NURS 6531 Final Exam Prep Test Bank Week 11 2026
Winter QTR with 400 Questions and Correct Answers
(with Rationales) / NURS 6531 Final Exam 2026 Prep
Test Bank (LATEST!)
A patient asks about direct-to-consumer (DTC) genetic testing. What will the
provider tell the patient? p. 42
a. It is not useful for identifying genetic diseases.
b. Much of the information does not predict disease risk.
c. The results are shared with the patient's insurance company.
d. The results must be interpreted by a provider. - ANSWER-ANS: B
DTC testing gives a lot of information, but much of it does not contribute to
disease prediction, since mutations are not necessarily related to specific diseases.
The tests are useful but must be interpreted accurately. The results are confidential
and do not have to be interpreted by a provider.
What is an important part of patient care that can minimize the risk of a formal
patient complaint even when a mistake is made? p. 49
a. Ensuring informed consent for all procedures
b. Maintaining effective patient communication
c. Monitoring patient compliance and adherence
d. Providing complete documentation of visits - ANSWER-ANS: B
Effective patient communication is key to building trust and rapport and ineffective
communication is a predictor for malpractice claims. The other items are important
aspects of care and may help the provider during the investigation of a claim, but
do not minimize
the risk.
,What are some causes for failures or delays in diagnosing patients resulting in
malpractice claims? (Select all that apply.)
a. Failing to recognize a medication complication
b. Failing to request appropriate consultations
c. Improper performance of a treatment
d. Not acting on diagnostic test results
e. Ordering a wrong medication - ANSWER-ANS: B, D
Failing to obtain consultations when indicated or not acting on diagnostic test
results can lead to diagnosis-related failures. Failing to recognize medication
complications and ordering a wrong medication lead to medication prescribing
allegations. Improper performance of a treatment can lead to treatment-related
malpractice claims.
A primary care provider is performing a Tzanck test to evaluate possible herpes
simplex lesions. To attain accurate results, the provider will perform what
intervention? p. 232
a. Blanch the lesions while examining them with a magnifying glass.
b. Gently scrape the lesions with a scalpel onto a slide.
c. Perform a gram stain of exudate from the lesions.
d. Remove the top of the vesicles and obtain fluid from the lesions. - ANSWER-
ANS: D
The Tzanck test requires removing the tops from vesicular lesions in order to
obtain fresh fluid from the base of the lesions. Blanching of blue to red lesions
under a microscope helps to evaluate whether blood is in the capillaries of the
lesions. Scraping lesions onto a slide is done to evaluate the presence of hyphae
and spores common with candidiasis or fungal infections. Gram staining is
,performed to distinguish gram-positive from gram-negative organisms in suspected
bacterial infections.
When examining a patient's skin, a practitioner uses dermoscopy for what purpose?
p. 232 (Select all that apply.)
a. Accentuating changes in color of pathologic lesions by fluorescence
b. Assessing changes in pigmentation throughout various lesions
c. Determining whether lesion borders are regular or irregular
d. Differentiating fluid masses from cystic masses in the epidermis
e. Visualizing skin fissures, hair follicles, and pores in lesions - ANSWER-
ANS: B, C, E
Dermoscopy is used to visualize the epidermis and superficial dermis and can
reveal changes in pigmentation throughout lesions, whether borders are regular or
irregular, and the various fissures, follicles, and pores present in lesions. The
Wood's light, or black light, is used to fluoresce lesions to accentuate changes in
color. A direct light source is useful for differentiating fluid masses from cystic
masses.
A patient has actinic keratosis and the provider elects to use cryosurgery to remove
the lesions. How will the provider administer this procedure? p. 234
a. Applying one or two freeze-thaw cycles to each lesion
b. Applying two or more freeze-thaw cycles to each lesion
c. Applying until the freeze spreads laterally 1 mm from the lesion edges
d. Applying until the freeze spreads laterally 4 mm from the lesion edges -
ANSWER-ANS: A
For actinic keratosis, one to two freeze-thaw cycles are usually enough. Two or
more freeze-thaw cycles are generally required for thicker, seborrheic keratosis
lesions. The freeze should spread laterally 3 to 4 mm from the edge of the lesions.
, A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - ANSWER-ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but
receives shared savings bonuses based on achievement of benchmarks for quality
measures and expenditures. Care coordination and minimum cash reserves
standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
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
Winter QTR with 400 Questions and Correct Answers
(with Rationales) / NURS 6531 Final Exam 2026 Prep
Test Bank (LATEST!)
