,NRNP 6531 Primary Care of Adults
Across the Lifespan Exam Prep —
Comprehensive Review + Practice
MCQs — Walden University 2025/2026
1. The LACE model for APRN regulation includes four core components. Which of the following is NOT one of
those components?
A. Licensure
B. Accreditation
C. Evaluation
D. Education
Correct Answer: C. Evaluation
Rationale: The LACE acronym stands for Licensure, Accreditation, Certification, and Education. While
evaluation and quality assessment are implied in practice, "Evaluation" is not one of the four core pillars of the
APRN Consensus Model .
2. A nurse practitioner is preparing to bill "incident to" a physician to receive 100% Medicare reimbursement.
Which condition must be met?
A. The NP must initiate the plan of care for the patient
B. The physician must be physically present in the office suite during the visit
C. The patient must be a new Medicare beneficiary
,D. The service must be provided in a hospital setting
Correct Answer: B. The physician must be physically present in the office suite during the visit
Rationale: To bill "incident to" the physician for 100% Medicare reimbursement, the physician must be
physically present in the office suite during the visit. The physician does not need to be in the same room but
must be available for immediate consultation. The service must also be part of a physician-established plan of
care .
3. Which statement about Accountable Care Organizations (ACOs) is MOST accurate?
A. ACOs are insurer-owned HMOs that restrict member choice of primary care providers
B. ACOs are voluntary groups of providers who coordinate care for Medicare patients and share in cost savings
C. ACOs bill Medicare exclusively on a fee-for-service basis with no shared-savings component
D. ACOs eliminate the need for primary care providers in the Medicare system
Correct Answer: B. ACOs are voluntary groups of providers who coordinate care for Medicare patients and
share in cost savings
Rationale: ACOs are groups of physicians, hospitals, and other healthcare providers who voluntarily form
organizations to coordinate care for Medicare patients, with the goal of delivering high-quality care while
reducing unnecessary costs and sharing any realized savings .
4. The Triple Aim framework in healthcare includes all of the following EXCEPT:
A. Lowering healthcare costs
B. Improving patient experience
, C. Increasing hospital revenue
D. Managing the health of populations
Correct Answer: C. Increasing hospital revenue
Rationale: The Triple Aim framework focuses on lowering costs, improving patient experience, and managing
the health of populations. Increasing hospital revenue is not a component of this framework .
5. The Centers for Medicare & Medicaid Services (CMS) implemented which policy specifically to reduce
adverse events associated with care transitions?
A. Mandatory electronic health records
B. Reduction of payments for hospitals with high 30-day readmission rates
C. Required use of Nurse Practitioners for all discharges
D. Penalties for lack of patient satisfaction surveys
Correct Answer: B. Reduction of payments for hospitals with high 30-day readmission rates
Rationale: The Hospital Readmissions Reduction Program (HRRP) reduces payments to hospitals with excess
readmissions within 30 days for conditions like heart failure, MI, and pneumonia, aiming to improve care
coordination during transitions .
6. The Patient Protection and Affordable Care Act (ACA) authorized the establishment of which entity to test
innovative payment and service delivery models?
A. The Joint Commission
B. The Centers for Medicare and Medicaid Innovation (CMMI)
Across the Lifespan Exam Prep —
Comprehensive Review + Practice
MCQs — Walden University 2025/2026
1. The LACE model for APRN regulation includes four core components. Which of the following is NOT one of
those components?
A. Licensure
B. Accreditation
C. Evaluation
D. Education
Correct Answer: C. Evaluation
Rationale: The LACE acronym stands for Licensure, Accreditation, Certification, and Education. While
evaluation and quality assessment are implied in practice, "Evaluation" is not one of the four core pillars of the
APRN Consensus Model .
2. A nurse practitioner is preparing to bill "incident to" a physician to receive 100% Medicare reimbursement.
Which condition must be met?
A. The NP must initiate the plan of care for the patient
B. The physician must be physically present in the office suite during the visit
C. The patient must be a new Medicare beneficiary
,D. The service must be provided in a hospital setting
Correct Answer: B. The physician must be physically present in the office suite during the visit
Rationale: To bill "incident to" the physician for 100% Medicare reimbursement, the physician must be
physically present in the office suite during the visit. The physician does not need to be in the same room but
must be available for immediate consultation. The service must also be part of a physician-established plan of
care .
3. Which statement about Accountable Care Organizations (ACOs) is MOST accurate?
A. ACOs are insurer-owned HMOs that restrict member choice of primary care providers
B. ACOs are voluntary groups of providers who coordinate care for Medicare patients and share in cost savings
C. ACOs bill Medicare exclusively on a fee-for-service basis with no shared-savings component
D. ACOs eliminate the need for primary care providers in the Medicare system
Correct Answer: B. ACOs are voluntary groups of providers who coordinate care for Medicare patients and
share in cost savings
Rationale: ACOs are groups of physicians, hospitals, and other healthcare providers who voluntarily form
organizations to coordinate care for Medicare patients, with the goal of delivering high-quality care while
reducing unnecessary costs and sharing any realized savings .
4. The Triple Aim framework in healthcare includes all of the following EXCEPT:
A. Lowering healthcare costs
B. Improving patient experience
, C. Increasing hospital revenue
D. Managing the health of populations
Correct Answer: C. Increasing hospital revenue
Rationale: The Triple Aim framework focuses on lowering costs, improving patient experience, and managing
the health of populations. Increasing hospital revenue is not a component of this framework .
5. The Centers for Medicare & Medicaid Services (CMS) implemented which policy specifically to reduce
adverse events associated with care transitions?
A. Mandatory electronic health records
B. Reduction of payments for hospitals with high 30-day readmission rates
C. Required use of Nurse Practitioners for all discharges
D. Penalties for lack of patient satisfaction surveys
Correct Answer: B. Reduction of payments for hospitals with high 30-day readmission rates
Rationale: The Hospital Readmissions Reduction Program (HRRP) reduces payments to hospitals with excess
readmissions within 30 days for conditions like heart failure, MI, and pneumonia, aiming to improve care
coordination during transitions .
6. The Patient Protection and Affordable Care Act (ACA) authorized the establishment of which entity to test
innovative payment and service delivery models?
A. The Joint Commission
B. The Centers for Medicare and Medicaid Innovation (CMMI)
