 55
Answer: B
Rationale: The USPSTF recommends colorectal cancer screening
starting at age 45 for average-risk adults.
2. The recommended screening test for cervical cancer in a 30-
year-old woman is:
A) Pap smear alone every year
B) HPV testing alone every 5 years or HPV/Pap co-testing every
5 years
C) Pap smear alone every 3 years only
D) No screening needed
,https://www.stuvia.com/user/Performance
Answer: B
Rationale: For women aged 30-65, HPV testing alone every 5
years or co-testing every 5 years is recommended; Pap alone
every 3 years is also acceptable.
3. Breast cancer screening with mammography is
recommended by USPSTF for average-risk women beginning at
age:
A) 40
B) 45
C) 50
D) 55
Answer: C
Rationale: USPSTF recommends biennial mammography
starting at age 50; individual decision for ages 40-49.
4. The "ABCDE" rule for melanoma includes all EXCEPT:
A) Asymmetry
B) Border irregularity
C) Color variation
D) Elevation only
Answer: D
Rationale: ABCDE = Asymmetry, Border, Color, Diameter,
Evolving. "Elevation" is not part of the modern mnemonic.
5. The recommended blood pressure screening interval for
adults with normal BP (<120/80) is:
,https://www.stuvia.com/user/Performance
A) Monthly
B) Every 6 months
C) Annually
D) Every 3 years
Answer: C
Rationale: Adults with normal BP should be screened annually.
6. The USPSTF recommends diabetes screening for adults aged
35-70 who are:
A) Underweight
B) Overweight or obese
C) Normal weight
D) Only symptomatic
Answer: B
Rationale: Screening for type 2 diabetes is recommended for
overweight/obese adults aged 35-70.
7. Osteoporosis screening with DXA is recommended for
women beginning at age:
A) 50
B) 55
C) 60
D) 65
Answer: D
Rationale: USPSTF recommends routine osteoporosis screening
for women at age 65.
, https://www.stuvia.com/user/Performance
8. The "A1c" goal for most adults with diabetes is:
A) <6.0%
B) <7.0%
C) <8.0%
D) <9.0%
Answer: B
Rationale: The general A1c goal is <7.0%, individualized based
on patient factors.
9. The "Pneumococcal vaccine" is recommended for all adults
aged:
A) 50
B) 60
C) 65
D) 70
Answer: C
Rationale: Pneumococcal vaccination is recommended for
adults ≥65.
10. The "Tdap" booster is recommended for all adults every:
A) 5 years
B) 10 years
C) 15 years
D) Never
Answer: B
Rationale: Tdap booster is recommended every 10 years.
