Family Nurse Practitioner Test Health Promotion and Disease Prevention 2 — Questions and Answers
Question 1: According to the CDC immunization schedule, which vaccines are routinely recommended for adults aged 65 and older?
- MMR and varicella
- Pneumococcal (PCV20 or PPSV23) and annual influenza (Correct answer)
- Rotavirus and Hepatitis A
- HPV and meningococcal
Correct answer: Pneumococcal (PCV20 or PPSV23) and annual influenza
Adults 65 and older should receive pneumococcal vaccine (PCV20 or PCV15 followed by PPSV23) and annual influenza vaccine as core recommendations.
Question 2: A healthy 45-year-old woman asks about osteoporosis screening. What is the appropriate recommendation?
- DEXA scan now
- DEXA scan at age 50
- DEXA scan at age 65 (Correct answer)
- No screening needed until menopause
Correct answer: DEXA scan at age 65
USPSTF recommends bone density screening with DEXA for women aged 65 and older; younger postmenopausal women with risk factors may screen earlier.
Question 3: Which intervention is most effective for reducing cardiovascular disease risk in a patient with hypertension and hyperlipidemia?
- Vitamin E supplementation
- Therapeutic lifestyle changes including diet and exercise (Correct answer)
- Daily aspirin therapy
- Omega-3 supplementation
Correct answer: Therapeutic lifestyle changes including diet and exercise
Therapeutic lifestyle changes including the DASH diet, weight loss, smoking cessation, and regular exercise are the most effective initial interventions for cardiovascular risk reduction.
Question 4: The FNP is discussing the HPV vaccine with the parent of a 12-year-old. What is the recommended schedule for this age group?
- 3-dose series at 0, 1, and 6 months
- 2-dose series at 0 and 6-12 months (Correct answer)
- Single dose only
- 2-dose series at 0 and 2 months
Correct answer: 2-dose series at 0 and 6-12 months
For adolescents who start the HPV vaccine series before age 15, a 2-dose schedule (0 and 6-12 months apart) is recommended.
Question 5: Which screening is recommended by USPSTF for sexually active women under age 25 regardless of symptoms?
- HIV testing annually
- Chlamydia and gonorrhea screening annually (Correct answer)
- Syphilis testing annually
- Hepatitis C screening annually
Correct answer: Chlamydia and gonorrhea screening annually
USPSTF recommends screening for chlamydia and gonorrhea in all sexually active women aged 24 and younger, and in older women at increased risk.
Question 6: A patient has a BMI of 32 kg/m². According to the USPSTF, what is the most appropriate intervention?
- Prescribe weight loss medication immediately
- Refer for intensive multicomponent behavioral intervention (Correct answer)
- Recommend surgical consultation
- Repeat BMI in 1 year with no intervention
Correct answer: Refer for intensive multicomponent behavioral intervention
USPSTF recommends referring adults with obesity (BMI ≥30) to intensive, multicomponent behavioral weight loss interventions.
Question 7: Which of the following best describes tertiary prevention in the context of a patient with heart failure?
- Screening ECG in all adults over 40
- Cardiac rehabilitation and medication adherence to prevent hospitalization (Correct answer)
- Reducing dietary sodium before heart failure develops
- Avoiding smoking to prevent coronary artery disease
Correct answer: Cardiac rehabilitation and medication adherence to prevent hospitalization
Tertiary prevention aims to minimize complications and improve function in patients with established disease, such as cardiac rehab for heart failure patients.
Family Nurse Practitioner Test Health Promotion and Disease Prevention 2
According to the CDC immunization schedule, which vaccines are routinely recommended for adults aged 65 and older?