Barkley FNP Predictor/Readiness Exam
200 Original Practice Questions with
Detailed Rationales
Table of Contents
1. Health Promotion and Disease Prevention (Questions 1–30)
2. Cardiovascular Disorders (Questions 31–55)
3. Respiratory Disorders (Questions 56–75)
4. Endocrine and Metabolic Disorders (Questions 76–100)
5. Gastrointestinal and Renal Disorders (Questions 101–120)
6. Musculoskeletal and Neurological Disorders (Questions 121–140)
7. Reproductive and Genitourinary Health (Questions 141–165)
8. Pediatric and Adolescent Health (Questions 166–185)
9. Pharmacology and Prescriptive Authority (Questions 186–200)
10. Answer Key Summary
11. Exam Preparation Tips
Section 1: Health Promotion and Disease Prevention (Questions 1–
30)
1. A 55-year-old woman presents for a routine health maintenance
visit. She has no complaints. According to the U.S. Preventive
Services Task Force (USPSTF), what is the recommended screening
interval for mammography in average-risk women aged 50–74?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: B. Every 2 years
,Rationale: The USPSTF recommends biennial screening mammography
for women aged 50–74. The American Cancer Society recommends
annual screening beginning at age 45, then biennial from age 55.
2. A 45-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for colorectal cancer in average-risk adults aged 45–75?
A. Colonoscopy every 10 years
B. Fecal immunochemical test (FIT) every year
C. CT colonography every 5 years
D. All of the above
Correct Answer: D. All of the above
Rationale: The USPSTF recommends screening for colorectal cancer in
all adults aged 45–75. Options include colonoscopy every 10 years,
annual FIT, CT colonography every 5 years, or flexible sigmoidoscopy
every 5 years.
3. A 65-year-old woman presents for a routine visit. She has a
history of hypertension and diabetes. What is the recommended
annual screening for diabetic retinopathy?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: A. Every year
Rationale: Annual dilated eye examinations are recommended for
patients with diabetes to screen for retinopathy.
4. A 28-year-old woman presents for a routine visit. She is
interested in starting contraception. According to the CDC Medical
Eligibility Criteria, which of the following is a contraindication to
combined oral contraceptives?
A. History of migraine with aura
B. History of hypertension
,C. History of smoking
D. History of diabetes
Correct Answer: A. History of migraine with aura
Rationale: Migraine with aura is a contraindication to combined oral
contraceptives due to an increased risk of stroke.
5. A 50-year-old woman presents for a routine visit. She has no
complaints. According to the USPSTF, what is the recommended
screening for cervical cancer in women aged 30–65?
A. Pap smear every year
B. Pap smear every 3 years
C. Pap smear with HPV co-testing every 5 years
D. HPV testing alone every 3 years
Correct Answer: C. Pap smear with HPV co-testing every 5 years
Rationale: For women aged 30–65, the preferred screening strategy is
Pap smear with HPV co-testing every 5 years. Pap smear alone every 3
years is also acceptable.
6. A 70-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for abdominal aortic aneurysm (AAA) in men aged 65–75
who have ever smoked?
A. Abdominal ultrasound once
B. Abdominal ultrasound every 5 years
C. CT scan every 10 years
D. No screening recommended
Correct Answer: A. Abdominal ultrasound once
Rationale: The USPSTF recommends one-time screening for AAA with
abdominal ultrasound in men aged 65–75 who have ever smoked.
7. A 35-year-old woman presents for a routine visit. She is 12 weeks
pregnant. What is the recommended screening for gestational
diabetes?
A. 1-hour glucose challenge test at 24–28 weeks
, B. 3-hour glucose tolerance test at 16 weeks
C. Fasting glucose at 12 weeks
D. No screening recommended
Correct Answer: A. 1-hour glucose challenge test at 24–28 weeks
Rationale: Screening for gestational diabetes is typically performed at
24–28 weeks gestation with a 1-hour glucose challenge test.
8. A 60-year-old woman presents for a routine visit. She has no
complaints. According to the USPSTF, what is the recommended
screening for osteoporosis in women aged 65 and older?
A. DXA scan every year
B. DXA scan every 2 years
C. DXA scan once
D. DXA scan every 5 years
Correct Answer: C. DXA scan once
Rationale: The USPSTF recommends screening for osteoporosis with
DXA in women aged 65 and older. Repeat screening intervals are not
well established but are typically every 2–5 years based on risk factors.
9. A 40-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for hypertension?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: A. Every year
Rationale: The USPSTF recommends annual screening for hypertension
in adults aged 18 and older.
10. A 25-year-old woman presents for a routine visit. She is
interested in starting contraception. Which of the following is the
most effective reversible contraceptive method?
