WILKES UNIVERSITY FNP NSG554
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ 2. What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients. 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.
◉ 3. 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.".
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.
◉ 4. Which assessment question would a health care provider ask when
engaging in the previsit stage of the new model for primary care? (Select
all that apply.)
a. "Are you ready to discuss some of the community resources that are
available?"
b. "Are you experiencing any side effects from your newly prescribed
medications?"
c. "Do you anticipate any problems with adhering to your treatment
plan?"
d. "Are you ready to discuss the results of your laboratory tests?"
,e. "Do you have any questions about the lab tests that have been ordered
for you?". ANS: B, C, E
The nursing responsibilities in the previsit stage include assessing the
patient's tolerance of prescribed medications, understanding of existing
treatment plan, and education about required lab testing. The primary
care provider is responsible for screening lab data and discussing
community resources during the actual visit.
◉ 5. To reduce adverse events associated with care transitions, the
Centers for Medicare and Medicaid Service have implemented which
policy?
a. Mandates for communication among primary caregivers and
hospitalists
b. Penalties for failure to perform medication reconciliations at time of
discharge
c. Reduction of payments for patients readmitted within 30 days after
discharge
d. Requirements for written discharge instructions for patients and
caregivers. ANS: C
As a component of the Affordable Care Act, the Centers for Medicare
and Medicaid Service developed the Readmissions Reduction Program
reducing payments for certain patients
, readmitted within 30 days of discharge. The CMS did not mandate
communication, institute penalties for failure to perform medication
reconciliations, or require written discharge instructions.
◉ 6. According to multiple research studies, which intervention has
resulted in lower costs and fewer rehospitalizations in high-risk older
patients?
a. Coordination of posthospital care by advanced practice health care
providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication
compliance. ANS: A
Research studies provided evidence that high-risk older patients who had
posthospital care coordinated by an APN had reduced rehospitalization
rates. It did not include clinic visits with a primary care provider,
inclusion of extended family members in the plan of care, or telephone
follow-up by a pharmacist.
◉ 7. A primary care provider administers the "Newest Vital Sign" health
literacy test to a patient newly diagnosed with a chronic disease. What
information is gained by administering this test?
COMPREHENSIVE EXAM 2026 QUESTIONS
WITH ANSWERS GRADED A+
◉ 2. What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients. 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.
◉ 3. 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.".
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.
◉ 4. Which assessment question would a health care provider ask when
engaging in the previsit stage of the new model for primary care? (Select
all that apply.)
a. "Are you ready to discuss some of the community resources that are
available?"
b. "Are you experiencing any side effects from your newly prescribed
medications?"
c. "Do you anticipate any problems with adhering to your treatment
plan?"
d. "Are you ready to discuss the results of your laboratory tests?"
,e. "Do you have any questions about the lab tests that have been ordered
for you?". ANS: B, C, E
The nursing responsibilities in the previsit stage include assessing the
patient's tolerance of prescribed medications, understanding of existing
treatment plan, and education about required lab testing. The primary
care provider is responsible for screening lab data and discussing
community resources during the actual visit.
◉ 5. To reduce adverse events associated with care transitions, the
Centers for Medicare and Medicaid Service have implemented which
policy?
a. Mandates for communication among primary caregivers and
hospitalists
b. Penalties for failure to perform medication reconciliations at time of
discharge
c. Reduction of payments for patients readmitted within 30 days after
discharge
d. Requirements for written discharge instructions for patients and
caregivers. ANS: C
As a component of the Affordable Care Act, the Centers for Medicare
and Medicaid Service developed the Readmissions Reduction Program
reducing payments for certain patients
, readmitted within 30 days of discharge. The CMS did not mandate
communication, institute penalties for failure to perform medication
reconciliations, or require written discharge instructions.
◉ 6. According to multiple research studies, which intervention has
resulted in lower costs and fewer rehospitalizations in high-risk older
patients?
a. Coordination of posthospital care by advanced practice health care
providers
b. Frequent posthospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow-up by the pharmacist to assess medication
compliance. ANS: A
Research studies provided evidence that high-risk older patients who had
posthospital care coordinated by an APN had reduced rehospitalization
rates. It did not include clinic visits with a primary care provider,
inclusion of extended family members in the plan of care, or telephone
follow-up by a pharmacist.
◉ 7. A primary care provider administers the "Newest Vital Sign" health
literacy test to a patient newly diagnosed with a chronic disease. What
information is gained by administering this test?
