NSG554- Exam 1 2025/2026 Questions
and Answers 100% Verified
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
designated as a Level 1 ACO. What is part of this designation?
vb vb vb vb vb vb vb vb vb vb vb vb
a. Bonuses based on achievement of benchmarks
vb vb vb vb vb vb
b. Care coordination for chronic diseases
vb vb vb vb vb
c. Standards for minimum cash reserves
vb vb vb vb vb
d. Strict requirements for financial reporting - Answer ANS: A
vb vb vb vb vb vb vb vb vb
A Level 1 ACO has the least amount of financial risk and requirements, but receives
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
shared
vb
savings bonuses based on achievement of benchmarks for quality measures and
vb vb vb vb vb vb vb vb vb vb
expenditures. Care coordination and minimum cash reserves standards are part of Level vb vb vb vb vb vb vb vb vb vb vb
2 ACO requirements. Level 3 ACOs require financial reporting
vb vb vb vb vb vb vb vb vb
2. What was an important finding of the Advisory Board survey of 2014 about primary
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care preferences of patients?
vb vb vb vb
a. Associations with area hospitals
vb vb vb vb
b. Costs of ambulatory care
vb vb vb vb
c. Ease of access to care
vb vb vb vb vb
d. The ratio of providers to patients - Answer ANS: C
vb vb vb vb vb vb vb vb vb vb
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
close to home. Associations with hospitals, costs of care, and the ratio of providers to
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
patients were not part of these results.
vb vb vb vb vb vb vb
3. Which statement made by a health care provider demonstrates the most appropriate
vb vb vb vb vb vb vb vb vb vb vb vb
understanding for the goal of a performance report?
vb vb vb vb vb vb vb vb
a. "This process allows me to critique the performance of the rest of the staff." b. "Most
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
organizations require staff to undergo a performance evaluation yearly."
vb vb vb vb vb vb vb vb vb vb
c. "It is hard to be personally criticized but that's how we learn to change."
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
d. "The comments should help me improve my management skills." - Answer ANS: D
vb vb vb vb vb vb vb vb vb vb vb vb vb
The goal of the performance report is to provide guidance to staff in the areas of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
professional development, mentoring, and leadership development. A peer review is
vb vb vb vb vb vb vb vb vb vb
written by others who perform similar skills (peers). The remaining options may be true
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
but do not provide evidence of understanding of the goal of this professional requirement.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
,4. Which assessment question would a health care provider ask when engaging in the
vb vb vb vb vb vb vb vb vb vb vb vb vb
previsit stage of the new model for primary care? (Select all that apply.)
vb vb vb vb vb vb vb vb vb vb vb vb vb
a. "Are you ready to discuss some of the community resources that are available?"
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
b. "Are you experiencing any side effects from your newly prescribed medications?"
vb vb vb vb vb vb vb vb vb vb vb vb
c. "Do you anticipate any problems with adhering to your treatment plan?"
vb vb vb vb vb vb vb vb vb vb vb vb
d. "Are you ready to discuss the results of your laboratory tests?"
vb vb vb vb vb vb vb vb vb vb vb
e. "Do you have any questions about the lab tests that have been ordered for you?" -
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
Answer ANS: B, C, E
vb vb vb vb vb
The nursing responsibilities in the previsit stage include assessing the patient's tolerance
vb vb vb vb vb vb vb vb vb vb vb
of prescribed medications, understanding of existing treatment plan, and education about
vb vb vb vb vb vb vb vb vb vb vb
required lab testing. The primary care provider is responsible for screening lab data and
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
discussing community resources during the actual visit.
vb vb vb vb vb vb vb
5. To reduce adverse events associated with care transitions, the Centers for Medicare
vb vb vb vb vb vb vb vb vb vb vb vb
and Medicaid Service have implemented which policy?
vb vb vb vb vb vb vb
a. Mandates for communication among primary caregivers and hospitalists
vb vb vb vb vb vb vb vb
b. Penalties for failure to perform medication reconciliations at time of discharge
vb vb vb vb vb vb vb vb vb vb vb vb
c. Reduction of payments for patients readmitted within 30 days after discharge
vb vb vb vb vb vb vb vb vb vb vb vb
d. Requirements for written discharge instructions for patients and caregivers - Answer
vb vb vb vb vb vb vb vb vb vb vb
ANS: C
vb vb
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid
vb vb vb vb vb vb vb vb vb vb vb vb vb
Service developed the Readmissions Reduction Program reducing payments for certain
vb vb vb vb vb vb vb vb vb vb
patients
vb
readmitted within 30 days of discharge. The CMS did not mandate communication,
vb vb vb vb vb vb vb vb vb vb vb
institute penalties for failure to perform medication reconciliations, or require written
vb vb vb vb vb vb vb vb vb vb vb
discharge instructions.
