AHIP 2026 FINAL EXAM PRACTICE TEST NEWEST
VERSION 2026-2027 ACTUAL QUESTION AND
CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES
BY EXPERT RATED A GRADE.( America's Health Insurance
Plans)
A nurse is assessing a client who is receiving continuous enteral nutrition via
a nasogastric (NG) tube. The client has developed clinical manifestations
consistent with hyperosmolar dehydration. Which of the following actions
should the nurse take in response to these assessment findings?
a. Empty the client's ostomy pouch when it is half full.
b. Switch the client's enteral formula to a lactose-free preparation.
c. Increase the rate of the continuous enteral feeding infusion.
d. Administer a hypotonic intravenous fluid replacement as prescribed.
CORRECT ANS: B
EXPERT RATIONALE
Hyperosmolar dehydration in a client receiving enteral feeding often results
from the high osmotic load of the formula, which can draw fluid into the
gastrointestinal tract, leading to osmotic diarrhea and subsequent fluid and
electrolyte imbalances. Switching to a lactose-free formula can help reduce
osmotic diarrhea, particularly if the client has undiagnosed lactose
intolerance, which exacerbates fluid loss. Option A is irrelevant to the
management of hyperosmolar dehydration as it addresses ostomy care, not
the underlying cause of the fluid imbalance. Option C would worsen the
condition by increasing the osmotic load. Option D is not a nursing action but
,a provider-prescribed intervention; the nurse's immediate role is to address
the cause of the dehydration by modifying the formula.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
Mr. Rice is 68, actively working, and has coverage for medical services and
medications through his employer's group health plan. He is entitled to
premium-free Part A and is thinking of enrolling in Part B and switching to a
Medicare Advantage Prescription Drug (MA-PD) plan because he is paying a
very large part of his group coverage premium, and it does not provide
coverage for a number of his medications. Which of the following is NOT a
consideration when making the change?
A. Mr. Rice's retiree plan is required to take him back if, within 63 days of
having voluntarily quit the employer's plan, he decides that he prefers it to his
Medicare Part D plan.
B. Mr. Rice must consider whether his employer plan offers creditable drug
coverage.
C. Mr. Rice may be subject to a late enrollment penalty if he does not enroll in
Part D when first eligible.
D. Mr. Rice should compare the costs and benefits of his employer plan with
the MA-PD plan.
CORRECT ANS: A
EXPERT RATIONALE
Employer-sponsored retiree plans are not required to take a beneficiary back
if they voluntarily disenroll. Once Mr. Rice leaves his employer plan, he may
not be able to re-enroll. Option B is a consideration because creditable
coverage affects the late enrollment penalty. Option C is a consideration
because failing to enroll in Part D when first eligible may result in a penalty.
,Option D is a consideration because Mr. Rice should compare the plans to
determine which better meets his needs.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Medicare Enrollment
MSC: CMS Guidelines: Medicare Advantage and Part D
Mrs. Roswell is a new Medicare beneficiary who has just retired from retail
work. She is interested in selecting a Medicare Part D prescription drug plan.
She takes several medications and is concerned that she has not been able to
identify a plan that covers all of her medications. She does not want to make
an abrupt change to new drugs that would be covered and asks what she
should do. What should you tell her?
A. Every Part D drug plan is required to cover a single one-month fill of her
existing medications sometime during a 90-day transition period.
B. She must switch to medications that are on the plan's formulary.
C. She can request a formulary exception for her current medications.
D. She can enroll in a plan that covers all of her medications.
CORRECT ANS: A
EXPERT RATIONALE
Part D plans are required to provide a one-time, 90-day transition fill for
medications not on their formulary to allow beneficiaries time to transition to
covered medications or request exceptions. Option B is incorrect because she
is not required to switch immediately. Option C is a possibility but the
transition period is the immediate solution. Option D is not guaranteed.
DIF: Cognitive Level: Apply (Application)
TOP: Medicare Part D
MSC: CMS Guidelines: Part D Transition Policy
, Mr. Bickford did not quite qualify for the Extra Help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug costs.
What should you tell him?
A. He could check with the manufacturers of his medications to see if they
offer an assistance program to help people with limited means to obtain the
medications they need. Alternatively, he could check to see whether his state
has a pharmacy assistance program to help him with his expenses.
B. He has no other options.
C. He can apply for Medicaid.
D. He can enroll in a Medicare Advantage plan.
CORRECT ANS: A
EXPERT RATIONALE
Manufacturer patient assistance programs and state pharmacy assistance
programs (SPAPs) can provide additional help with drug costs for individuals
who do not qualify for Extra Help. Option B is incorrect because other options
exist. Option C is incorrect because Medicaid eligibility is based on income and
assets, not just drug costs. Option D is incorrect because Medicare Advantage
does not necessarily reduce drug costs.
DIF: Cognitive Level: Apply (Application)
TOP: Medicare Part D
MSC: CMS Guidelines: Low-Income Assistance
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want
to sign up for an MA product, but he also wants prescription drug coverage.
What should you tell him?
