Family Nurse Practitioner Test Health Promotion and Disease Prevention 2

Question 1

According to the CDC immunization schedule, which vaccines are routinely recommended for adults aged 65 and older?

Accepted Answer

Pneumococcal (PCV20 or PPSV23) and annual influenza

Answer

MMR and varicella

Answer

Rotavirus and Hepatitis A

Answer

HPV and meningococcal

Question 2

A healthy 45-year-old woman asks about osteoporosis screening. What is the appropriate recommendation?

Accepted Answer

DEXA scan at age 65

Answer

DEXA scan now

Answer

DEXA scan at age 50

Answer

No screening needed until menopause

Question 3

Which intervention is most effective for reducing cardiovascular disease risk in a patient with hypertension and hyperlipidemia?

Accepted Answer

Therapeutic lifestyle changes including diet and exercise

Answer

Vitamin E supplementation

Answer

Daily aspirin therapy

Answer

Omega-3 supplementation

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?

Accepted Answer

2-dose series at 0 and 6-12 months

Answer

3-dose series at 0, 1, and 6 months

Answer

Single dose only

Answer

2-dose series at 0 and 2 months

Question 5

Which screening is recommended by USPSTF for sexually active women under age 25 regardless of symptoms?

Accepted Answer

Chlamydia and gonorrhea screening annually

Answer

HIV testing annually

Answer

Syphilis testing annually

Answer

Hepatitis C screening annually

Question 6

A patient has a BMI of 32 kg/m². According to the USPSTF, what is the most appropriate intervention?

Accepted Answer

Refer for intensive multicomponent behavioral intervention

Answer

Prescribe weight loss medication immediately

Answer

Recommend surgical consultation

Answer

Repeat BMI in 1 year with no intervention

Question 7

Which of the following best describes tertiary prevention in the context of a patient with heart failure?

Accepted Answer

Cardiac rehabilitation and medication adherence to prevent hospitalization

Answer

Screening ECG in all adults over 40

Answer

Reducing dietary sodium before heart failure develops

Answer

Avoiding smoking to prevent coronary artery disease