NURS 5434 FINAL EXAM ACTUAL 2025/2026 COMPLETE EXAM
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. Which of the following vaccines would you recommend for her? SATA
A. HPV
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
C. Prevnar 13 (PCV13)
E. Pneumovax 23 (PPSV23)
In the USPSTF Grading system which of the following grades are Recommended
to DO? SATA
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I
A. Grade A
B. Grade B
Which of the following are NOT examples of USPSTF Grade A or B
recommendations? SATA
A. Routine AAA screening in women
B. AAA Screening in Men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching Breast Self-Exam
E. Routine Pap Smear
F. Depression Screening
,A. Routine AAA screening in women
C. Routine PSA for all men
D. Teaching Breast Self-Exam
A patient is on a moderate intensity statin. She started to experience statin induced
muscle pain and told her NP. The NP had her pause the med for two week and
restart with no improvement. Lowering the dose also did not help. Which of the
following statins should the NP consider switching her to? (Choose the best
answer)
A. Lovastatin 40mg
B. Pravastatin 40mg
C. Pitavastatin 1mg
D. Rosuvastatin 40mg
B. Pravastatin
Although Rosuvastatin is also a Hydrophilic statin that is typically used as a
replacement. The patient was on a Moderate intensity statin and Pravastatin is the
best Moderate intensity replacement.
Which of the following can you pair with a low intensity statin to reduce risk for
statin induced myalgias?
A. Ezetimibe
B. Bile acid sequestrants
C. PCSK9
D. Vitamin C
B. Bile acid sequestrants (resins)
The 4 categories for which a statin is recommend includes all of the following
EXCEPT:
A. LDL ≥ 190 mg/dL
B. Diabetes
C. 10-year ASCVD risk ≥ 7.5%
D. Comorbid Hypertension
D. Comorbid Hypertension
,Patient ages 21-29 should get a Pap Smear done:
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 6 months
C. Every 3 years
Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every 6 years
D. Every 10 years
B. Every 5 years
Breast cancer prevention counseling should be given to all women, True or False?
False
Only High-risk women
A screening for colonoscopy should be done starting age?
A. 35
B. 45
C. 50
D. 65
C. 50 years old
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years
E. Every 10 years
How often do you get the Influenza vaccine? How early can you get it?
Annually (staring at 6 months)
, A 65-year-old man comes to a primary care facility. He states that it has been 10
years since his last Tetanus shot and he is excited about seeing his newborn
grandchild, he should be offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV
A. Tdap
Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy
C. Mammogram
E. Pap smear
F. Colonoscopy
Age range for HPV vaccine
9-45 years old
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. She tells you that she has never gotten the pneumococcal shot. Which of the
following vaccines would you recommend for her TODAY?
A. Prevnar 20 (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
A. Prevnar 20 (PCV 20)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. She tells you that she has never gotten the pneumococcal shot. You give
PCV 20 today, what do you give 1 year from now?
A. Prevnar 20 booster (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. Which of the following vaccines would you recommend for her? SATA
A. HPV
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
C. Prevnar 13 (PCV13)
E. Pneumovax 23 (PPSV23)
In the USPSTF Grading system which of the following grades are Recommended
to DO? SATA
A. Grade A
B. Grade B
C. Grade C
D. Grade D
E. Grade I
A. Grade A
B. Grade B
Which of the following are NOT examples of USPSTF Grade A or B
recommendations? SATA
A. Routine AAA screening in women
B. AAA Screening in Men age 65-75 who have never smoked
C. Routine PSA for all men
D. Teaching Breast Self-Exam
E. Routine Pap Smear
F. Depression Screening
,A. Routine AAA screening in women
C. Routine PSA for all men
D. Teaching Breast Self-Exam
A patient is on a moderate intensity statin. She started to experience statin induced
muscle pain and told her NP. The NP had her pause the med for two week and
restart with no improvement. Lowering the dose also did not help. Which of the
following statins should the NP consider switching her to? (Choose the best
answer)
A. Lovastatin 40mg
B. Pravastatin 40mg
C. Pitavastatin 1mg
D. Rosuvastatin 40mg
B. Pravastatin
Although Rosuvastatin is also a Hydrophilic statin that is typically used as a
replacement. The patient was on a Moderate intensity statin and Pravastatin is the
best Moderate intensity replacement.
Which of the following can you pair with a low intensity statin to reduce risk for
statin induced myalgias?
A. Ezetimibe
B. Bile acid sequestrants
C. PCSK9
D. Vitamin C
B. Bile acid sequestrants (resins)
The 4 categories for which a statin is recommend includes all of the following
EXCEPT:
A. LDL ≥ 190 mg/dL
B. Diabetes
C. 10-year ASCVD risk ≥ 7.5%
D. Comorbid Hypertension
D. Comorbid Hypertension
,Patient ages 21-29 should get a Pap Smear done:
A. Every year
B. Every 2 years
C. Every 3 years
D. Every 6 months
C. Every 3 years
Patients age 30-65 years old should get Pap + HPV:
A. Every 3 years
B. Every 5 years
C. Every 6 years
D. Every 10 years
B. Every 5 years
Breast cancer prevention counseling should be given to all women, True or False?
False
Only High-risk women
A screening for colonoscopy should be done starting age?
A. 35
B. 45
C. 50
D. 65
C. 50 years old
How often do you perform a colonoscopy screening starting at age 50 years old?
A. Every 6 months
B. Every year
C. Every 3 years
D. Every 5 years
E. Every 10 years
E. Every 10 years
How often do you get the Influenza vaccine? How early can you get it?
Annually (staring at 6 months)
, A 65-year-old man comes to a primary care facility. He states that it has been 10
years since his last Tetanus shot and he is excited about seeing his newborn
grandchild, he should be offered and immunization with:
A. Tdap
B. Prevnar 23
C. Hepatitis B
D. HPV
A. Tdap
Which of the following is Secondary prevention? SATA
A. Influenza vaccine
B. COVID-19 booster
C. Mammogram
D. Antibiotics for an STI
E. Pap smear
F. Colonoscopy
C. Mammogram
E. Pap smear
F. Colonoscopy
Age range for HPV vaccine
9-45 years old
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. She tells you that she has never gotten the pneumococcal shot. Which of the
following vaccines would you recommend for her TODAY?
A. Prevnar 20 (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
D. Hepatitis B
E. Pneumovax 23 (PPSV23)
A. Prevnar 20 (PCV 20)
Polly is 66 years old. She smokes and enjoys going on walks to the park twice a
week. She tells you that she has never gotten the pneumococcal shot. You give
PCV 20 today, what do you give 1 year from now?
A. Prevnar 20 booster (PCV 20)
B. Meningococcal Vaccine
C. Prevnar 13 (PCV13)
