NR 601 Final Exam Study Guide Version 2
ACTUAL EXAM 2026/2027 | Complete
Exam-Style Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Content Area Overview
This actual examination reflects the advanced primary care knowledge required for success on the NR
601 Final Exam (Version 2) at Chamberlain University. The exam is designed to evaluate the student's
understanding of comprehensive primary care for the maturing and aged adult population, including
chronic disease management (heart failure, COPD, diabetes), neurocognitive disorders and dementia
management, delirium assessment and differentiation, depression in older adults, urinary incontinence
and BPH management, Medicare and Medicaid reimbursement, palliative and hospice care, elder
mistreatment recognition, and evidence-based geriatric assessment. This authentic question bank
serves as a comprehensive resource for advanced practice nursing students demonstrating mastery of
primary care geriatric content for the 2026/2027 academic year.
Section 1: Medicare, Medicaid & Healthcare Delivery Systems (5 Questions)
Q1. A 68-year-old patient is newly eligible for Medicare and asks about coverage for hospital stays.
Which Medicare part covers inpatient hospital care?
A. Medicare Part B
B. Medicare Part A
C. Medicare Part D
D. Medicare Advantage (Part C)
B. Medicare Part A [CORRECT]
The best answer is B. Medicare Part A is hospital insurance that covers inpatient hospital stays, skilled
nursing facility care, hospice care, and some home health care. Beneficiaries typically do not pay a
premium for Part A if they or their spouse paid Medicare taxes while working, but they do pay a
deductible and may have coinsurance for extended stays. Part B covers outpatient services, Part D
,covers prescription drugs, and Part C (Medicare Advantage) is an alternative to traditional Medicare
offered by private insurers.
Correct Answer: B
Q2. A 72-year-old patient on Medicare asks why they still receive bills for physician office visits. Which
statement best explains Medicare Part B cost-sharing?
A. Medicare Part B is free and covers all outpatient costs
B. Medicare Part B requires a monthly premium, and beneficiaries typically pay 20% of Medicare-
approved charges after meeting the annual deductible
C. Medicare Part B only covers emergency department visits
D. Medicare Part B covers all prescription medications
B. Medicare Part B requires a monthly premium, and beneficiaries typically pay 20% of Medicare-
approved charges after meeting the annual deductible [CORRECT]
The best answer is B. Medicare Part B is medical insurance that covers outpatient services, physician
visits, preventive services, durable medical equipment, and some home health care. Unlike Part A, Part B
requires a monthly premium (income-adjusted), and beneficiaries are responsible for an annual
deductible plus 20% coinsurance of Medicare-approved charges. Many beneficiaries purchase Medigap
supplemental insurance to cover these out-of-pocket costs. Part B does not cover most prescription
medications (that's Part D) or routine dental, vision, or hearing services.
Correct Answer: B
Q3. A 70-year-old patient with diabetes is concerned about the cost of insulin. Which Medicare
component provides prescription drug coverage?
A. Medicare Part A
B. Medicare Part B
C. Medicare Part D
D. Medicare does not cover any prescription medications
C. Medicare Part D [CORRECT]
The best answer is C. Medicare Part D provides prescription drug coverage through private insurance
plans approved by Medicare. Beneficiaries pay a monthly premium, annual deductible, and copays or
coinsurance for medications. Each Part D plan has its own formulary (list of covered drugs) and cost
structure. The coverage gap ("donut hole") has been gradually closing under the Affordable Care Act,
and the Inflation Reduction Act of 2022 capped insulin costs at $35 per month for Medicare
beneficiaries. Part A and Part B do not cover most outpatient prescription medications.
, Correct Answer: C
Q4. A low-income 75-year-old patient requires nursing home care but cannot afford it. Which program
may help cover these costs?
A. Medicare Part A only
B. Medicaid
C. Medicare Part B
D. Private insurance only
B. Medicaid [CORRECT]
The best answer is B. Medicaid is a joint federal-state program that provides health coverage for low-
income individuals, including long-term nursing home care for those who meet both financial and
functional eligibility criteria. Unlike Medicare, which provides limited skilled nursing coverage (up to 100
days following a qualifying hospital stay), Medicaid is the primary payer for long-term nursing home care
in the United States. Eligibility and benefits vary by state, and patients often "spend down" their assets
to qualify. Medicare does not cover custodial long-term care.
Correct Answer: B
Q5. A nurse practitioner is caring for a 68-year-old veteran with multiple chronic conditions. Which
healthcare system provides comprehensive care to eligible veterans and is recognized as a model for
integrated geriatric care?
A. Medicare
B. Medicaid
C. Veterans Health Administration (VHA)
D. Affordable Care Act marketplace plans
C. Veterans Health Administration (VHA) [CORRECT]
The best answer is C. The Veterans Health Administration (VHA) provides comprehensive healthcare
services to eligible veterans and has been recognized as a model for integrated, team-based care,
particularly for older adults with complex needs. The VHA emphasizes geriatric evaluation and
management, home-based primary care, and palliative care integration. While Medicare and Medicaid
serve broader populations, the VHA's structure as an integrated delivery system allows for coordinated
care that has been studied as a model for other healthcare systems.
