Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention

Question 1

According to current ACIP recommendations, which pneumococcal vaccination strategy is appropriate for a 65-year-old adult who has never received any pneumococcal vaccine?

Accepted Answer

PCV20 alone OR PCV15 followed by PPSV23 at least one year later

Answer

PPSV23 alone as a single dose

Answer

PCV13 followed by PPSV23 one year later

Answer

PCV15 alone as a single dose

Question 2

The USPSTF recommends lung cancer screening with annual low-dose CT (LDCT) for which population?

Accepted Answer

Adults aged 50–80 with a ≥20 pack-year history who currently smoke or quit within the past 15 years

Answer

All adults aged 60 and older with any tobacco history

Answer

Adults aged 55–80 with a ≥30 pack-year history who currently smoke or quit within the past 10 years

Answer

Adults aged 65 and older who currently smoke

Question 3

Per USPSTF guidelines, how often should mammography be performed for average-risk women aged 50–74?

Accepted Answer

Every 2 years

Answer

Annually

Answer

Every 3 years

Answer

Every 5 years

Question 4

A 65-year-old woman presents for a well visit. According to USPSTF guidelines, bone mineral density (DEXA) screening for osteoporosis should be recommended:

Accepted Answer

At age 65 for all women regardless of risk factors

Answer

Only after a low-impact fracture occurs

Answer

Only when the FRAX 10-year fracture risk exceeds 20%

Answer

Only for women with a BMI below 18.5

Question 5

The 2017 ACC/AHA hypertension guidelines recommend a blood pressure target of less than how many mmHg for most adults aged 65 and older, including those with stable coronary artery disease?

Accepted Answer

130/80 mmHg

Answer

120/80 mmHg

Answer

140/90 mmHg

Answer

150/90 mmHg

Question 6

Which of the following falls prevention interventions has the strongest evidence for reducing falls in community-dwelling older adults?

Accepted Answer

Multifactorial assessment and individualized intervention including exercise programs

Answer

Vitamin D supplementation alone

Answer

Hip protectors

Answer

Home safety modifications alone

Question 7

According to USPSTF recommendations, colorectal cancer screening for average-risk adults aged 50–75 years may be accomplished by which method?

Accepted Answer

Colonoscopy every 10 years, annual high-sensitivity stool-based tests, or sigmoidoscopy every 5 years

Answer

Annual digital rectal exam only

Answer

CT colonography every 10 years only

Answer

Annual CEA tumor marker measurement