NRNP 6531 Final Exam Questions and Answers
(Verified Answers) Updated (Actual Exam)
2025\2026 LATEST VERSION!!
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Terms in this set (311)
A small, rural hospital is part of an ANS: A
Accountable Care Organization A Level 1 ACO has the least amount of financial risk
(ACO) and is designated as a Level 1 and requirements, but receives shared savings
ACO. What is part of this bonuses based on achievement of benchmarks for
designation? p. 2 quality measures and expenditures. Care
a. Bonuses based on achievement of coordination and minimum cash reserves standards
benchmarks are part of Level 2 ACO requirements. Level 3
b. Care coordination for chronic ACOs have strict requirements for financial
diseases reporting.
c. Standards for minimum cash
reserves
d. Strict requirements for financial
reporting
What was an important finding of the ANS: C
Advisory Board survey of 2014 about As part of the 2014 survey, the Advisory Board
primary care preferences of learned that patients desired 24/7 access to care,
patients? p. 2 walk-in settings and the ability to be seen within 30
a. Associations with area hospitals minutes, and care that is close to home.
b. Costs of ambulatory care Associations with hospitals, costs of care, and the
c. Ease of access to care ratio of providers to patients were not part of these
d. The ratio of providers to patients results.
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Which assessments of care providers ANS: A, B, D
are performed as part of the value- Value-based purchasing looks at five domain areas
based purchasing (VBP) initiative? of processes of care, including efficiency of care
(Select all that apply.) p. 1 (cost per case), experience of care (patient
a. Appraising costs per case of care satisfaction measures), and outcomes of care
for Medicare patients (mortality rates for certain conditions). Evaluation
b. Assessing patients' satisfaction of evidence to guide clinical care is part of
with hospital care evidence-based practice. The requirements for IT
c. Evaluating available evidence to standards and financial status are
guide clinical care guidelines part of Accountable Care Organization standards
d. Monitoring mortality rates of all
patients with pneumonia
e. Requiring advanced IT standards
and minimum cash reserves
What is the purpose of Level II ANS: C
research? p. 6 Level II research is concerned with describing the
a. To define characteristics of interest relationships among characteristics or variables.
of groups of patients Level I research is conducted to define the
b. To demonstrate the effectiveness characteristics of groups of patients. Level II
of an intervention or treatment research evaluates the nature of the relationships
c. To describe relationships among between variables. Level IV
characteristics or variables research is conducted to demonstrate the
d. To evaluate the nature of effectiveness of interventions or treatments.
relationships between two variables
Which is the most appropriate ANS: B
research design for a Level III The experimental design is the most appropriate
research study? p. 6 design for a Level III study. Epidemiological studies
a. Epidemiological studies are appropriate for Level II studies. Qualitative
b. Experimental design designs are useful for Level I studies. Randomized
c. Qualitative studies clinical trials are used for Level IV studies.
d. Randomized clinical trials
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What is the purpose of clinical ANS: C
research trials in the spectrum of Clinical research trials are concerned with
translational research? p. 6 determining the safety and effectiveness of
a. Adoption of interventions and interventions. Adoption of interventions and
clinical practices into routine clinical practices is part of clinical implementation.
care Determination of the basis of disease and
b. Determination of the basis of treatment options is part of the preclinical research
disease and various treatment phase. Exploration of the fundamental mechanisms
options of biology, disease, or behavior is part
c. Examination of safety and of the basic research stage.
effectiveness of various interventions
d. Exploration of fundamental
mechanisms of biology, disease, or
behavior
Which statement made by a health ANS: D
care provider demonstrates the most The goal of the performance report is to provide
appropriate understanding for the guidance to staff in the areas of professional
goal of a performance report? development, mentoring, and leadership
a. "This process allows me to critique development. A peer review is written by others
the performance of the rest of the who perform similar skills (peers). The remaining
staff." options may be true but do not provide evidence
b. "Most organizations require staff of understanding of the goal of this professional
to undergo a performance requirement.
evaluation yearly."
c. "It is hard to be personally
criticized but that's how we learn to
change."
d. "The comments should help me
improve my management skills."
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Which assessment question would a ANS: B, C, E
health care provider ask when The nursing responsibilities in the previsit stage
engaging in the previsit stage of the include assessing the patient's tolerance of
new model for primary care? (Select prescribed medications, understanding of existing
all that apply.) treatment plan, and education about required lab
a. "Are you ready to discuss some of testing. The primary care provider is responsible for
the community resources that are screening lab data and
available?" discussing community resources during the actual
b. "Are you experiencing any side visit.
effects from your newly prescribed
medications?"
c. "Do you anticipate any problems
with adhering to your treatment
plan?"
d. "Are you ready to discuss the
results of your laboratory tests?"
e. "Do you have any questions about
the lab tests that have been ordered
for you?"
What is the Quadruple Aim? p. 15 1) Improved patient satisfaction
2) Reduce per capita costs
3) Improve population health
4) Improve patient care team experience
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