NSG 554 Exam 3 | Nurse Practitioners in Primary Care I Comprehensive Study Guide (Latest )

NSG 554 Exam 3 - Nurse Practitioners in Primary Care I
Comprehensive Study Guide (Latest 2026-2028)

Pass your advanced practice nursing assessment on the first attempt with this
comprehensive study guide for NSG 554 Exam 3. This high-yield clinical resource
delivers an in-depth breakdown of primary care diagnostic algorithms, evidence-based
pharmacology management, and chronic disease protocols for adult populations.
Eliminate testing anxiety and master complex clinical reasoning using realistic patient
vignettes modeled directly after graduate-level Nurse Practitioner blueprints.




New Model for primary care - CORRECT ANSWER ✔✔✔✔✔ interprofessional collaboration

Evidence-based practice
"pay for performance"
VALUE-BASED PURCHASING:


QUESTION :Policy to reduce adverse events associated with care transitions - CORRECT
ANSWER ✔✔✔✔✔ Hospital Readmissions Reduction Program (HRRP), provides hospitals
with a financial incentive to improve their communication and care coordination and work more
successfully with patients and caregivers on post-discharge planning.


transitional care teams
coordinated chronic care?


QUESTION :interventions responsible for lower costs and rehospitalizations in older high-risk
patients - CORRECT ANSWER ✔✔✔✔✔



QUESTION :Health Literacy test - CORRECT ANSWER ✔✔✔✔✔ four that are readily
translatable into primary care settings: (1) the Patient Education Materials Assessment Tool
(PEMAT), 34 , 35 (2) Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) 36 ;
(3) Ask Me 3 37 ; and the (4) Newest Vital Sign 38 - 40 or ice cream label assessment

, QUESTION :culturally responsive care - CORRECT ANSWER ✔✔✔✔✔ address cultural
variations among diverse patient groups
create a patient-centered environment
minimize clinician bias
overcome patient barriers; language environment



QUESTION :Adolescence behaviors - CORRECT ANSWER ✔✔✔✔✔ adolescence starts at
puberty through the transition to young adulthood.


behaviors:



QUESTION :signs of puberty in adolescents - CORRECT ANSWER ✔✔✔✔✔ menses or wet
dreams, growth spurt, greater sexual interest, experimentation



QUESTION :Minority stress theory - CORRECT ANSWER ✔✔✔✔✔ The Minority Stress
Theory 4 provides a framework to understand the health disparities in SGM communities.


health disparities in sexual minority people are due to societal prejudice and hostility towards
gay, lesbian, and bisexual people.



QUESTION :Medical diagnostic terms to diagnose LGBTQ - CORRECT ANSWER ✔✔✔✔✔
Intersex (adjective) A person who has discordance in their sexual organs (e.g., having both a
penis and ovaries)


Genderqueer Gender nonconforming Gender fluid Gender non-binary Terms that some people
may use to describe fluidity in gender as well as an expression of gender that is neither male
nor female


Queer (adjective) A term that describes a sexual orientation or gender identity different from the
majority



QUESTION :Human trafficking symptoms to watch for - CORRECT ANSWER ✔✔✔✔✔

,QUESTION :International travel recommendations - CORRECT ANSWER ✔✔✔✔✔



QUESTION :Healthy people goals - CORRECT ANSWER ✔✔✔✔✔



QUESTION :Assessment requirements for obese patients - CORRECT ANSWER ✔✔✔✔✔



QUESTION :Medications associated with weight gain - CORRECT ANSWER ✔✔✔✔✔



QUESTION :symptoms of early lyme disease - CORRECT ANSWER ✔✔✔✔✔ The
symptoms of early Lyme are viral like such as fatigue, fever, headache, myalgia, arthalgia, and
lymphadenopathy. Typically show up 7-14 days after exposure.



QUESTION :Patient-centered medical home (PCMH) - CORRECT ANSWER ✔✔✔✔✔ Safe,
effective, patient-centered, timely, efficient, equitable. This model provides increased access to
medical providers and coordinated care between providers.




QUESTION :


Question 1
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?

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




Rationale: 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 are part of
Level 2 ACO requirements, while Level 3 ACOs require strict financial reporting .




Question 2
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?

A) Ability to calculate data, along with general knowledge about health
B) Ease of using technology and understanding of graphic data
C) Reading comprehension and numeracy skills related to health information
D) Patient's level of education and socioeconomic status




Rationale: The "Newest Vital Sign" is a health literacy screening tool that assesses a
patient's ability to read, comprehend, and apply numerical information from a nutrition
label. It evaluates both reading comprehension and numeracy skills related to health
information .




Question 3
After reviewing a client's chart, it is noted there was not an informed consent signed by
the patient scheduled for heart surgery. Failure to obtain this and perform the surgery
would be what tort?

A) False Imprisonment
B) Assault
C) Invasion of Privacy
D) Battery