vb vb
6. According to multiple research studies, which intervention has resulted in lower costs
vb vb vb vb vb vb vb vb vb vb vb vb
and fewer rehospitalizations in high-risk older patients?
vb vb vb vb vb vb vb
a. Coordination of posthospital care by advanced practice health care providers
vb vb vb vb vb vb vb vb vb vb vb
b. Frequent posthospital clinic visits with a primary care provider
vb vb vb vb vb vb vb vb vb
c. Inclusion of extended family members in the outpatient plan of care
vb vb vb vb vb vb vb vb vb vb vb
d. Telephone follow-up by the pharmacist to assess medication compliance - Answer
vb vb vb vb vb vb vb vb vb vb vb
ANS: A
vb vb
Research studies provided evidence that high-risk older patients who had posthospital
vb vb vb vb vb vb vb vb vb vb
care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
visits with a primary care provider, inclusion of extended family members in the plan of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care, or telephone follow-up by a pharmacist.
vb vb vb vb vb vb vb
, 7. A primary care provider administers the "Newest Vital Sign" health literacy test to a
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
patient newly diagnosed with a chronic disease. What information is gained by
vb vb vb vb vb vb vb vb vb vb vb vb
administering this test?
vb vb vb
a. Ability to calculate data, along with general knowledge about health
vb vb vb vb vb vb vb vb vb vb
b. Ease of using technology and understanding of graphic data
vb vb vb vb vb vb vb vb vb
c. Reading comprehension and reception of oral communication
vb vb vb vb vb vb vb
d. Understanding of and ability to discuss health care concerns - Answer ANS: A
vb vb vb vb vb vb vb vb vb vb vb vb vb
The "Newest Vital Sign" tests asks patients to look at information on an ice cream
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
container label and answer questions that evaluate ability to calculate caloric data and to
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
grasp general knowledge about food allergies. It does not test understanding of
vb vb vb vb vb vb vb vb vb vb vb vb
technology or directly measure reading comprehension. It does not assess oral
vb vb vb vb vb vb vb vb vb vb vb
communication. The "Ask Me 3" tool teaches patients to ask three primary questions
vb vb vb vb vb vb vb vb vb vb vb vb vb
about their health care and management.
vb vb vb vb vb vb
8. What is the main reason for using the REALM-SF instrument to evaluate health
vb vb vb vb vb vb vb vb vb vb vb vb vb
literacy?
vb
a. It assesses numeracy skills.
vb vb vb vb
b. It enhances patient-provider communication.
vb vb vb vb
c. It evaluates medical word recognition.
vb vb vb vb vb
d. It measures technology knowledge. - Answer ANS: C
vb vb vb vb vb vb vb vb
The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) is an easy and
vb vb vb vb vb vb vb vb vb vb vb vb vb
fast tool that measures medical word recognition. It does not evaluate numeracy. The
vb vb vb vb vb vb vb vb vb vb vb vb vb
"Ask Me 3" tool enhances patient-provider communication. This tool does not evaluate
vb vb vb vb vb vb vb vb vb vb vb vb
understanding of technology.
vb vb vb
9. A female patient who is from the Middle East schedules an appointment in a primary
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care office. To provide culturally responsive care, what will the clinic personnel do when
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
meeting this patient for the first time?
vb vb vb vb vb vb vb
a. Ensure that she is seen by a female provider.
vb vb vb vb vb vb vb vb vb
b. Include a male family member in discussions about health care.
vb vb vb vb vb vb vb vb vb vb
c. Inquire about the patient's beliefs about health and treatment.
vb vb vb vb vb vb vb vb vb
d. Research middle eastern cultural beliefs about health care. - Answer ANS: C
vb vb vb vb vb vb vb vb vb vb vb vb
It is important not to make assumptions about beliefs and practices associated with health
vb vb vb vb vb vb vb vb vb vb vb vb vb
care and to ask the patient about these. While certain practices are common in some
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
cultural and ethnic groups, assuming that all members of those groups follow those
vb vb vb vb vb vb vb vb vb vb vb vb vb
norms is not culturally responsive.
vb vb vb vb vb
10. Which behavior is most characteristic of early adolescence?
vb vb vb vb vb vb vb vb
a. Arguing with parents and teachers
vb vb vb vb vb
and Answers 100% Verified
1. A small, rural hospital is part of an Accountable Care Organization (ACO) and is
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
designated as a Level 1 ACO. What is part of this designation?
