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NUR 4590 RASMUSSEN UNIVERSITY - EXAM 4 LATEST
2026/2027 | MULTIPLE-CHOICE | 40 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: HEALTHCARE SYSTEMS & HEALTH POLICY - Questions 1-9
Q1: Healthcare Delivery Systems - Levels of Care
A patient is admitted to an acute care hospital for treatment of pneumonia. This represents which
level of healthcare?
A. Primary care
B. Secondary care
C. Tertiary care
D. Quaternary care
Correct Answer: B
Rationale: Secondary care includes acute care services provided in hospitals for conditions that
require short-term treatment (pneumonia, surgery). Primary care is preventive and routine (clinics).
Tertiary care is specialized (trauma centers, burn units). Quaternary care is highly specialized and
experimental. [100% CORRECT]
Q2: Medicaid - Eligibility
Medicaid is a joint federal and state program that provides health coverage for:
A. Individuals age 65 and older
B. Low-income individuals and families
C. Veterans
D. All citizens regardless of income
Correct Answer: B
Rationale: Medicaid provides health coverage for low-income individuals, families, children,
pregnant women, elderly, and disabled individuals who meet income requirements. Medicare is for
age 65+ and certain disabled individuals. VA is for veterans. [100% CORRECT]
Q3: Health Insurance Models - HMO vs PPO
A patient asks about the difference between an HMO and a PPO. Which statement is correct?
A. HMO plans allow patients to see any provider without referrals
B. PPO plans typically have lower premiums but require referrals
C. HMO plans require a primary care provider referral for specialists
D. PPO plans do not cover out-of-network providers
Correct Answer: C
Rationale: HMOs require patients to choose a primary care provider who provides referrals for
specialists and typically have lower premiums but less flexibility. PPOs offer more flexibility (no
referrals, out-of-network coverage) but higher premiums. [100% CORRECT]
, 2
Q4: Healthcare Reform - Accountable Care Organizations
Accountable Care Organizations (ACOs) are designed to:
A. Increase hospital admissions
B. Coordinate care and improve quality while reducing costs
C. Decrease access to primary care
D. Eliminate Medicare
Correct Answer: B
Rationale: ACOs are groups of healthcare providers who coordinate care for Medicare patients to
improve quality and reduce costs through shared savings. They are not designed to increase
admissions, decrease access, or eliminate Medicare. [100% CORRECT]
Q5: Health Insurance Portability - COBRA
COBRA (Consolidated Omnibus Budget Reconciliation Act) allows:
A. Individuals to purchase insurance at any time
B. Individuals to continue employer-sponsored health insurance after job loss
C. States to create their own insurance plans
D. Individuals to waive insurance coverage
Correct Answer: B
Rationale: COBRA allows individuals to continue their employer-sponsored health insurance for a
limited time after job loss or other qualifying events, though they must pay the full premium. It does
not allow purchase at any time or state creation of plans. [100% CORRECT]
Q6: Quality Measures - HCAHPS
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) measures:
A. Clinical outcomes only
B. Patient satisfaction and patient experience
C. Hospital readmission rates
D. Financial performance
Correct Answer: B
Rationale: HCAHPS is a standardized survey that measures patients' perceptions of their hospital
experience, including communication, pain management, and discharge information. It is not a
clinical outcomes measure, though patient satisfaction is linked to quality. [100% CORRECT]
Q7: Population Health - Health Determinants
A nurse identifies that lack of transportation and limited access to healthy food are affecting a
community's health. These are examples of:
A. Genetic factors
B. Social determinants of health
C. Environmental toxins
D. Individual behaviors
NUR 4590 RASMUSSEN UNIVERSITY - EXAM 4 LATEST
2026/2027 | MULTIPLE-CHOICE | 40 VERIFIED Q&A |
DETAILED RATIONALES | PASS GUARANTEED – A+ GRADED
SECTION 1: HEALTHCARE SYSTEMS & HEALTH POLICY - Questions 1-9
Q1: Healthcare Delivery Systems - Levels of Care
A patient is admitted to an acute care hospital for treatment of pneumonia. This represents which
level of healthcare?
A. Primary care
B. Secondary care
C. Tertiary care
D. Quaternary care
Correct Answer: B
Rationale: Secondary care includes acute care services provided in hospitals for conditions that
require short-term treatment (pneumonia, surgery). Primary care is preventive and routine (clinics).
Tertiary care is specialized (trauma centers, burn units). Quaternary care is highly specialized and
experimental. [100% CORRECT]
Q2: Medicaid - Eligibility
Medicaid is a joint federal and state program that provides health coverage for:
A. Individuals age 65 and older
B. Low-income individuals and families
C. Veterans
D. All citizens regardless of income
Correct Answer: B
Rationale: Medicaid provides health coverage for low-income individuals, families, children,
pregnant women, elderly, and disabled individuals who meet income requirements. Medicare is for
age 65+ and certain disabled individuals. VA is for veterans. [100% CORRECT]
Q3: Health Insurance Models - HMO vs PPO
A patient asks about the difference between an HMO and a PPO. Which statement is correct?
A. HMO plans allow patients to see any provider without referrals
B. PPO plans typically have lower premiums but require referrals
C. HMO plans require a primary care provider referral for specialists
D. PPO plans do not cover out-of-network providers
Correct Answer: C
Rationale: HMOs require patients to choose a primary care provider who provides referrals for
specialists and typically have lower premiums but less flexibility. PPOs offer more flexibility (no
referrals, out-of-network coverage) but higher premiums. [100% CORRECT]
, 2
Q4: Healthcare Reform - Accountable Care Organizations
Accountable Care Organizations (ACOs) are designed to:
A. Increase hospital admissions
B. Coordinate care and improve quality while reducing costs
C. Decrease access to primary care
D. Eliminate Medicare
Correct Answer: B
Rationale: ACOs are groups of healthcare providers who coordinate care for Medicare patients to
improve quality and reduce costs through shared savings. They are not designed to increase
admissions, decrease access, or eliminate Medicare. [100% CORRECT]
Q5: Health Insurance Portability - COBRA
COBRA (Consolidated Omnibus Budget Reconciliation Act) allows:
A. Individuals to purchase insurance at any time
B. Individuals to continue employer-sponsored health insurance after job loss
C. States to create their own insurance plans
D. Individuals to waive insurance coverage
Correct Answer: B
Rationale: COBRA allows individuals to continue their employer-sponsored health insurance for a
limited time after job loss or other qualifying events, though they must pay the full premium. It does
not allow purchase at any time or state creation of plans. [100% CORRECT]
Q6: Quality Measures - HCAHPS
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) measures:
A. Clinical outcomes only
B. Patient satisfaction and patient experience
C. Hospital readmission rates
D. Financial performance
Correct Answer: B
Rationale: HCAHPS is a standardized survey that measures patients' perceptions of their hospital
experience, including communication, pain management, and discharge information. It is not a
clinical outcomes measure, though patient satisfaction is linked to quality. [100% CORRECT]
Q7: Population Health - Health Determinants
A nurse identifies that lack of transportation and limited access to healthy food are affecting a
community's health. These are examples of:
A. Genetic factors
B. Social determinants of health
C. Environmental toxins
D. Individual behaviors
