HSN 476
Healthcare Policy & Financial
Management
Proctored Final Exam Review
(With Solutions)
2026
1
,1. Case: A hospital implements value‑based purchasing.
Q: Which outcome most directly affects reimbursement?
- A. Patient satisfaction scores
- B. Nurse staffing ratios
- C. Length of stay
- D. Supply chain efficiency
Answer: A
Rationale: Value‑based purchasing ties reimbursement to patient
experience and quality outcomes.
---
2. Case: A nurse leader evaluates Medicaid expansion.
Q: Primary policy goal?
- A. Increase access for low‑income populations
- B. Reduce hospital costs
- C. Eliminate private insurance
- D. Increase physician salaries
Answer: A
Rationale: Medicaid expansion broadens coverage for vulnerable
populations.
---
3. Case: A hospital considers bundled payments for joint
replacement.
Q: Which financial risk increases?
- A. Supply costs
- B. Readmission penalties
- C. Length of stay
- D. All of the above
Answer: D
2
, Rationale: Bundled payments shift risk to providers for entire episode
of care.
---
4. Case: A nurse leader advocates for staffing legislation.
Q: Which policy principle is emphasized?
- A. Equity
- B. Efficiency
- C. Safety
- D. Autonomy
Answer: C
Rationale: Safe staffing ensures patient safety.
---
5. Case: A hospital CFO evaluates capital budgeting for new ICU
beds.
Q: Which tool is most appropriate?
- A. Net Present Value (NPV)
- B. SWOT analysis
- C. Benchmarking
- D. Root cause analysis
Answer: A
Rationale: NPV assesses financial viability of long‑term investments.
---
6. Case: A nurse leader evaluates ACA’s impact on nursing practice.
Q: Which provision is most relevant?
- A. Coverage for pre‑existing conditions
- B. Tax credits for corporations
- C. Reduction in malpractice suits
3
Healthcare Policy & Financial
Management
Proctored Final Exam Review
(With Solutions)
2026
1
,1. Case: A hospital implements value‑based purchasing.
Q: Which outcome most directly affects reimbursement?
- A. Patient satisfaction scores
- B. Nurse staffing ratios
- C. Length of stay
- D. Supply chain efficiency
Answer: A
Rationale: Value‑based purchasing ties reimbursement to patient
experience and quality outcomes.
---
2. Case: A nurse leader evaluates Medicaid expansion.
Q: Primary policy goal?
- A. Increase access for low‑income populations
- B. Reduce hospital costs
- C. Eliminate private insurance
- D. Increase physician salaries
Answer: A
Rationale: Medicaid expansion broadens coverage for vulnerable
populations.
---
3. Case: A hospital considers bundled payments for joint
replacement.
Q: Which financial risk increases?
- A. Supply costs
- B. Readmission penalties
- C. Length of stay
- D. All of the above
Answer: D
2
, Rationale: Bundled payments shift risk to providers for entire episode
of care.
---
4. Case: A nurse leader advocates for staffing legislation.
Q: Which policy principle is emphasized?
- A. Equity
- B. Efficiency
- C. Safety
- D. Autonomy
Answer: C
Rationale: Safe staffing ensures patient safety.
---
5. Case: A hospital CFO evaluates capital budgeting for new ICU
beds.
Q: Which tool is most appropriate?
- A. Net Present Value (NPV)
- B. SWOT analysis
- C. Benchmarking
- D. Root cause analysis
Answer: A
Rationale: NPV assesses financial viability of long‑term investments.
---
6. Case: A nurse leader evaluates ACA’s impact on nursing practice.
Q: Which provision is most relevant?
- A. Coverage for pre‑existing conditions
- B. Tax credits for corporations
- C. Reduction in malpractice suits
3
