Kaplan FNP AANPCB Practice Exam: 100
Original Questions with Answers and
Rationales for Certification Review
DOMAIN 1: Health Promotion & Disease
Prevention (Questions 1–15)
1. A 65-year-old woman with no history of
smoking asks about lung cancer screening.
What is the most appropriate response?
A) She should have an annual chest X-ray
B) She does not meet criteria for screening
C) She should have low-dose CT annually
D) She should have sputum cytology every 3
years
☑VERIFIED ANSWERS: B
Rationale: USPSTF recommends annual low-
dose CT for adults 50–80 who have a 20 pack-
year history and currently smoke or quit within
,15 years. This patient has no smoking history, so
she does not meet criteria.
2. Which vaccine is contraindicated in a patient
with a severe egg allergy?
A) MMR
B) Influenza (egg-based)
C) Tdap
D) Hepatitis B
☑VERIFIED ANSWERS: B
Rationale: Egg-based influenza vaccines contain
trace egg protein. Severe egg allergy
(anaphylaxis) is a precaution/contraindication
for egg-based flu vaccine; recombinant or cell-
cultured options should be used.
,3. A 50-year-old woman is due for cervical
cancer screening. She has had three
consecutive normal Pap tests and no history of
abnormal results. What is the recommended
screening interval?
A) Every year
B) Every 3 years with cytology alone OR every 5
years with HPV co-testing
C) Every 10 years
D) No further screening needed
☑VERIFIED ANSWERS: B
Rationale: For women 30–65, USPSTF/ACS
recommend screening every 3 years with
cytology alone or every 5 years with hrHPV
testing alone or co-testing.
4. A 45-year-old man with BMI 32 and no other
risk factors should be screened for which
, condition?
A) Type 2 diabetes
B) Prostate cancer
C) Lung cancer
D) Abdominal aortic aneurysm
☑VERIFIED ANSWERS: A
Rationale: USPSTF recommends screening for
prediabetes and type 2 diabetes in adults 35–70
who are overweight or obese (BMI ≥25).
5. Which counseling is most appropriate for a
16-year-old athlete regarding sudden cardiac
death prevention?
A) Routine ECG screening
B) Pre-participation cardiovascular screening
with history and physical
C) Stress testing
D) Echocardiogram
Original Questions with Answers and
Rationales for Certification Review
DOMAIN 1: Health Promotion & Disease
Prevention (Questions 1–15)
1. A 65-year-old woman with no history of
smoking asks about lung cancer screening.
What is the most appropriate response?
A) She should have an annual chest X-ray
B) She does not meet criteria for screening
C) She should have low-dose CT annually
D) She should have sputum cytology every 3
years
☑VERIFIED ANSWERS: B
Rationale: USPSTF recommends annual low-
dose CT for adults 50–80 who have a 20 pack-
year history and currently smoke or quit within
,15 years. This patient has no smoking history, so
she does not meet criteria.
2. Which vaccine is contraindicated in a patient
with a severe egg allergy?
A) MMR
B) Influenza (egg-based)
C) Tdap
D) Hepatitis B
☑VERIFIED ANSWERS: B
Rationale: Egg-based influenza vaccines contain
trace egg protein. Severe egg allergy
(anaphylaxis) is a precaution/contraindication
for egg-based flu vaccine; recombinant or cell-
cultured options should be used.
,3. A 50-year-old woman is due for cervical
cancer screening. She has had three
consecutive normal Pap tests and no history of
abnormal results. What is the recommended
screening interval?
A) Every year
B) Every 3 years with cytology alone OR every 5
years with HPV co-testing
C) Every 10 years
D) No further screening needed
☑VERIFIED ANSWERS: B
Rationale: For women 30–65, USPSTF/ACS
recommend screening every 3 years with
cytology alone or every 5 years with hrHPV
testing alone or co-testing.
4. A 45-year-old man with BMI 32 and no other
risk factors should be screened for which
, condition?
A) Type 2 diabetes
B) Prostate cancer
C) Lung cancer
D) Abdominal aortic aneurysm
☑VERIFIED ANSWERS: A
Rationale: USPSTF recommends screening for
prediabetes and type 2 diabetes in adults 35–70
who are overweight or obese (BMI ≥25).
5. Which counseling is most appropriate for a
16-year-old athlete regarding sudden cardiac
death prevention?
A) Routine ECG screening
B) Pre-participation cardiovascular screening
with history and physical
C) Stress testing
D) Echocardiogram