A. Combined oral contraceptives
200 Original Practice Questions with
Detailed Rationales
Table of Contents
1. Health Promotion and Disease Prevention (Questions 1–30)
2. Cardiovascular Disorders (Questions 31–55)
3. Respiratory Disorders (Questions 56–75)
4. Endocrine and Metabolic Disorders (Questions 76–100)
5. Gastrointestinal and Renal Disorders (Questions 101–120)
6. Musculoskeletal and Neurological Disorders (Questions 121–140)
7. Reproductive and Genitourinary Health (Questions 141–165)
8. Pediatric and Adolescent Health (Questions 166–185)
9. Pharmacology and Prescriptive Authority (Questions 186–200)
10. Answer Key Summary
11. Exam Preparation Tips
Section 1: Health Promotion and Disease Prevention (Questions 1–
30)
1. A 55-year-old woman presents for a routine health maintenance
visit. She has no complaints. According to the U.S. Preventive
Services Task Force (USPSTF), what is the recommended screening
interval for mammography in average-risk women aged 50–74?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: B. Every 2 years
,Rationale: The USPSTF recommends biennial screening mammography
for women aged 50–74. The American Cancer Society recommends
annual screening beginning at age 45, then biennial from age 55.
2. A 45-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for colorectal cancer in average-risk adults aged 45–75?
A. Colonoscopy every 10 years
B. Fecal immunochemical test (FIT) every year
C. CT colonography every 5 years
D. All of the above
Correct Answer: D. All of the above
Rationale: The USPSTF recommends screening for colorectal cancer in
all adults aged 45–75. Options include colonoscopy every 10 years,
annual FIT, CT colonography every 5 years, or flexible sigmoidoscopy
every 5 years.
3. A 65-year-old woman presents for a routine visit. She has a
history of hypertension and diabetes. What is the recommended
annual screening for diabetic retinopathy?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: A. Every year
Rationale: Annual dilated eye examinations are recommended for
patients with diabetes to screen for retinopathy.
4. A 28-year-old woman presents for a routine visit. She is
interested in starting contraception. According to the CDC Medical
Eligibility Criteria, which of the following is a contraindication to
combined oral contraceptives?
A. History of migraine with aura
B. History of hypertension
,C. History of smoking
D. History of diabetes
Correct Answer: A. History of migraine with aura
Rationale: Migraine with aura is a contraindication to combined oral
contraceptives due to an increased risk of stroke.
5. A 50-year-old woman presents for a routine visit. She has no
complaints. According to the USPSTF, what is the recommended
screening for cervical cancer in women aged 30–65?
A. Pap smear every year
B. Pap smear every 3 years
C. Pap smear with HPV co-testing every 5 years
D. HPV testing alone every 3 years
Correct Answer: C. Pap smear with HPV co-testing every 5 years
Rationale: For women aged 30–65, the preferred screening strategy is
Pap smear with HPV co-testing every 5 years. Pap smear alone every 3
years is also acceptable.
6. A 70-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for abdominal aortic aneurysm (AAA) in men aged 65–75
who have ever smoked?
A. Abdominal ultrasound once
B. Abdominal ultrasound every 5 years
C. CT scan every 10 years
D. No screening recommended
Correct Answer: A. Abdominal ultrasound once
Rationale: The USPSTF recommends one-time screening for AAA with
abdominal ultrasound in men aged 65–75 who have ever smoked.
7. A 35-year-old woman presents for a routine visit. She is 12 weeks
pregnant. What is the recommended screening for gestational
diabetes?
A. 1-hour glucose challenge test at 24–28 weeks
, B. 3-hour glucose tolerance test at 16 weeks
C. Fasting glucose at 12 weeks
D. No screening recommended
Correct Answer: A. 1-hour glucose challenge test at 24–28 weeks
Rationale: Screening for gestational diabetes is typically performed at
24–28 weeks gestation with a 1-hour glucose challenge test.
8. A 60-year-old woman presents for a routine visit. She has no
complaints. According to the USPSTF, what is the recommended
screening for osteoporosis in women aged 65 and older?
A. DXA scan every year
B. DXA scan every 2 years
C. DXA scan once
D. DXA scan every 5 years
Correct Answer: C. DXA scan once
Rationale: The USPSTF recommends screening for osteoporosis with
DXA in women aged 65 and older. Repeat screening intervals are not
well established but are typically every 2–5 years based on risk factors.
9. A 40-year-old man presents for a routine visit. He has no
complaints. According to the USPSTF, what is the recommended
screening for hypertension?
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 5 years
Correct Answer: A. Every year
Rationale: The USPSTF recommends annual screening for hypertension
in adults aged 18 and older.
10. A 25-year-old woman presents for a routine visit. She is
interested in starting contraception. Which of the following is the
most effective reversible contraceptive method?
A. Combined oral contraceptives
