Wilkes University
1 MAXE • 455GSN
★ ★
W Passan School of Nursing — FNP Program
LEADING WITH PURPOSE, CARING WITH EXCELLENCE
EST. 1933
NSG 554 — Examination 1
P R I M A R Y C A R E F O R FA M I LY N U R S E P R A C T I T I O N E R S
INSTITUTION Wilkes University COURSE CODE NSG 554
PROGRAM MSN — Family Nurse Practitioner (FNP) ACADEMIC YEAR
EXAM TITLE Exam 1: Primary Care Models & Advanced TOTAL QUESTIONS 21 Questions
Practice Concepts
COURSE TITLE Primary Care for Family Nurse FORMAT Multiple Choice — Select the Single Best
Practitioners Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question. All content is derived from NSG554 primary care curriculum.
▸ Topics include interprofessional collaboration, value-based purchasing, transitional care, health literacy, culturally responsive
care, adolescent development, minority stress theory, LGBTQ+ health, and patient-centered medical home (PCMH).
▸ Correct answers and clinical rationales appear below each question for study and review purposes.
▸ All questions reflect evidence-based primary care practice standards.
SECTION I — PRIMARY CARE DELIVERY & ADVANCED PRACTICE Questions 1 –
NURSING 21
1. Which of the following represents the new model for primary care that emphasizes teamwork among healthcare
providers?
A. Solo practitioner model
B. Interprofessional collaboration
C. Fee-for-service reimbursement
D. Specialty referral model
CORRECT ANSWER B — Interprofessional collaboration
RATIONALE The new model for primary care emphasizes interprofessional collaboration, where physicians, nurse
practitioners, physician assistants, pharmacists, social workers, and other healthcare professionals work as
an integrated team to provide comprehensive, patient-centered care. This approach improves outcomes,
reduces redundancy, and addresses complex patient needs.
, 2. Value-based purchasing (VBP) and "pay for performance" are healthcare payment models that primarily focus on:
A. The volume of services provided to patients
B. The quality and outcomes of care rather than quantity
C. Reducing the number of healthcare providers in a network
D. Increasing hospital admission rates
CORRECT ANSWER B — The quality and outcomes of care rather than quantity
RATIONALE Value-based purchasing and pay-for-performance models shift reimbursement from fee-for-service (volume-
based) to quality and outcome-based payments. Providers are financially rewarded for meeting performance
measures such as patient satisfaction, preventive care delivery, reduced readmissions, and improved clinical
outcomes.
3. The Hospital Readmissions Reduction Program (HRRP) provides financial incentives to hospitals to:
A. Increase the number of elective surgical procedures
B. Improve communication and care coordination for post-discharge planning
C. Limit patient access to primary care follow-up appointments
D. Extend hospital lengths of stay for all Medicare patients
CORRECT ANSWER B — Improve communication and care coordination for post-discharge planning
RATIONALE The HRRP provides financial incentives to hospitals to reduce preventable readmissions by improving
communication, care coordination, and post-discharge planning. This policy specifically targets adverse
events associated with care transitions, encouraging collaboration between hospitals, patients, and
caregivers on discharge planning.
4. Transitional care teams and coordinated chronic care interventions have been shown to:
A. Increase hospital readmission rates in older adults
B. Lower costs and reduce rehospitalizations in older high-risk patients
C. Have no measurable effect on patient outcomes
D. Only benefit patients under age 65
CORRECT ANSWER B — Lower costs and reduce rehospitalizations in older high-risk patients
RATIONALE Transitional care teams and coordinated chronic care interventions are evidence-based interventions that
have demonstrated significant reductions in healthcare costs and rehospitalizations, particularly for older,
high-risk patients with multiple chronic conditions. These models emphasize medication reconciliation,
follow-up appointments, and patient education during care transitions.
5. Which of the following is a validated health literacy assessment tool readily translatable into primary care settings?
A. Mini-Mental State Examination (MMSE)
B. Newest Vital Sign (ice cream label assessment)
C. Glasgow Coma Scale (GCS)
D. PHQ-9 Depression Scale
CORRECT ANSWER B — Newest Vital Sign (ice cream label assessment)
RATIONALE The Newest Vital Sign is a validated health literacy assessment that uses an ice cream nutrition label to
evaluate a patient's ability to read and interpret health information. Other readily translatable tools include
the Patient Education Materials Assessment Tool (PEMAT), Rapid Estimate of Adult Literacy in Medicine-Short
Form (REALM-SF), and Ask Me 3.
