FAMILY NURSE PRACTITIONER NP ASSESSMENT NEWEST
2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
WITH RATIONALES |ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: HEALTH PROMOTION, SCREENING & DISEASE PREVENTION (Q1–20)
1. A 45-year-old female with no significant medical history presents for a
routine visit. According to the USPSTF, which screening is recommended for
this patient?
A. Mammography
B. Colonoscopy
C. Cervical cancer screening
D. Lung cancer screening
Answer: C
Rationale: The USPSTF recommends cervical cancer screening for women aged
21–65. Mammography is recommended for women aged 40–74. Colonoscopy is
recommended for adults aged 45–75. Lung cancer screening is recommended for
adults aged 50–80 with a 20-pack-year smoking history.
2. Which vaccine is contraindicated in a patient with a severe allergy to
gelatin?
A. Influenza vaccine
B. MMR vaccine
C. Tetanus vaccine
D. Hepatitis B vaccine
Answer: B
Rationale: The MMR vaccine contains gelatin as a stabilizer and is
contraindicated in patients with a severe gelatin allergy. Influenza, tetanus,
and hepatitis B vaccines do not contain gelatin.
3. A 65-year-old male with a 40-pack-year smoking history asks about lung cancer
screening. What is the most appropriate recommendation?
A. Annual low-dose CT scan
B. Annual chest X-ray
1
,C. Sputum cytology
D. No screening needed
Answer: A
Rationale: The USPSTF recommends annual low-dose CT screening for adults aged
50–80 who have a 20-pack-year smoking history and currently smoke or have quit
within the past 15 years.
4. Which of the following is a primary prevention strategy?
A. Mammography
B. Immunization
C. Blood pressure screening
D. Cardiac rehabilitation
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs.
Immunization is a classic example. Mammography and blood pressure screening
are
secondary prevention. Cardiac rehabilitation is tertiary prevention.
5. A 70-year-old patient asks about the shingles vaccine. What is the most
appropriate recommendation?
A. Recombinant zoster vaccine (Shingrix)
B. Live attenuated zoster vaccine (Zostavax)
C. No vaccine is recommended
D. Varicella vaccine
Answer: A
Rationale: The CDC recommends the recombinant zoster vaccine (Shingrix) for
adults aged 50 and older. It is preferred over the live attenuated vaccine
(Zostavax) due to higher efficacy and safety.
6. Which screening test is recommended for colorectal cancer in average-risk
adults?
A. Colonoscopy every 10 years
B. Fecal immunochemical test annually
C. CT colonography every 5 years
D. All of the above
2
,Answer: D
Rationale: Screening options for colorectal cancer include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years. Screening should begin
at age 45.
7. A 35-year-old female with a BMI of 32 asks about diabetes screening. What is
the most appropriate recommendation?
A. No screening needed
B. Fasting glucose every 3 years
C. HbA1c annually
D. Oral glucose tolerance test
Answer: B
Rationale: The ADA recommends screening for prediabetes and type 2 diabetes in
adults aged 35 and older with overweight or obesity (BMI ≥25). Screening should
be repeated at least every 3 years if results are normal.
8. Which of the following is a secondary prevention strategy?
A. Smoking cessation counseling
B. Mammography
C. Immunization
D. Seat belt use
Answer: B
Rationale: Secondary prevention aims to detect disease early when it is more
treatable. Mammography is a secondary prevention strategy. Smoking cessation,
immunization, and seat belt use are primary prevention.
9. A 50-year-old male asks about prostate cancer screening. What is the most
appropriate response?
A. "All men should have a PSA test annually."
B. "Screening should be based on shared decision-making."
C. "Prostate cancer screening is not recommended."
D. "You should have a DRE every year."
Answer: B
Rationale: The USPSTF recommends shared decision-making for prostate cancer
3
, screening in men aged 55–69. Screening should be individualized based on
patient preferences and risk factors.
10. Which of the following is a tertiary prevention strategy?
A. Immunization
B. Mammography
C. Cardiac rehabilitation
D. Smoking cessation
Answer: C
Rationale: Tertiary prevention aims to manage disease and prevent complications.
Cardiac rehabilitation is a tertiary prevention strategy. Immunization and
smoking cessation are primary prevention. Mammography is secondary
prevention.
11. A 28-year-old female asks about HPV vaccination. What is the most
appropriate recommendation?
A. No vaccination needed
B. HPV vaccine if not previously vaccinated
C. HPV vaccine only if sexually active
D. HPV vaccine only for women over 30
Answer: B
Rationale: The HPV vaccine is recommended for all individuals aged 9–26 and for
adults aged 27–45 through shared decision-making. If not previously vaccinated,
the patient should receive the vaccine.
12. Which of the following is a risk factor for osteoporosis?
A. Obesity
B. African American race
C. Low body weight
D. Male sex
Answer: C
Rationale: Low body weight is a risk factor for osteoporosis. Other risk
factors include female sex, Caucasian or Asian race, family history, smoking,
and low calcium intake.
