DogWada’s solution worked best for me. Not sure if anything had to do with the latest Windows Update or not but it was working ok before but after the update it was CRASH CRASH CRASH on 5.4.2 and 5.3.2.
I hit the “Restore Defaults” the NVIDIA Control Panel and it is running fine so far.
I also signed out of Geoforce Experience which was running in the background. (Not sure if this may help some.)