NURS 6531 FINAL, PART ONE EXAM
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026-
2027 ASSURED EXCEL!
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - CORRECT ANSWERS-ANS: A
2. A Level 1 ACO has the least amount of financial risk and requirements, but receives
shared savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of Level
2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
3. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - CORRECT ANSWERS-ANS: C
4. As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
close to home. Associations with hospitals, costs of care, and the ratio of providers to
patients were not part of these results.
5. Which assessments of care providers are performed as part of the value-based
purchasing (VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
, e. Requiring advanced IT standards and minimum cash reserves - CORRECT
ANSWERS-ANS: A, B, D
6. Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are
7. part of Accountable Care Organization standards
8. What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables - CORRECT
ANSWERS-ANS: C
9. Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
patients. Level II research evaluates the nature of the relationships between variables.
Level IV
10. research is conducted to demonstrate the effectiveness of interventions or treatments.
11. Which is the most appropriate research design for a Level III research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials - CORRECT ANSWERS-ANS: B
12. The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level II studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
13. What is the purpose of clinical research trials in the spectrum of translational research?
p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
, d. Exploration of fundamental mechanisms of biology, disease, or behavior -
CORRECT ANSWERS-ANS: C
14. Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of biology, disease, or
behavior is part
15. of the basic research stage.
16. WhichDstatementDmadeDbyDaDhealthDcareDproviderDdemonstratesDtheDmostDappropriateD
understandingDforDtheDgoalDofDaDperformanceDreport?
a. "ThisDprocessDallowsDmeDtoDcritiqueDtheDperformanceDofDtheDrestDofDtheDstaff."
b. "MostDorganizationsDrequireDstaffDtoDundergoDaDperformanceDevaluationDyearly."
c. "ItDisDhardDtoDbeDpersonallyDcriticizedDbutDthat'sDhowDweDlearnDtoDchange."
d. "TheDcommentsDshouldDhelpDmeDimproveDmyDmanagementDskills."D-
DDCORRECTDANSWERS-ANS:DD
17. TheDgoalDofDtheDperformanceDreportDisDtoDprovideDguidanceDtoDstaffDinDtheDareasDofDprof
essionalDdevelopment,Dmentoring,DandDleadershipDdevelopment.DADpeerDreviewDisDwritt
enDbyDothersDwhoDperformDsimilarDskillsD(peers).DTheDremainingDoptionsDmayDbeDtrueDbu
tDdoDnotDprovideDevidenceDofDunderstandingDofDtheDgoalDofDthisDprofessionalDrequireme
nt.
18. WhichDassessmentDquestionDwouldDaDhealthDcareDproviderDaskDwhenDengagingDinDtheDpr
evisitDstageDofDtheDnewDmodelDforDprimaryDcare?D(SelectDallDthatDapply.)
a. "AreDyouDreadyDtoDdiscussDsomeDofDtheDcommunityDresourcesDthatDareDavailable?
"
b. "AreDyouDexperiencingDanyDsideDeffectsDfromDyourDnewlyDprescribedDmedications
?"
c. "DoDyouDanticipateDanyDproblemsDwithDadheringDtoDyourDtreatmentDplan?"
d. "AreDyouDreadyDtoDdiscussDtheDresultsDofDyourDlaboratoryDtests?"
e. "DoDyouDhaveDanyDquestionsDaboutDtheDlabDtestsDthatDhaveDbeenDorderedDforDyo
u?"D-DDCORRECTDANSWERS-ANS:DB,DC,DE
19. TheDnursingDresponsibilitiesDinDtheDprevisitDstageDincludeDassessingDtheDpatient'sDtoleran
ceDofDprescribedDmedications,DunderstandingDofDexistingDtreatmentDplan,DandDeducation
DaboutDrequiredDlabDtesting.DTheDprimaryDcareDproviderDisDresponsibleDforDscreeningDlabD
dataDand
, 20. discussingDcommunityDresourcesDduringDtheDactualDvisit.
21. WhatDisDtheDQuadrupleDAim?Dp.D15D-DDCORRECTDANSWERS-
1)DImprovedDpatientDsatisfaction
22. 2)DReduceDperDcapitaDcosts
23. 3)DImproveDpopulationDhealth
24. 4)DImproveDpatientDcareDteamDexperience
25. ToDreduceDadverseDeventsDassociatedDwithDcareDtransitions,DtheDCentersDforDMedicareDa
ndDMedicaidDServiceDhaveDimplementedDwhichDpolicy?
a. MandatesDforDcommunicationDamongDprimaryDcaregiversDandDhospitalists
b. PenaltiesDforDfailureDtoDperformDmedicationDreconciliationsDatDtimeDofDdischarge
c. ReductionDofDpaymentsDforDpatientsDreadmittedDwithinD30DdaysDafterDdischarge
d. RequirementsDforDwrittenDdischargeDinstructionsDforDpatientsDandDcaregiversD-
DDCORRECTDANSWERS-ANS:DC
26. AsDaDcomponentDofDtheDAffordableDCareDAct,DtheDCentersDforDMedicareDandDMedicaidDSe
rviceDdevelopedDtheDReadmissionsDReductionDProgramDreducingDpaymentsDforDcertainDp
atientsDreadmittedDwithinD30DdaysDofDdischarge.DTheDCMSDdidDnotDmandateDcommunica
tion,DinstituteDpenaltiesDforDfailureDtoDperformDmedicationDreconciliations,DorDrequireDwr
ittenDdischargeDinstructions.
