Family Nurse Practitioner Test Health Promotion and Disease Prevention 1 — Questions and Answers
Question 1: According to the US Preventive Services Task Force (USPSTF), at what age should average-risk adults begin colorectal cancer screening?
- 40 years
- 45 years (Correct answer)
- 50 years
- 55 years
Correct answer: 45 years
The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.
Question 2: Which vaccine is recommended annually for all persons aged 6 months and older, regardless of health status?
- Pneumococcal vaccine
- Influenza vaccine (Correct answer)
- Hepatitis B vaccine
- Tdap vaccine
Correct answer: Influenza vaccine
Annual influenza vaccination is recommended by the CDC for everyone 6 months of age and older each flu season.
Question 3: A 55-year-old male patient with a 30 pack-year smoking history is currently smoking. Which cancer screening should the FNP recommend?
- Chest X-ray annually
- Low-dose CT scan of the chest annually (Correct answer)
- Sputum cytology every 6 months
- PET scan annually
Correct answer: Low-dose CT scan of the chest annually
USPSTF recommends annual low-dose CT lung cancer screening for adults aged 50-80 with a 20+ pack-year history who currently smoke or quit within the past 15 years.
Question 4: Which level of prevention involves early detection of disease before symptoms appear, such as screening mammography?
- Primary prevention
- Secondary prevention (Correct answer)
- Tertiary prevention
- Quaternary prevention
Correct answer: Secondary prevention
Secondary prevention focuses on early detection and prompt treatment of disease before symptoms develop, such as screening for breast cancer with mammography.
Question 5: The FNP is counseling a 28-year-old woman planning pregnancy. Which supplement should be recommended to reduce the risk of neural tube defects?
- Iron 65 mg/day
- Folic acid 400-800 mcg/day (Correct answer)
- Calcium 1,200 mg/day
- Vitamin D 2,000 IU/day
Correct answer: Folic acid 400-800 mcg/day
Folic acid 400-800 mcg daily is recommended for all women of childbearing age, and especially before conception, to prevent neural tube defects.
Question 6: At what age should women of average risk begin mammography screening according to the USPSTF (2024 guidelines)?
- 35 years
- 40 years (Correct answer)
- 45 years
- 50 years
Correct answer: 40 years
The USPSTF 2024 updated guidelines recommend that women begin biennial mammography screening at age 40.
Question 7: Which of the following is a primary prevention strategy for type 2 diabetes in a high-risk patient?
- Starting metformin immediately
- Lifestyle modification including weight loss and increased physical activity (Correct answer)
- Annual HbA1c testing
- Referring to endocrinology
Correct answer: Lifestyle modification including weight loss and increased physical activity
Lifestyle interventions including 5-7% weight loss and 150 minutes of moderate physical activity weekly are first-line primary prevention for type 2 diabetes in high-risk individuals.
Family Nurse Practitioner Test Health Promotion and Disease Prevention 1
According to the US Preventive Services Task Force (USPSTF), at what age should average-risk adults begin colorectal cancer screening?