1
NCA 622 Comprehensive Exam
Playposits/Quiz/Buppert Questions with Answers
(100% Correct Answers)
"At will" employment is best defined as: Answer: A working relationship
that either party may terminate for any reason at any time.
T/F: In most states, unless there is a written contract defining the
duration of employment, employment is "at will." Answer: True
A nurse practitioner has been employed with a heart failure clinic for 20
years. The nurse practitioner resigned from her position at the clinic in
order to open her own heart failure clinic. She would like to take her
patients with her to her new clinic, which will be located about 2 blocks
away. Before she makes any major moves, what piece of advice would
you give her? Answer: The NP should review her previous contract for a
restrictive covenant in the contract.
T/F: Patient satisfaction is subjective, therefore it cannot be reliably
used to evaluate performance. Answer: False
© 2025 All rights reserved
,2
A nurse practitioners performance is most often evaluated by all of the
following, EXCEPT: Answer: number of awards and achievements
Nurse practitioners must know and follow the standards for health
maintenance recommendations because an increase in the demand for
higher quality healthcare as well as _________ care, affects
reimbursement now more than ever. Answer: Preventative
A nurse practitioner has just been hired for her first job as an NP at a
diabetes clinic. She is in a meeting with the manager and is discussing
certain aspects of the contract. While discussing the structure for
bonus-pay, the manager states that most reimbursement to the clinic is
capitated. The NP immediately knows that under this type of payment
system a _____________ bonus system would work best. Answer: quality-
based
Because hospitals. emergency rooms, and specialists are high cost
centers for health plans, health plans want to keep admissions and
referrals to the emergency room and specialists at a minimum. This
statement underlines the concept of: Answer: utilization
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,3
In order to measure quality, a ___________ must first be set. Answer:
standard
The first step in understanding collaborative practice requirements is
to: Answer: Review the state law regarding NP scope of practice.
Medical decision making refers to the complexity of establishing a
diagnosis and/or selecting a management option. According to The
Centers for Medicare and Medicaid Services (CMS), the level of medical
decision making is determined by considering all of these factors,
EXCEPT:
A. The risk of significant complications, morbidity, or mortality
B. Time spent triaging the patient over the phone
C. The amount and complexity of data to be reviewed by the provider
D. The number of diagnoses Answer: B. Time spent triaging the patient
over the phone
Medicare covers which groups (select all that apply):
A. Disabled individuals who qualify for Social Security disability
payments and benefits.
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, 4
B. Adults 65 and over who have enrolled and pay premiums
C. Mothers and children who qualify on the basis of poverty.
D. Adults who are disabled for the short term (less than 1 year) and who
qualify on the basis of poverty. Answer: A & B
ICD-10 CM coding is used to code for a medical diagnosis. Which
statement best describes the structure and function of the ICD-10
coding system?
A. ICD-10 codes are made up of a maximum of 6 alphanumeric digits
and allow for expansion as new illnesses emerge or new procedures are
developed.
B. ICD-10 codes are made up of a maximum of 6 alphanumeric digits
and never include the letter "U."
C. ICD-10 codes are made up of a maximum of 7 alphanumeric digits
and one complete code can code for one medical diagnosis.
D. ICD-10 codes are made up of a maximum of 7 alphanumeric digits
and include aspects of etiology, location, and laterality. Answer: D. ICD-
© 2025 All rights reserved
NCA 622 Comprehensive Exam
Playposits/Quiz/Buppert Questions with Answers
(100% Correct Answers)
"At will" employment is best defined as: Answer: A working relationship
that either party may terminate for any reason at any time.
T/F: In most states, unless there is a written contract defining the
duration of employment, employment is "at will." Answer: True
A nurse practitioner has been employed with a heart failure clinic for 20
years. The nurse practitioner resigned from her position at the clinic in
order to open her own heart failure clinic. She would like to take her
patients with her to her new clinic, which will be located about 2 blocks
away. Before she makes any major moves, what piece of advice would
you give her? Answer: The NP should review her previous contract for a
restrictive covenant in the contract.
T/F: Patient satisfaction is subjective, therefore it cannot be reliably
used to evaluate performance. Answer: False
© 2025 All rights reserved
,2
A nurse practitioners performance is most often evaluated by all of the
following, EXCEPT: Answer: number of awards and achievements
Nurse practitioners must know and follow the standards for health
maintenance recommendations because an increase in the demand for
higher quality healthcare as well as _________ care, affects
reimbursement now more than ever. Answer: Preventative
A nurse practitioner has just been hired for her first job as an NP at a
diabetes clinic. She is in a meeting with the manager and is discussing
certain aspects of the contract. While discussing the structure for
bonus-pay, the manager states that most reimbursement to the clinic is
capitated. The NP immediately knows that under this type of payment
system a _____________ bonus system would work best. Answer: quality-
based
Because hospitals. emergency rooms, and specialists are high cost
centers for health plans, health plans want to keep admissions and
referrals to the emergency room and specialists at a minimum. This
statement underlines the concept of: Answer: utilization
© 2025 All rights reserved
,3
In order to measure quality, a ___________ must first be set. Answer:
standard
The first step in understanding collaborative practice requirements is
to: Answer: Review the state law regarding NP scope of practice.
Medical decision making refers to the complexity of establishing a
diagnosis and/or selecting a management option. According to The
Centers for Medicare and Medicaid Services (CMS), the level of medical
decision making is determined by considering all of these factors,
EXCEPT:
A. The risk of significant complications, morbidity, or mortality
B. Time spent triaging the patient over the phone
C. The amount and complexity of data to be reviewed by the provider
D. The number of diagnoses Answer: B. Time spent triaging the patient
over the phone
Medicare covers which groups (select all that apply):
A. Disabled individuals who qualify for Social Security disability
payments and benefits.
© 2025 All rights reserved
, 4
B. Adults 65 and over who have enrolled and pay premiums
C. Mothers and children who qualify on the basis of poverty.
D. Adults who are disabled for the short term (less than 1 year) and who
qualify on the basis of poverty. Answer: A & B
ICD-10 CM coding is used to code for a medical diagnosis. Which
statement best describes the structure and function of the ICD-10
coding system?
A. ICD-10 codes are made up of a maximum of 6 alphanumeric digits
and allow for expansion as new illnesses emerge or new procedures are
developed.
B. ICD-10 codes are made up of a maximum of 6 alphanumeric digits
and never include the letter "U."
C. ICD-10 codes are made up of a maximum of 7 alphanumeric digits
and one complete code can code for one medical diagnosis.
D. ICD-10 codes are made up of a maximum of 7 alphanumeric digits
and include aspects of etiology, location, and laterality. Answer: D. ICD-
© 2025 All rights reserved