vb vb vb vb vb vb vb vb vb vb vb vb
a. Bonuses based on achievement of benchmarks
vb vb vb vb vb vb
b. Care coordination for chronic diseases
vb vb vb vb vb
c. Standards for minimum cash reserves
vb vb vb vb vb
d. Strict requirements for financial reporting - Answer ANS: A
vb vb vb vb vb vb vb vb vb
A Level 1 ACO has the least amount of financial risk and requirements, but receives
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
shared
vb
savings bonuses based on achievement of benchmarks for quality measures and
vb vb vb vb vb vb vb vb vb vb
expenditures. Care coordination and minimum cash reserves standards are part of Level vb vb vb vb vb vb vb vb vb vb vb
2 ACO requirements. Level 3 ACOs require financial reporting
vb vb vb vb vb vb vb vb vb
2. What was an important finding of the Advisory Board survey of 2014 about primary
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care preferences of patients?
vb vb vb vb
a. Associations with area hospitals
vb vb vb vb
b. Costs of ambulatory care
vb vb vb vb
c. Ease of access to care
vb vb vb vb vb
d. The ratio of providers to patients - Answer ANS: C
vb vb vb vb vb vb vb vb vb vb
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
to care, walk-in settings and the ability to be seen within 30 minutes, and care that is
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
close to home. Associations with hospitals, costs of care, and the ratio of providers to
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
patients were not part of these results.
vb vb vb vb vb vb vb
3. Which statement made by a health care provider demonstrates the most appropriate
vb vb vb vb vb vb vb vb vb vb vb vb
understanding for the goal of a performance report?
vb vb vb vb vb vb vb vb
a. "This process allows me to critique the performance of the rest of the staff." b. "Most
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
organizations require staff to undergo a performance evaluation yearly."
vb vb vb vb vb vb vb vb vb vb
c. "It is hard to be personally criticized but that's how we learn to change."
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
d. "The comments should help me improve my management skills." - Answer ANS: D
vb vb vb vb vb vb vb vb vb vb vb vb vb
The goal of the performance report is to provide guidance to staff in the areas of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
professional development, mentoring, and leadership development. A peer review is
vb vb vb vb vb vb vb vb vb vb
written by others who perform similar skills (peers). The remaining options may be true
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
but do not provide evidence of understanding of the goal of this professional requirement.
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
,4. Which assessment question would a health care provider ask when engaging in the
vb vb vb vb vb vb vb vb vb vb vb vb vb
previsit stage of the new model for primary care? (Select all that apply.)
vb vb vb vb vb vb vb vb vb vb vb vb vb
a. "Are you ready to discuss some of the community resources that are available?"
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
b. "Are you experiencing any side effects from your newly prescribed medications?"
vb vb vb vb vb vb vb vb vb vb vb vb
c. "Do you anticipate any problems with adhering to your treatment plan?"
vb vb vb vb vb vb vb vb vb vb vb vb
d. "Are you ready to discuss the results of your laboratory tests?"
vb vb vb vb vb vb vb vb vb vb vb
e. "Do you have any questions about the lab tests that have been ordered for you?" -
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
Answer ANS: B, C, E
vb vb vb vb vb
The nursing responsibilities in the previsit stage include assessing the patient's tolerance
vb vb vb vb vb vb vb vb vb vb vb
of prescribed medications, understanding of existing treatment plan, and education about
vb vb vb vb vb vb vb vb vb vb vb
required lab testing. The primary care provider is responsible for screening lab data and
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
discussing community resources during the actual visit.
vb vb vb vb vb vb vb
5. To reduce adverse events associated with care transitions, the Centers for Medicare
vb vb vb vb vb vb vb vb vb vb vb vb
and Medicaid Service have implemented which policy?
vb vb vb vb vb vb vb
a. Mandates for communication among primary caregivers and hospitalists
vb vb vb vb vb vb vb vb
b. Penalties for failure to perform medication reconciliations at time of discharge
vb vb vb vb vb vb vb vb vb vb vb vb
c. Reduction of payments for patients readmitted within 30 days after discharge
vb vb vb vb vb vb vb vb vb vb vb vb
d. Requirements for written discharge instructions for patients and caregivers - Answer
vb vb vb vb vb vb vb vb vb vb vb
ANS: C
vb vb
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid
vb vb vb vb vb vb vb vb vb vb vb vb vb
Service developed the Readmissions Reduction Program reducing payments for certain
vb vb vb vb vb vb vb vb vb vb
patients
vb
readmitted within 30 days of discharge. The CMS did not mandate communication,
vb vb vb vb vb vb vb vb vb vb vb
institute penalties for failure to perform medication reconciliations, or require written
vb vb vb vb vb vb vb vb vb vb vb
discharge instructions.