VERSION 2026-2027 ACTUAL QUESTION AND
CORRECT
DETAILED VERIFIED ANSWERS FROM VERIFIED
SOURCES
BY EXPERT RATED A GRADE.( America's Health Insurance
Plans)
A nurse is assessing a client who is receiving continuous enteral nutrition via
a nasogastric (NG) tube. The client has developed clinical manifestations
consistent with hyperosmolar dehydration. Which of the following actions
should the nurse take in response to these assessment findings?
a. Empty the client's ostomy pouch when it is half full.
b. Switch the client's enteral formula to a lactose-free preparation.
c. Increase the rate of the continuous enteral feeding infusion.
d. Administer a hypotonic intravenous fluid replacement as prescribed.
CORRECT ANS: B
EXPERT RATIONALE
Hyperosmolar dehydration in a client receiving enteral feeding often results
from the high osmotic load of the formula, which can draw fluid into the
gastrointestinal tract, leading to osmotic diarrhea and subsequent fluid and
electrolyte imbalances. Switching to a lactose-free formula can help reduce
osmotic diarrhea, particularly if the client has undiagnosed lactose
intolerance, which exacerbates fluid loss. Option A is irrelevant to the
management of hyperosmolar dehydration as it addresses ostomy care, not
the underlying cause of the fluid imbalance. Option C would worsen the
condition by increasing the osmotic load. Option D is not a nursing action but
,a provider-prescribed intervention; the nurse's immediate role is to address
the cause of the dehydration by modifying the formula.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
Mr. Rice is 68, actively working, and has coverage for medical services and
medications through his employer's group health plan. He is entitled to
premium-free Part A and is thinking of enrolling in Part B and switching to a
Medicare Advantage Prescription Drug (MA-PD) plan because he is paying a
very large part of his group coverage premium, and it does not provide
coverage for a number of his medications. Which of the following is NOT a
consideration when making the change?
A. Mr. Rice's retiree plan is required to take him back if, within 63 days of
having voluntarily quit the employer's plan, he decides that he prefers it to his
Medicare Part D plan.
B. Mr. Rice must consider whether his employer plan offers creditable drug
coverage.
C. Mr. Rice may be subject to a late enrollment penalty if he does not enroll in
Part D when first eligible.
D. Mr. Rice should compare the costs and benefits of his employer plan with
the MA-PD plan.
CORRECT ANS: A
EXPERT RATIONALE
Employer-sponsored retiree plans are not required to take a beneficiary back
if they voluntarily disenroll. Once Mr. Rice leaves his employer plan, he may
not be able to re-enroll. Option B is a consideration because creditable
coverage affects the late enrollment penalty. Option C is a consideration
because failing to enroll in Part D when first eligible may result in a penalty.
,Option D is a consideration because Mr. Rice should compare the plans to
determine which better meets his needs.
DIF: Cognitive Level: Analyze (Analysis)
TOP: Medicare Enrollment
MSC: CMS Guidelines: Medicare Advantage and Part D
Mrs. Roswell is a new Medicare beneficiary who has just retired from retail
work. She is interested in selecting a Medicare Part D prescription drug plan.
She takes several medications and is concerned that she has not been able to
identify a plan that covers all of her medications. She does not want to make
an abrupt change to new drugs that would be covered and asks what she
should do. What should you tell her?
A. Every Part D drug plan is required to cover a single one-month fill of her
existing medications sometime during a 90-day transition period.
B. She must switch to medications that are on the plan's formulary.
C. She can request a formulary exception for her current medications.
D. She can enroll in a plan that covers all of her medications.
CORRECT ANS: A
EXPERT RATIONALE
Part D plans are required to provide a one-time, 90-day transition fill for
medications not on their formulary to allow beneficiaries time to transition to
covered medications or request exceptions. Option B is incorrect because she
is not required to switch immediately. Option C is a possibility but the
transition period is the immediate solution. Option D is not guaranteed.
DIF: Cognitive Level: Apply (Application)
TOP: Medicare Part D
MSC: CMS Guidelines: Part D Transition Policy
, Mr. Bickford did not quite qualify for the Extra Help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug costs.
What should you tell him?
A. He could check with the manufacturers of his medications to see if they
offer an assistance program to help people with limited means to obtain the
medications they need. Alternatively, he could check to see whether his state
has a pharmacy assistance program to help him with his expenses.
B. He has no other options.
C. He can apply for Medicaid.
D. He can enroll in a Medicare Advantage plan.
CORRECT ANS: A
EXPERT RATIONALE
Manufacturer patient assistance programs and state pharmacy assistance
programs (SPAPs) can provide additional help with drug costs for individuals
who do not qualify for Extra Help. Option B is incorrect because other options
exist. Option C is incorrect because Medicaid eligibility is based on income and
assets, not just drug costs. Option D is incorrect because Medicare Advantage
does not necessarily reduce drug costs.
DIF: Cognitive Level: Apply (Application)
TOP: Medicare Part D
MSC: CMS Guidelines: Low-Income Assistance
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want
to sign up for an MA product, but he also wants prescription drug coverage.
What should you tell him?
