PROFESSIONAL NURSING EXAM 2 ACTUAL
TEST PAPER QUESTIONS AND SOLUTIONS
COMPLETE STUDY GUIDE
●● Nurse Licensure Compact (NLC)
Answer: It allows nurses to practice in multiple member states without
obtaining additional licenses
●● NCLEX-RN test plan
Answer: Developed by the National Council of State Boards of Nursing
(NCSBN) and provides regulatory guidance to state boards of nursing
●● Licensure vs Certification
Answer: Licensure grants legal authority to practice; certification
recognizes specialized knowledge or skills
●● Benefits of the Nurse Licensure Compact
Answer: Easier practice across state lines for travel or telehealth
●● Nurse's responsibility regarding licensure in a non-NLC state
Answer: Apply for licensure by endorsement or examination in the new
state
,●● Nurse Practice Act (NPA)
Answer: Defines the scope of nursing practice and is enacted by each
state
●● Responsibilities of state boards of nursing
Answer: Issuing and renewing nursing licenses, investigating complaints
and disciplining nurses
●● Certification in a nursing specialty
Answer: A voluntary credential demonstrating advanced knowledge or
skill in a specialty
●● Legal principle for contesting state board decisions
Answer: Judicial review
●● Major driver of rising health care costs in the U.S.
Answer: Advances in medical technology and aging population
●● Fee-for-service reimbursement
Answer: Encourages higher emphasis on preventive care only
●● Capitation
, Answer: A payment model that pays a fixed amount per patient per
period, regardless of services used.
●● Diagnosis-Related Groups (DRGs)
Answer: Payment is based on diagnosis and case mix, used primarily in
inpatient hospital reimbursement, promotes cost containment by fixed
payments.
●● Medicare
Answer: A government program primarily serving people aged 65 and
older.
●● Medicaid
Answer: A means-tested program for low-income individuals, jointly
funded by states and the federal government.
●● Health Care Cost Containment Strategies
Answer: Strategies commonly used include preventive care and chronic
disease management, use of clinical pathways and care coordination, and
payment reform (e.g., bundled payments).
●● Managed Care Contract
Answer: A contract with a local employer (HMO) that increases focus on
network-based care and referrals.
TEST PAPER QUESTIONS AND SOLUTIONS
COMPLETE STUDY GUIDE
●● Nurse Licensure Compact (NLC)
Answer: It allows nurses to practice in multiple member states without
obtaining additional licenses
●● NCLEX-RN test plan
Answer: Developed by the National Council of State Boards of Nursing
(NCSBN) and provides regulatory guidance to state boards of nursing
●● Licensure vs Certification
Answer: Licensure grants legal authority to practice; certification
recognizes specialized knowledge or skills
●● Benefits of the Nurse Licensure Compact
Answer: Easier practice across state lines for travel or telehealth
●● Nurse's responsibility regarding licensure in a non-NLC state
Answer: Apply for licensure by endorsement or examination in the new
state
,●● Nurse Practice Act (NPA)
Answer: Defines the scope of nursing practice and is enacted by each
state
●● Responsibilities of state boards of nursing
Answer: Issuing and renewing nursing licenses, investigating complaints
and disciplining nurses
●● Certification in a nursing specialty
Answer: A voluntary credential demonstrating advanced knowledge or
skill in a specialty
●● Legal principle for contesting state board decisions
Answer: Judicial review
●● Major driver of rising health care costs in the U.S.
Answer: Advances in medical technology and aging population
●● Fee-for-service reimbursement
Answer: Encourages higher emphasis on preventive care only
●● Capitation
, Answer: A payment model that pays a fixed amount per patient per
period, regardless of services used.
●● Diagnosis-Related Groups (DRGs)
Answer: Payment is based on diagnosis and case mix, used primarily in
inpatient hospital reimbursement, promotes cost containment by fixed
payments.
●● Medicare
Answer: A government program primarily serving people aged 65 and
older.
●● Medicaid
Answer: A means-tested program for low-income individuals, jointly
funded by states and the federal government.
●● Health Care Cost Containment Strategies
Answer: Strategies commonly used include preventive care and chronic
disease management, use of clinical pathways and care coordination, and
payment reform (e.g., bundled payments).
●● Managed Care Contract
Answer: A contract with a local employer (HMO) that increases focus on
network-based care and referrals.
