Practice Questions with Expert Explanations
Description:
Ace your NURS 6531 final exam or NP board review with this comprehensive 2026 study
guide. This targeted resource is packed with challenging practice questions and detailed
answer explanations that mirror the format and complexity of your actual Adult-Gerontology
Primary Care Nurse Practitioner (AGPCNP) certification test. We’ve curated test-taking
strategies and core content on dermatology, cardiology, pulmonology, and gastroenterology to
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, NURS 6531 Final Exam Review 2026: Questions & Explained
Answers
1. A rural hospital participates in an Accountable Care Organization (ACO) with a Level 1
designation. What is a characteristic of this ACO level?
a. Mandatory care coordination programs for chronic illnesses
b. Adherence to stringent financial reporting protocols
c. Receipt of performance-based shared savings incentives
d. Maintenance of specified minimum cash reserves
Answer: c
Explanation: Level 1 ACOs operate with the lowest financial risk and regulatory burden. Their
primary financial incentive comes from receiving shared savings bonuses when they successfully
meet predetermined benchmarks for quality care and cost control. Stricter requirements, such as
care coordination mandates and minimum cash reserves, are associated with higher ACO levels
(Level 2 and 3).
2. A 2014 Advisory Board survey revealed a key patient priority in primary care. What was the
central theme of this finding?
a. The out-of-pocket cost for clinic visits
b. The convenience and availability of care
c. The hospital affiliations of the practice
d. The number of providers per patient
Answer: b
Explanation: The survey highlighted that patients highly value accessible care. Their
preferences included the ability to receive care 24/7, access to walk-in appointments, being seen
by a provider within 30 minutes of arrival, and having care located close to their homes. Factors
like cost, hospital affiliations, and provider ratios were not the primary drivers identified in these
results.
, 3. Under the Value-Based Purchasing (VBP) initiative, which of the following provider
performance areas are evaluated? (Select all that apply.)
a. Analysis of the cost per Medicare patient case
b. Patient-reported satisfaction with their hospital experience
c. Adherence to advanced health information technology standards
d. Mortality rates for patients diagnosed with pneumonia
e. Utilization of current evidence to establish clinical protocols
Answer: a, b, d
Explanation: VBP assesses provider performance across several domains, including the
efficiency of care (cost per case), the patient's experience of care (satisfaction scores), and
clinical outcomes (such as mortality rates for specific conditions like pneumonia). The use of
evidence for clinical guidelines is a component of evidence-based practice, not a direct VBP
measure, and IT standards are typically part of other programs, like those for ACOs.
4. What is the primary objective of a Level II research study?
a. To establish the efficacy of a specific treatment or procedure
b. To investigate the fundamental mechanisms of a disease process
c. To describe associations between different patient characteristics or variables
d. To define the demographic and clinical features of a patient population
Answer: c
Explanation: Level II research is correlational in nature, aiming to identify and describe
relationships among various characteristics or variables. Level I research focuses on defining
group characteristics, Level III explores cause-and-effect, and Level IV is concerned with
demonstrating the effectiveness of interventions.
5. A patient expresses concerns about their breast cancer risk. What is the most comprehensive
initial step for a provider to assess this genetic risk?
a. Inquire about any family history of breast cancer.
b. Order a genetic test for the BRCA gene.
c. Construct a detailed three-generation family pedigree.
d. Suggest a direct-to-consumer genetic test.