27. AccordingDtoDmultipleDresearchDstudies,DwhichDinterventionDhasDresultedDinDlowerDcostsD
andDfewerDrehospitalizationsDinDhigh-riskDolderDpatients?
a. CoordinationDofDposthospitalDcareDbyDadvancedDpracticeDhealthDcareDproviders
b. FrequentDposthospitalDclinicDvisitsDwithDaDprimaryDcareDprovider
c. InclusionDofDextendedDfamilyDmembersDinDtheDoutpatientDplanDofDcare
d. TelephoneDfollow-upDbyDtheDpharmacistDtoDassessDmedicationDcomplianceD-
DDCORRECTDANSWERS-ANS:DA
28. ResearchDstudiesDprovidedDevidenceDthatDhigh-
riskDolderDpatientsDwhoDhadDposthospitalDcareDcoordinatedDbyDanDAPNDhadDreducedDreh
ospitalizationDrates.DItDdidDnotDincludeDclinicDvisitsDwithDaDprimaryDcareDprovider,Dinclusio
nDofDextendedDfamilyDmembersDinDtheDplanDofDcare,DorDtelephoneDfollow-
upDbyDaDpharmacist
QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026-
2027 ASSURED EXCEL!
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - CORRECT ANSWERS-ANS: A
2. A Level 1 ACO has the least amount of financial risk and requirements, but receives
shared savings bonuses based on achievement of benchmarks for quality measures and
expenditures. Care coordination and minimum cash reserves standards are part of Level
2 ACO requirements. Level 3 ACOs have strict requirements for financial reporting.
3. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients - CORRECT ANSWERS-ANS: C
4. As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
close to home. Associations with hospitals, costs of care, and the ratio of providers to
patients were not part of these results.
5. Which assessments of care providers are performed as part of the value-based
purchasing (VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
, e. Requiring advanced IT standards and minimum cash reserves - CORRECT
ANSWERS-ANS: A, B, D
6. Value-based purchasing looks at five domain areas of processes of care, including
efficiency of care (cost per case), experience of care (patient satisfaction measures), and
outcomes of care (mortality rates for certain conditions). Evaluation of evidence to guide
clinical care is part of evidence-based practice. The requirements for IT standards and
financial status are
7. part of Accountable Care Organization standards
8. What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables - CORRECT
ANSWERS-ANS: C
9. Level II research is concerned with describing the relationships among characteristics or
variables. Level I research is conducted to define the characteristics of groups of
patients. Level II research evaluates the nature of the relationships between variables.
Level IV
10. research is conducted to demonstrate the effectiveness of interventions or treatments.
11. Which is the most appropriate research design for a Level III research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials - CORRECT ANSWERS-ANS: B
12. The experimental design is the most appropriate design for a Level III study.
Epidemiological studies are appropriate for Level II studies. Qualitative designs are useful
for Level I studies. Randomized clinical trials are used for Level IV studies.
13. What is the purpose of clinical research trials in the spectrum of translational research?
p. 6
a. Adoption of interventions and clinical practices into routine clinical care
b. Determination of the basis of disease and various treatment options
c. Examination of safety and effectiveness of various interventions
, d. Exploration of fundamental mechanisms of biology, disease, or behavior -
CORRECT ANSWERS-ANS: C
14. Clinical research trials are concerned with determining the safety and effectiveness of
interventions. Adoption of interventions and practices is part of clinical implementation.
Determination of the basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of biology, disease, or
behavior is part
15. of the basic research stage.
