NRNP 6531 MIDTERM PRACTICE ASSESSMENT
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
700 ITEMS
◉ What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients.
Answer: ANS: C
As part of the 2014 survey, the Advisory Board learned that patients
desired 24/7 access to care, walk-in settings and the ability to be
seen within 30 minutes, and care that is close to home. Associations
with hospitals, costs of care, and the ratio of providers to patients
were not part of these results.
◉ Which assessments of care providers are performed as part of the
value-based purchasing (VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
,d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves.
Answer: ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiency of care (cost per case), experience of care
(patient satisfaction measures), and outcomes of care (mortality
rates for certain conditions). Evaluation of evidence to guide clinical
care is part of evidence-based practice. The requirements for IT
standards and financial status are
part of Accountable Care Organization standards
◉ What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables.
Answer: ANS: C
Level II research is concerned with describing the relationships
among characteristics or variables. Level I research is conducted to
define the characteristics of groups of patients. Level II research
evaluates the nature of the relationships between variables. Level IV
research is conducted to demonstrate the effectiveness of
interventions or treatments.
,◉ Which is the most appropriate research design for a Level III
research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials.
Answer: ANS: B
The experimental design is the most appropriate design for a Level
III study. Epidemiological studies are appropriate for Level II studies.
Qualitative designs are useful for Level I studies. Randomized
clinical trials are used for Level IV studies.
◉ What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
a. Adoption of interventions and clinical practices into routine
clinical care
b. Determination of the basis of disease and various treatment
options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or
behavior.
Answer: ANS: C
Clinical research trials are concerned with determining the safety
and effectiveness of interventions. Adoption of interventions and
, practices is part of clinical implementation. Determination of the
basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of
biology, disease, or behavior is part
of the basic research stage.
◉ Which statement made by a health care provider demonstrates
the most appropriate understanding for the goal of a performance
report?
a. "This process allows me to critique the performance of the rest of
the staff."
b. "Most organizations require staff to undergo a performance
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.".
Answer: ANS: D
The goal of the performance report is to provide guidance to staff in
the areas of professional development, mentoring, and leadership
development. A peer review is written by others who perform
similar skills (peers). The remaining options may be true but do not
provide evidence of understanding of the goal of this professional
requirement.
2026 FULL QUESTIONS AND ANSWERS
GRADED A PLUS COMPLETE REVISION GUIDE
700 ITEMS
◉ What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients.
Answer: ANS: C
As part of the 2014 survey, the Advisory Board learned that patients
desired 24/7 access to care, walk-in settings and the ability to be
seen within 30 minutes, and care that is close to home. Associations
with hospitals, costs of care, and the ratio of providers to patients
were not part of these results.
◉ Which assessments of care providers are performed as part of the
value-based purchasing (VBP) initiative? (Select all that apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
,d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves.
Answer: ANS: A, B, D
Value-based purchasing looks at five domain areas of processes of
care, including efficiency of care (cost per case), experience of care
(patient satisfaction measures), and outcomes of care (mortality
rates for certain conditions). Evaluation of evidence to guide clinical
care is part of evidence-based practice. The requirements for IT
standards and financial status are
part of Accountable Care Organization standards
◉ What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables.
Answer: ANS: C
Level II research is concerned with describing the relationships
among characteristics or variables. Level I research is conducted to
define the characteristics of groups of patients. Level II research
evaluates the nature of the relationships between variables. Level IV
research is conducted to demonstrate the effectiveness of
interventions or treatments.
,◉ Which is the most appropriate research design for a Level III
research study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials.
Answer: ANS: B
The experimental design is the most appropriate design for a Level
III study. Epidemiological studies are appropriate for Level II studies.
Qualitative designs are useful for Level I studies. Randomized
clinical trials are used for Level IV studies.
◉ What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
a. Adoption of interventions and clinical practices into routine
clinical care
b. Determination of the basis of disease and various treatment
options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or
behavior.
Answer: ANS: C
Clinical research trials are concerned with determining the safety
and effectiveness of interventions. Adoption of interventions and
, practices is part of clinical implementation. Determination of the
basis of disease and treatment options is part of the preclinical
research phase. Exploration of the fundamental mechanisms of
biology, disease, or behavior is part
of the basic research stage.
◉ Which statement made by a health care provider demonstrates
the most appropriate understanding for the goal of a performance
report?
a. "This process allows me to critique the performance of the rest of
the staff."
b. "Most organizations require staff to undergo a performance
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.".
Answer: ANS: D
The goal of the performance report is to provide guidance to staff in
the areas of professional development, mentoring, and leadership
development. A peer review is written by others who perform
similar skills (peers). The remaining options may be true but do not
provide evidence of understanding of the goal of this professional
requirement.