4
2026/2027 ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
WITH RATIONALES |ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: HEALTH PROMOTION, SCREENING & DISEASE PREVENTION (Q1–20)
1. A 45-year-old female with no significant medical history presents for a
routine visit. According to the USPSTF, which screening is recommended for
this patient?
A. Mammography
B. Colonoscopy
C. Cervical cancer screening
D. Lung cancer screening
Answer: C
Rationale: The USPSTF recommends cervical cancer screening for women aged
21–65. Mammography is recommended for women aged 40–74. Colonoscopy is
recommended for adults aged 45–75. Lung cancer screening is recommended for
adults aged 50–80 with a 20-pack-year smoking history.
2. Which vaccine is contraindicated in a patient with a severe allergy to
gelatin?
A. Influenza vaccine
B. MMR vaccine
C. Tetanus vaccine
D. Hepatitis B vaccine
Answer: B
Rationale: The MMR vaccine contains gelatin as a stabilizer and is
contraindicated in patients with a severe gelatin allergy. Influenza, tetanus,
and hepatitis B vaccines do not contain gelatin.
3. A 65-year-old male with a 40-pack-year smoking history asks about lung cancer
screening. What is the most appropriate recommendation?
A. Annual low-dose CT scan
B. Annual chest X-ray
1
,C. Sputum cytology
D. No screening needed
Answer: A
Rationale: The USPSTF recommends annual low-dose CT screening for adults aged
50–80 who have a 20-pack-year smoking history and currently smoke or have quit
within the past 15 years.
4. Which of the following is a primary prevention strategy?
A. Mammography
B. Immunization
C. Blood pressure screening
D. Cardiac rehabilitation
Answer: B
Rationale: Primary prevention aims to prevent disease before it occurs.
Immunization is a classic example. Mammography and blood pressure screening
are
secondary prevention. Cardiac rehabilitation is tertiary prevention.
5. A 70-year-old patient asks about the shingles vaccine. What is the most
appropriate recommendation?
A. Recombinant zoster vaccine (Shingrix)
B. Live attenuated zoster vaccine (Zostavax)
C. No vaccine is recommended
D. Varicella vaccine
Answer: A
Rationale: The CDC recommends the recombinant zoster vaccine (Shingrix) for
adults aged 50 and older. It is preferred over the live attenuated vaccine
(Zostavax) due to higher efficacy and safety.
6. Which screening test is recommended for colorectal cancer in average-risk
adults?
A. Colonoscopy every 10 years
B. Fecal immunochemical test annually
C. CT colonography every 5 years
D. All of the above
2
,Answer: D
Rationale: Screening options for colorectal cancer include colonoscopy every 10
years, FIT annually, or CT colonography every 5 years. Screening should begin
at age 45.
7. A 35-year-old female with a BMI of 32 asks about diabetes screening. What is
the most appropriate recommendation?
A. No screening needed
B. Fasting glucose every 3 years
C. HbA1c annually
D. Oral glucose tolerance test
Answer: B
Rationale: The ADA recommends screening for prediabetes and type 2 diabetes in
adults aged 35 and older with overweight or obesity (BMI ≥25). Screening should
be repeated at least every 3 years if results are normal.
8. Which of the following is a secondary prevention strategy?
A. Smoking cessation counseling
B. Mammography
C. Immunization
D. Seat belt use
Answer: B
Rationale: Secondary prevention aims to detect disease early when it is more
treatable. Mammography is a secondary prevention strategy. Smoking cessation,
immunization, and seat belt use are primary prevention.
9. A 50-year-old male asks about prostate cancer screening. What is the most
appropriate response?
A. "All men should have a PSA test annually."
B. "Screening should be based on shared decision-making."
C. "Prostate cancer screening is not recommended."
D. "You should have a DRE every year."
Answer: B
Rationale: The USPSTF recommends shared decision-making for prostate cancer
3
, screening in men aged 55–69. Screening should be individualized based on
patient preferences and risk factors.
10. Which of the following is a tertiary prevention strategy?
A. Immunization
B. Mammography
C. Cardiac rehabilitation
D. Smoking cessation
Answer: C
Rationale: Tertiary prevention aims to manage disease and prevent complications.
Cardiac rehabilitation is a tertiary prevention strategy. Immunization and
smoking cessation are primary prevention. Mammography is secondary
prevention.
11. A 28-year-old female asks about HPV vaccination. What is the most
appropriate recommendation?
A. No vaccination needed
B. HPV vaccine if not previously vaccinated
C. HPV vaccine only if sexually active
D. HPV vaccine only for women over 30
Answer: B
Rationale: The HPV vaccine is recommended for all individuals aged 9–26 and for
adults aged 27–45 through shared decision-making. If not previously vaccinated,
the patient should receive the vaccine.
12. Which of the following is a risk factor for osteoporosis?
A. Obesity
B. African American race
C. Low body weight
D. Male sex
Answer: C
Rationale: Low body weight is a risk factor for osteoporosis. Other risk
factors include female sex, Caucasian or Asian race, family history, smoking,
and low calcium intake.
4
