Family Nurse Practitioner Test Health Promotion and Disease Prevention 3

Question 1

A 50-year-old male patient with no prior cardiovascular events has a 10-year ASCVD risk of 12%. What is the most appropriate recommendation?

Accepted Answer

Statin therapy discussion based on shared decision-making

Answer

No treatment needed, recheck in 5 years

Answer

Aspirin therapy alone

Answer

Immediate high-intensity statin therapy

Question 2

Which of the following is recommended by USPSTF for depression screening in the general adult population?

Accepted Answer

Screen all adults aged 18 and older

Answer

Screen only patients with a family history of depression

Answer

Screen only postpartum women

Answer

Screen only adults with chronic illness

Question 3

A 65-year-old patient asks about shingles prevention. Which vaccine should the FNP recommend?

Accepted Answer

Shingrix (recombinant zoster vaccine) 2-dose series

Answer

Zostavax (live attenuated)

Answer

Varivax (varicella vaccine)

Answer

No vaccine available for this age group

Question 4

The FNP counsels a patient about sun safety. Which of the following recommendations aligns with skin cancer primary prevention?

Accepted Answer

Apply broad-spectrum SPF 30+ sunscreen, wear protective clothing, and avoid peak UV hours

Answer

Use SPF 10 sunscreen only on cloudy days

Answer

Avoid sunscreen as it blocks essential vitamin D synthesis

Answer

Sunbathing for 30 minutes daily is safe with SPF 15

Question 5

Which blood pressure threshold is used to diagnose hypertension according to the 2017 ACC/AHA guidelines?

Accepted Answer

≥130/80 mmHg

Answer

≥140/90 mmHg

Answer

≥120/80 mmHg

Answer

≥150/90 mmHg

Question 6

A 30-year-old woman at average risk asks how often she should have a Pap smear. What is the current USPSTF recommendation?

Accepted Answer

Every 3 years (cytology alone) or every 5 years (with HPV co-testing)

Answer

Annually

Answer

Every 2 years

Answer

Every 5 years (cytology alone)

Question 7

Which counseling intervention is most supported by evidence for helping patients achieve smoking cessation?

Accepted Answer

Combination of pharmacotherapy (varenicline or NRT) with behavioral counseling

Answer

Acupuncture therapy

Answer

Hypnotherapy alone

Answer

Cold turkey cessation without support