A patient asks about direct-to-consumer (DTC) genetic testing. What will the
provider tell the patient? p. 42
a. It is not useful for identifying genetic diseases.
b. Much of the information does not predict disease risk.
c. The results are shared with the patient's insurance company.
d. The results must be interpreted by a provider. - ANSWER-ANS: B
DTC testing gives a lot of information, but much of it does not contribute to
disease prediction, since mutations are not necessarily related to specific diseases.
The tests are useful but must be interpreted accurately. The results are confidential
and do not have to be interpreted by a provider.
What is an important part of patient care that can minimize the risk of a formal
patient complaint even when a mistake is made? p. 49
a. Ensuring informed consent for all procedures
b. Maintaining effective patient communication
c. Monitoring patient compliance and adherence
d. Providing complete documentation of visits - ANSWER-ANS: B
Effective patient communication is key to building trust and rapport and ineffective
communication is a predictor for malpractice claims. The other items are important
aspects of care and may help the provider during the investigation of a claim, but
do not minimize
the risk.
,What are some causes for failures or delays in diagnosing patients resulting in
malpractice claims? (Select all that apply.)
a. Failing to recognize a medication complication
b. Failing to request appropriate consultations
c. Improper performance of a treatment
d. Not acting on diagnostic test results
e. Ordering a wrong medication - ANSWER-ANS: B, D
Failing to obtain consultations when indicated or not acting on diagnostic test
results can lead to diagnosis-related failures. Failing to recognize medication
complications and ordering a wrong medication lead to medication prescribing
allegations. Improper performance of a treatment can lead to treatment-related
malpractice claims.
A primary care provider is performing a Tzanck test to evaluate possible herpes
simplex lesions. To attain accurate results, the provider will perform what
intervention? p. 232
a. Blanch the lesions while examining them with a magnifying glass.
b. Gently scrape the lesions with a scalpel onto a slide.
c. Perform a gram stain of exudate from the lesions.
d. Remove the top of the vesicles and obtain fluid from the lesions. - ANSWER-
ANS: D
The Tzanck test requires removing the tops from vesicular lesions in order to
obtain fresh fluid from the base of the lesions. Blanching of blue to red lesions
under a microscope helps to evaluate whether blood is in the capillaries of the
lesions. Scraping lesions onto a slide is done to evaluate the presence of hyphae
and spores common with candidiasis or fungal infections. Gram staining is
,performed to distinguish gram-positive from gram-negative organisms in suspected
bacterial infections.
When examining a patient's skin, a practitioner uses dermoscopy for what purpose?
p. 232 (Select all that apply.)
a. Accentuating changes in color of pathologic lesions by fluorescence
b. Assessing changes in pigmentation throughout various lesions
c. Determining whether lesion borders are regular or irregular
d. Differentiating fluid masses from cystic masses in the epidermis
e. Visualizing skin fissures, hair follicles, and pores in lesions - ANSWER-
ANS: B, C, E
Dermoscopy is used to visualize the epidermis and superficial dermis and can
reveal changes in pigmentation throughout lesions, whether borders are regular or
irregular, and the various fissures, follicles, and pores present in lesions. The
Wood's light, or black light, is used to fluoresce lesions to accentuate changes in
color. A direct light source is useful for differentiating fluid masses from cystic
masses.
A patient has actinic keratosis and the provider elects to use cryosurgery to remove
the lesions. How will the provider administer this procedure? p. 234
a. Applying one or two freeze-thaw cycles to each lesion
b. Applying two or more freeze-thaw cycles to each lesion
c. Applying until the freeze spreads laterally 1 mm from the lesion edges
d. Applying until the freeze spreads laterally 4 mm from the lesion edges -
ANSWER-ANS: A
For actinic keratosis, one to two freeze-thaw cycles are usually enough. Two or
more freeze-thaw cycles are generally required for thicker, seborrheic keratosis
lesions. The freeze should spread laterally 3 to 4 mm from the edge of the lesions.
, A small, rural hospital is part of an Accountable Care Organization (ACO) and is
designated as a Level 1 ACO. What is part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting - ANSWER-ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but
receives shared savings bonuses based on achievement of benchmarks for quality
measures and expenditures. Care coordination and minimum cash reserves
standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
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