Correct Answer: C
ACTUAL EXAM 2026/2027 | Complete
Exam-Style Questions | Verified Q&A | Pass
Guaranteed - A+ Graded
Content Area Overview
This actual examination reflects the advanced primary care knowledge required for success on the NR
601 Final Exam (Version 2) at Chamberlain University. The exam is designed to evaluate the student's
understanding of comprehensive primary care for the maturing and aged adult population, including
chronic disease management (heart failure, COPD, diabetes), neurocognitive disorders and dementia
management, delirium assessment and differentiation, depression in older adults, urinary incontinence
and BPH management, Medicare and Medicaid reimbursement, palliative and hospice care, elder
mistreatment recognition, and evidence-based geriatric assessment. This authentic question bank
serves as a comprehensive resource for advanced practice nursing students demonstrating mastery of
primary care geriatric content for the 2026/2027 academic year.
Section 1: Medicare, Medicaid & Healthcare Delivery Systems (5 Questions)
Q1. A 68-year-old patient is newly eligible for Medicare and asks about coverage for hospital stays.
Which Medicare part covers inpatient hospital care?
A. Medicare Part B
B. Medicare Part A
C. Medicare Part D
D. Medicare Advantage (Part C)
B. Medicare Part A [CORRECT]
The best answer is B. Medicare Part A is hospital insurance that covers inpatient hospital stays, skilled
nursing facility care, hospice care, and some home health care. Beneficiaries typically do not pay a
premium for Part A if they or their spouse paid Medicare taxes while working, but they do pay a
deductible and may have coinsurance for extended stays. Part B covers outpatient services, Part D
,covers prescription drugs, and Part C (Medicare Advantage) is an alternative to traditional Medicare
offered by private insurers.
Correct Answer: B
Q2. A 72-year-old patient on Medicare asks why they still receive bills for physician office visits. Which
statement best explains Medicare Part B cost-sharing?
A. Medicare Part B is free and covers all outpatient costs
B. Medicare Part B requires a monthly premium, and beneficiaries typically pay 20% of Medicare-
approved charges after meeting the annual deductible
C. Medicare Part B only covers emergency department visits
D. Medicare Part B covers all prescription medications
B. Medicare Part B requires a monthly premium, and beneficiaries typically pay 20% of Medicare-
approved charges after meeting the annual deductible [CORRECT]
The best answer is B. Medicare Part B is medical insurance that covers outpatient services, physician
visits, preventive services, durable medical equipment, and some home health care. Unlike Part A, Part B
requires a monthly premium (income-adjusted), and beneficiaries are responsible for an annual
deductible plus 20% coinsurance of Medicare-approved charges. Many beneficiaries purchase Medigap
supplemental insurance to cover these out-of-pocket costs. Part B does not cover most prescription
medications (that's Part D) or routine dental, vision, or hearing services.
Correct Answer: B
Q3. A 70-year-old patient with diabetes is concerned about the cost of insulin. Which Medicare
component provides prescription drug coverage?
A. Medicare Part A
B. Medicare Part B
C. Medicare Part D
D. Medicare does not cover any prescription medications
C. Medicare Part D [CORRECT]
The best answer is C. Medicare Part D provides prescription drug coverage through private insurance
plans approved by Medicare. Beneficiaries pay a monthly premium, annual deductible, and copays or
coinsurance for medications. Each Part D plan has its own formulary (list of covered drugs) and cost
structure. The coverage gap ("donut hole") has been gradually closing under the Affordable Care Act,
and the Inflation Reduction Act of 2022 capped insulin costs at $35 per month for Medicare
beneficiaries. Part A and Part B do not cover most outpatient prescription medications.
, Correct Answer: C
Q4. A low-income 75-year-old patient requires nursing home care but cannot afford it. Which program
may help cover these costs?
A. Medicare Part A only
B. Medicaid
C. Medicare Part B
D. Private insurance only
B. Medicaid [CORRECT]
The best answer is B. Medicaid is a joint federal-state program that provides health coverage for low-
income individuals, including long-term nursing home care for those who meet both financial and
functional eligibility criteria. Unlike Medicare, which provides limited skilled nursing coverage (up to 100
days following a qualifying hospital stay), Medicaid is the primary payer for long-term nursing home care
in the United States. Eligibility and benefits vary by state, and patients often "spend down" their assets
to qualify. Medicare does not cover custodial long-term care.
Correct Answer: B
Q5. A nurse practitioner is caring for a 68-year-old veteran with multiple chronic conditions. Which
healthcare system provides comprehensive care to eligible veterans and is recognized as a model for
integrated geriatric care?
A. Medicare
B. Medicaid
C. Veterans Health Administration (VHA)
D. Affordable Care Act marketplace plans
C. Veterans Health Administration (VHA) [CORRECT]
The best answer is C. The Veterans Health Administration (VHA) provides comprehensive healthcare
services to eligible veterans and has been recognized as a model for integrated, team-based care,
particularly for older adults with complex needs. The VHA emphasizes geriatric evaluation and
management, home-based primary care, and palliative care integration. While Medicare and Medicaid
serve broader populations, the VHA's structure as an integrated delivery system allows for coordinated
care that has been studied as a model for other healthcare systems.
Correct Answer: C
