QUESTIONS AND ANSWERS | REAL EXAM QNA | 2025
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The nurse is caring for a patient whose insurance coverage is Medicare. The nurse should
consider which information when planning care for this patient?
a.Capitation provides the hospital with a means of recovering variable charges.
b.The hospital will be paid for the full cost of the patient's hospitalization.
c.Diagnosis-related groups (DRGs) provide a fixed reimbursement of cost.
d.Medicare will pay the national average for the patient's condition - (ANSWER)DRGs provide
reimbursement
A nurse is teaching the staff about managed care. Which information should the nurse include
in the teaching session?
a.Managed care insures full coverage of health care costs.
b.Managed care only assumes the financial risk involved.
c.Managed care allows providers to focus on illness care.
d.Managed care causes providers to focus on prevention - (ANSWER)focus on prevention
A nurse is teaching a family about health care plans. Which information from the nurse indicates
a correct understanding of the Affordable Care Act?
a.A family can choose whether to have health insurance with no consequences.
b.Primary care physician payments from Medicaid services can equal Medicare.
c.Adult children up to age 26 are allowed coverage on the parent's plan.
d.Private insurance companies can deny coverage for any reason - (ANSWER)age 26 are
allowed coverage
,A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning?
a.When the patient is ready
b.Close to the time of discharge
c.Upon admission to the hospital
d.After an order is written/prescribed - (ANSWER)upon admission to the hospital
The nurse is applying for a position with a home care organization that specializes in spinal cord
injury. In which type of health care facility does the nurse want to work?
a.Secondary acute
b.Continuing
c.Restorative
d.Tertiary - (ANSWER)restorative
A nurse provides immunization to children and adults through the public health department.
Which type of health care is the nurse providing?
a.Primary care
b.Preventive care
c.Restorative care
d.Continuing care - (ANSWER)preventative care
A nurse is following the PDSA cycle for quality improvement. Which action will the nurse take
for the letter "A"?
a.Act
b.Alter
c.Assess
d.Approach - (ANSWER)ACT
,The nurse is trying to determine how well a certain health plan compares with other health plans.
To gather this type of data, which information will the nurse utilize?
a.Pew Health Professions Commission
b.Healthcare Effectiveness Data and Information Set (HEDIS)
c.American Nurses Credentialing Center (ANCC) Magnet Recognition Program
d.Hospital Consumer of Assessment of Healthcare Providers and Systems(HCAHPS -
(ANSWER)HEDIS
An older adult patient has extensive wound care needs after discharge from the hospital.Which
facility should the nurse discuss with the patient?
a.Hospice
b.Respite care
c.Assisted living
d.Skilled nursing - (ANSWER)Skilled nursing
A nurse working in a community hospital's emergency department provides care to a patient
having chest pain. Which level of care is the nurse providing?
a.Continuing care
b.Restorative care
c.Preventive care
d.Tertiary care - (ANSWER)tertiary
A nurse is teaching about the effects of globalization. Which information should the nurse
include in the teaching session?
a.Increased spread of communicable diseases
b.Increased homogeneous mix of nursing staff
c.Decreased poverty and increased "health tourism"
d.Decreased urbanization as populations shift to the suburbs - (ANSWER)increased spread of
disease
, A nurse is using research findings to improve clinical practice. Which technique is the nurse
using?
a.Performance improvement
b.Integrated delivery networks
c.Nursing-sensitive outcomes
d.Utilization review commitees - (ANSWER)performace improvement
Which finding indicates the best quality improvement process?
a.Staff identifies the wait time in the emergency department is too long.
b.Administration identifies the design of the facility's lobby increases patient stress.
c.Director of the hospital identifies the payment schedule does not pay enough for
overtime.
d.Health care providers identify the inconsistencies of some of the facility's policy
and procedures - (ANSWER)staff identified wait time in the ed
A nurse is providing home care to a home-bound patient treated with intravenous (IV) therapy
and enteral nutrition. What is the home health nurse's primary objective?
a.Screening
b.Education
c.Dependence
d.Counseling - (ANSWER)education
A nurse hears a co-worker state that anybody could be a nurse since it is so automated with
infusion devices and electronic monitoring; technology is doing the work. What is the nurse's
best response?
a."Technology use has to be combined with nursing judgment."
b."The focus of effective nursing care is technology."