1 MAXE • 455GSN
★ ★
W Passan School of Nursing — FNP Program
LEADING WITH PURPOSE, CARING WITH EXCELLENCE
EST. 1933
NSG 554 — Examination 1
P R I M A R Y C A R E F O R FA M I LY N U R S E P R A C T I T I O N E R S
INSTITUTION Wilkes University COURSE CODE NSG 554
PROGRAM MSN — Family Nurse Practitioner (FNP) ACADEMIC YEAR
EXAM TITLE Exam 1: Primary Care Models & Advanced TOTAL QUESTIONS 21 Questions
Practice Concepts
COURSE TITLE Primary Care for Family Nurse FORMAT Multiple Choice — Select the Single Best
Practitioners Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question. All content is derived from NSG554 primary care curriculum.
▸ Topics include interprofessional collaboration, value-based purchasing, transitional care, health literacy, culturally responsive
care, adolescent development, minority stress theory, LGBTQ+ health, and patient-centered medical home (PCMH).
▸ Correct answers and clinical rationales appear below each question for study and review purposes.
▸ All questions reflect evidence-based primary care practice standards.
SECTION I — PRIMARY CARE DELIVERY & ADVANCED PRACTICE Questions 1 –
NURSING 21
1. Which of the following represents the new model for primary care that emphasizes teamwork among healthcare
providers?
A. Solo practitioner model
B. Interprofessional collaboration
C. Fee-for-service reimbursement
D. Specialty referral model
CORRECT ANSWER B — Interprofessional collaboration
RATIONALE The new model for primary care emphasizes interprofessional collaboration, where physicians, nurse
practitioners, physician assistants, pharmacists, social workers, and other healthcare professionals work as
an integrated team to provide comprehensive, patient-centered care. This approach improves outcomes,
reduces redundancy, and addresses complex patient needs.
, 2. Value-based purchasing (VBP) and "pay for performance" are healthcare payment models that primarily focus on:
A. The volume of services provided to patients
B. The quality and outcomes of care rather than quantity
C. Reducing the number of healthcare providers in a network
D. Increasing hospital admission rates
CORRECT ANSWER B — The quality and outcomes of care rather than quantity
RATIONALE Value-based purchasing and pay-for-performance models shift reimbursement from fee-for-service (volume-
based) to quality and outcome-based payments. Providers are financially rewarded for meeting performance
measures such as patient satisfaction, preventive care delivery, reduced readmissions, and improved clinical
outcomes.
3. The Hospital Readmissions Reduction Program (HRRP) provides financial incentives to hospitals to:
A. Increase the number of elective surgical procedures
B. Improve communication and care coordination for post-discharge planning
C. Limit patient access to primary care follow-up appointments
D. Extend hospital lengths of stay for all Medicare patients
CORRECT ANSWER B — Improve communication and care coordination for post-discharge planning
RATIONALE The HRRP provides financial incentives to hospitals to reduce preventable readmissions by improving
communication, care coordination, and post-discharge planning. This policy specifically targets adverse
events associated with care transitions, encouraging collaboration between hospitals, patients, and
caregivers on discharge planning.
4. Transitional care teams and coordinated chronic care interventions have been shown to:
A. Increase hospital readmission rates in older adults
B. Lower costs and reduce rehospitalizations in older high-risk patients
C. Have no measurable effect on patient outcomes
D. Only benefit patients under age 65
CORRECT ANSWER B — Lower costs and reduce rehospitalizations in older high-risk patients
RATIONALE Transitional care teams and coordinated chronic care interventions are evidence-based interventions that
have demonstrated significant reductions in healthcare costs and rehospitalizations, particularly for older,
high-risk patients with multiple chronic conditions. These models emphasize medication reconciliation,
follow-up appointments, and patient education during care transitions.
5. Which of the following is a validated health literacy assessment tool readily translatable into primary care settings?
A. Mini-Mental State Examination (MMSE)
B. Newest Vital Sign (ice cream label assessment)
C. Glasgow Coma Scale (GCS)
D. PHQ-9 Depression Scale
CORRECT ANSWER B — Newest Vital Sign (ice cream label assessment)
RATIONALE The Newest Vital Sign is a validated health literacy assessment that uses an ice cream nutrition label to
evaluate a patient's ability to read and interpret health information. Other readily translatable tools include
the Patient Education Materials Assessment Tool (PEMAT), Rapid Estimate of Adult Literacy in Medicine-Short
Form (REALM-SF), and Ask Me 3.