16. WhichDstatementDmadeDbyDaDhealthDcareDproviderDdemonstratesDtheDmostDappropriateD
understandingDforDtheDgoalDofDaDperformanceDreport?
a. "ThisDprocessDallowsDmeDtoDcritiqueDtheDperformanceDofDtheDrestDofDtheDstaff."
b. "MostDorganizationsDrequireDstaffDtoDundergoDaDperformanceDevaluationDyearly."
c. "ItDisDhardDtoDbeDpersonallyDcriticizedDbutDthat'sDhowDweDlearnDtoDchange."
d. "TheDcommentsDshouldDhelpDmeDimproveDmyDmanagementDskills."D-
DDCORRECTDANSWERS-ANS:DD
17. TheDgoalDofDtheDperformanceDreportDisDtoDprovideDguidanceDtoDstaffDinDtheDareasDofDprof
essionalDdevelopment,Dmentoring,DandDleadershipDdevelopment.DADpeerDreviewDisDwritt
enDbyDothersDwhoDperformDsimilarDskillsD(peers).DTheDremainingDoptionsDmayDbeDtrueDbu
tDdoDnotDprovideDevidenceDofDunderstandingDofDtheDgoalDofDthisDprofessionalDrequireme
nt.
18. WhichDassessmentDquestionDwouldDaDhealthDcareDproviderDaskDwhenDengagingDinDtheDpr
evisitDstageDofDtheDnewDmodelDforDprimaryDcare?D(SelectDallDthatDapply.)
a. "AreDyouDreadyDtoDdiscussDsomeDofDtheDcommunityDresourcesDthatDareDavailable?
"
b. "AreDyouDexperiencingDanyDsideDeffectsDfromDyourDnewlyDprescribedDmedications
?"
c. "DoDyouDanticipateDanyDproblemsDwithDadheringDtoDyourDtreatmentDplan?"
d. "AreDyouDreadyDtoDdiscussDtheDresultsDofDyourDlaboratoryDtests?"
e. "DoDyouDhaveDanyDquestionsDaboutDtheDlabDtestsDthatDhaveDbeenDorderedDforDyo
u?"D-DDCORRECTDANSWERS-ANS:DB,DC,DE
19. TheDnursingDresponsibilitiesDinDtheDprevisitDstageDincludeDassessingDtheDpatient'sDtoleran
ceDofDprescribedDmedications,DunderstandingDofDexistingDtreatmentDplan,DandDeducation
DaboutDrequiredDlabDtesting.DTheDprimaryDcareDproviderDisDresponsibleDforDscreeningDlabD
dataDand
, 20. discussingDcommunityDresourcesDduringDtheDactualDvisit.
21. WhatDisDtheDQuadrupleDAim?Dp.D15D-DDCORRECTDANSWERS-
1)DImprovedDpatientDsatisfaction
22. 2)DReduceDperDcapitaDcosts
23. 3)DImproveDpopulationDhealth
24. 4)DImproveDpatientDcareDteamDexperience
25. ToDreduceDadverseDeventsDassociatedDwithDcareDtransitions,DtheDCentersDforDMedicareDa
ndDMedicaidDServiceDhaveDimplementedDwhichDpolicy?
a. MandatesDforDcommunicationDamongDprimaryDcaregiversDandDhospitalists
b. PenaltiesDforDfailureDtoDperformDmedicationDreconciliationsDatDtimeDofDdischarge
c. ReductionDofDpaymentsDforDpatientsDreadmittedDwithinD30DdaysDafterDdischarge
d. RequirementsDforDwrittenDdischargeDinstructionsDforDpatientsDandDcaregiversD-
DDCORRECTDANSWERS-ANS:DC
26. AsDaDcomponentDofDtheDAffordableDCareDAct,DtheDCentersDforDMedicareDandDMedicaidDSe
rviceDdevelopedDtheDReadmissionsDReductionDProgramDreducingDpaymentsDforDcertainDp
atientsDreadmittedDwithinD30DdaysDofDdischarge.DTheDCMSDdidDnotDmandateDcommunica
tion,DinstituteDpenaltiesDforDfailureDtoDperformDmedicationDreconciliations,DorDrequireDwr
ittenDdischargeDinstructions.
27. AccordingDtoDmultipleDresearchDstudies,DwhichDinterventionDhasDresultedDinDlowerDcostsD
andDfewerDrehospitalizationsDinDhigh-riskDolderDpatients?
a. CoordinationDofDposthospitalDcareDbyDadvancedDpracticeDhealthDcareDproviders
b. FrequentDposthospitalDclinicDvisitsDwithDaDprimaryDcareDprovider
c. InclusionDofDextendedDfamilyDmembersDinDtheDoutpatientDplanDofDcare
d. TelephoneDfollow-upDbyDtheDpharmacistDtoDassessDmedicationDcomplianceD-
DDCORRECTDANSWERS-ANS:DA
28. ResearchDstudiesDprovidedDevidenceDthatDhigh-
riskDolderDpatientsDwhoDhadDposthospitalDcareDcoordinatedDbyDanDAPNDhadDreducedDreh
ospitalizationDrates.DItDdidDnotDincludeDclinicDvisitsDwithDaDprimaryDcareDprovider,Dinclusio
nDofDextendedDfamilyDmembersDinDtheDplanDofDcare,DorDtelephoneDfollow-
upDbyDaDpharmacist
