NUl 180/l NU180l Examl 3–l (NEWl 2026/l
2027l Update)l Nursingl andl Healthcarel IIl
Prepl |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Anl alternativel tol thel fee-for-servicel methodl ofl paymentl is:
Answer:
Capitation
QUESTION
Medicarel Partl Bl helpsl payl for:
Answer:
diagnosticl tests
QUESTION
Thel prospectivel paymentl systeml is:
Answer:
Federall governmentl announcesl tol al hospitall inl advancel whatl itl willl payl forl healthl carel
costs
QUESTION
Medicaidl is:
Answer:
anl entitlementl programl jointlyl fundedl byl statel andl federall governments.
,QUESTION
Whichl actl createdl reformedl thel healthl carel system?
Answer:
Affordablel Carel Act
QUESTION
Groupl healthl insurancel worksl by:
Answer:
poolingl individuall contributionsl tol protectl theml froml financiall disasterl duel tol healthl
carel bills
QUESTION
Insurancel companiesl chargel deductibles,l co-payments,l andl co-insurancel to:
Answer:
increasel theirl profitl margins
QUESTION
Capitation
Answer:
paymentl tol al providerl thatl coversl eachl planl member'sl healthl carel servicesl forl al certainl
periodl ofl time
QUESTION
fee-for-servicel plan
Answer:
,al health-carel planl thatl paysl forl coveredl medicall servicesl afterl treatmentl isl provided.l al
typel ofl healthl insurancel planl thatl allowsl thel patientl tol choosel medicall providersl
(unmanagedl care)
QUESTION
Al 70-year-oldl patientl tellsl thel nurse,l "Il can'tl gol tol thel hospitall forl treatmentl becausel Il
havel nol hospitall insurance.l Myl Sociall Securityl andl myl pensionl payl myl livingl
expenses,l butl Il don'tl havel anyl savings."l Thel nurse'sl responsel shouldl bel focusedl on
Answer:
providingl informationl aboutl Medicare.
QUESTION
Al motherl andl herl threel childrenl oftenl seekl medicall servicesl atl thel emergencyl room.l
Thel nursel realizesl thatl theyl havel nol insurancel andl arel unablel tol payl forl services.l
Whichl actionl shouldl thel nursel takel tol providel thel greatestl assistancel tol thel family?
Answer:
contactl al sociall workerl tol discussl Medicaidl withl thel mother.
QUESTION
Whichl LPN/LVNl willl bel mostl successfull inl dealingl withl change?
Answer:
Nursel U,l whol seesl changel asl anl opportunityl tol improvel conditions
QUESTION
Whichl phrasel couldl bel usedl byl al nursel tol characterizel thel presentl healthl carel deliveryl
systeml inl thel Unitedl States?
Answer:
Isl expensivel
Respondsl tol illnessl
Isl confusing
, QUESTION
Whichl measuresl shouldl thel chargel nursel mentionl whenl explainingl cost-containmentl
measures?
Answer:
Usel timel managementl principlesl tol workl efficiently.
Implementl measuresl tol preventl complications.
Usel suppliesl carefullyl tol avoidl waste.
Chargel patientsl forl alll suppliesl usedl inl theirl care.
Documentl patientl carel accordingl tol thel policyl forl reimbursement.
QUESTION
Whichl programl offersl anl incentivel tol hospitalsl tol dischargel patientsl asl quicklyl asl
possible?
Answer:
Prospectivel Paymentl System
QUESTION
T/F?l Oncel al deductiblel hasl beenl met,l thel percentagel ofl thel totall billl paidl byl thel
insuredl personl isl knownl asl thel coinsurance.
Answer:
True
QUESTION
Coinsurance
Answer:
thel percentagel ofl thel medicall expensesl thel policyholderl mustl payl afterl deductiblel hasl
beenl met
2027l Update)l Nursingl andl Healthcarel IIl
Prepl |l Questionsl &l Answersl |l Gradel A|l
100%l Correctl (Verifiedl Solutions)-l Galen
QUESTION
Anl alternativel tol thel fee-for-servicel methodl ofl paymentl is:
Answer:
Capitation
QUESTION
Medicarel Partl Bl helpsl payl for:
Answer:
diagnosticl tests
QUESTION
Thel prospectivel paymentl systeml is:
Answer:
Federall governmentl announcesl tol al hospitall inl advancel whatl itl willl payl forl healthl carel
costs
QUESTION
Medicaidl is:
Answer:
anl entitlementl programl jointlyl fundedl byl statel andl federall governments.
,QUESTION
Whichl actl createdl reformedl thel healthl carel system?
Answer:
Affordablel Carel Act
QUESTION
Groupl healthl insurancel worksl by:
Answer:
poolingl individuall contributionsl tol protectl theml froml financiall disasterl duel tol healthl
carel bills
QUESTION
Insurancel companiesl chargel deductibles,l co-payments,l andl co-insurancel to:
Answer:
increasel theirl profitl margins
QUESTION
Capitation
Answer:
paymentl tol al providerl thatl coversl eachl planl member'sl healthl carel servicesl forl al certainl
periodl ofl time
QUESTION
fee-for-servicel plan
Answer:
,al health-carel planl thatl paysl forl coveredl medicall servicesl afterl treatmentl isl provided.l al
typel ofl healthl insurancel planl thatl allowsl thel patientl tol choosel medicall providersl
(unmanagedl care)
QUESTION
Al 70-year-oldl patientl tellsl thel nurse,l "Il can'tl gol tol thel hospitall forl treatmentl becausel Il
havel nol hospitall insurance.l Myl Sociall Securityl andl myl pensionl payl myl livingl
expenses,l butl Il don'tl havel anyl savings."l Thel nurse'sl responsel shouldl bel focusedl on
Answer:
providingl informationl aboutl Medicare.
QUESTION
Al motherl andl herl threel childrenl oftenl seekl medicall servicesl atl thel emergencyl room.l
Thel nursel realizesl thatl theyl havel nol insurancel andl arel unablel tol payl forl services.l
Whichl actionl shouldl thel nursel takel tol providel thel greatestl assistancel tol thel family?
Answer:
contactl al sociall workerl tol discussl Medicaidl withl thel mother.
QUESTION
Whichl LPN/LVNl willl bel mostl successfull inl dealingl withl change?
Answer:
Nursel U,l whol seesl changel asl anl opportunityl tol improvel conditions
QUESTION
Whichl phrasel couldl bel usedl byl al nursel tol characterizel thel presentl healthl carel deliveryl
systeml inl thel Unitedl States?
Answer:
Isl expensivel
Respondsl tol illnessl
Isl confusing
, QUESTION
Whichl measuresl shouldl thel chargel nursel mentionl whenl explainingl cost-containmentl
measures?
Answer:
Usel timel managementl principlesl tol workl efficiently.
Implementl measuresl tol preventl complications.
Usel suppliesl carefullyl tol avoidl waste.
Chargel patientsl forl alll suppliesl usedl inl theirl care.
Documentl patientl carel accordingl tol thel policyl forl reimbursement.
QUESTION
Whichl programl offersl anl incentivel tol hospitalsl tol dischargel patientsl asl quicklyl asl
possible?
Answer:
Prospectivel Paymentl System
QUESTION
T/F?l Oncel al deductiblel hasl beenl met,l thel percentagel ofl thel totall billl paidl byl thel
insuredl personl isl knownl asl thel coinsurance.
Answer:
True
QUESTION
Coinsurance
Answer:
thel percentagel ofl thel medicall expensesl thel policyholderl mustl payl afterl deductiblel hasl
beenl met