vb vb
6. According to multiple research studies, which intervention has resulted in lower costs
vb vb vb vb vb vb vb vb vb vb vb vb
and fewer rehospitalizations in high-risk older patients?
vb vb vb vb vb vb vb
a. Coordination of posthospital care by advanced practice health care providers
vb vb vb vb vb vb vb vb vb vb vb
b. Frequent posthospital clinic visits with a primary care provider
vb vb vb vb vb vb vb vb vb
c. Inclusion of extended family members in the outpatient plan of care
vb vb vb vb vb vb vb vb vb vb vb
d. Telephone follow-up by the pharmacist to assess medication compliance - Answer
vb vb vb vb vb vb vb vb vb vb vb
ANS: A
vb vb
Research studies provided evidence that high-risk older patients who had posthospital
vb vb vb vb vb vb vb vb vb vb
care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
visits with a primary care provider, inclusion of extended family members in the plan of
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care, or telephone follow-up by a pharmacist.
vb vb vb vb vb vb vb
, 7. A primary care provider administers the "Newest Vital Sign" health literacy test to a
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
patient newly diagnosed with a chronic disease. What information is gained by
vb vb vb vb vb vb vb vb vb vb vb vb
administering this test?
vb vb vb
a. Ability to calculate data, along with general knowledge about health
vb vb vb vb vb vb vb vb vb vb
b. Ease of using technology and understanding of graphic data
vb vb vb vb vb vb vb vb vb
c. Reading comprehension and reception of oral communication
vb vb vb vb vb vb vb
d. Understanding of and ability to discuss health care concerns - Answer ANS: A
vb vb vb vb vb vb vb vb vb vb vb vb vb
The "Newest Vital Sign" tests asks patients to look at information on an ice cream
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
container label and answer questions that evaluate ability to calculate caloric data and to
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
grasp general knowledge about food allergies. It does not test understanding of
vb vb vb vb vb vb vb vb vb vb vb vb
technology or directly measure reading comprehension. It does not assess oral
vb vb vb vb vb vb vb vb vb vb vb
communication. The "Ask Me 3" tool teaches patients to ask three primary questions
vb vb vb vb vb vb vb vb vb vb vb vb vb
about their health care and management.
vb vb vb vb vb vb
8. What is the main reason for using the REALM-SF instrument to evaluate health
vb vb vb vb vb vb vb vb vb vb vb vb vb
literacy?
vb
a. It assesses numeracy skills.
vb vb vb vb
b. It enhances patient-provider communication.
vb vb vb vb
c. It evaluates medical word recognition.
vb vb vb vb vb
d. It measures technology knowledge. - Answer ANS: C
vb vb vb vb vb vb vb vb
The Rapid Estimate of Adult Literacy in Medicine-Short Form (REALM-SF) is an easy and
vb vb vb vb vb vb vb vb vb vb vb vb vb
fast tool that measures medical word recognition. It does not evaluate numeracy. The
vb vb vb vb vb vb vb vb vb vb vb vb vb
"Ask Me 3" tool enhances patient-provider communication. This tool does not evaluate
vb vb vb vb vb vb vb vb vb vb vb vb
understanding of technology.
vb vb vb
9. A female patient who is from the Middle East schedules an appointment in a primary
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
care office. To provide culturally responsive care, what will the clinic personnel do when
vb vb vb vb vb vb vb vb vb vb vb vb vb vb
meeting this patient for the first time?
vb vb vb vb vb vb vb
a. Ensure that she is seen by a female provider.
vb vb vb vb vb vb vb vb vb
b. Include a male family member in discussions about health care.
vb vb vb vb vb vb vb vb vb vb
c. Inquire about the patient's beliefs about health and treatment.
vb vb vb vb vb vb vb vb vb
d. Research middle eastern cultural beliefs about health care. - Answer ANS: C
vb vb vb vb vb vb vb vb vb vb vb vb
It is important not to make assumptions about beliefs and practices associated with health
vb vb vb vb vb vb vb vb vb vb vb vb vb
care and to ask the patient about these. While certain practices are common in some
vb vb vb vb vb vb vb vb vb vb vb vb vb vb vb
cultural and ethnic groups, assuming that all members of those groups follow those
vb vb vb vb vb vb vb vb vb vb vb vb vb
norms is not culturally responsive.
vb vb vb vb vb
10. Which behavior is most characteristic of early adolescence?
vb vb vb vb vb vb vb vb
a. Arguing with parents and teachers
vb vb vb vb vb
