NR-506 nr-506: Comprehensive Healthcare Policy
Analysis, Implementation, and Impact on
Advanced Nursing Practice 2025/2026
1. Which branch of government is primarily responsible for creating healthcare
laws?
A. Executive
B. Legislative
C. Judicial
D. Regulatory agencies
Rationale: The legislative branch drafts, debates, and passes laws that guide
healthcare policy.
2. Which organization is the major payer for long-term care services in the
United States?
A. Private insurance
B. Medicaid
C. Medicare Part D
D. Veterans Affairs
Rationale: Medicaid funds the majority of long-term care services, especially for
low-income adults and older adults.
3. The primary purpose of the Affordable Care Act (ACA) was to:
A. Control hospital spending
B. Expand access to insurance
C. Eliminate private insurance
D. Standardize provider salaries
,Rationale: The ACA aimed to increase access to health insurance and reduce
barriers to care.
4. Which group has the authority to enforce health policy regulations?
A. Congress
B. State legislatures
C. Administrative agencies
D. Supreme Court
Rationale: Agencies interpret and enforce laws through regulations.
5. The term “policy advocacy” refers to:
A. Negotiating for higher wages
B. Lobbying for corporate changes
C. Influencing policy decisions to improve public health
D. Publishing research
Rationale: Advocacy involves shaping policy to produce health improvements.
6. Which nursing organization is most engaged in federal policy lobbying?
A. Sigma Theta Tau
B. ANA local chapters
C. American Nurses Association (ANA)
D. ASPAN
Rationale: The ANA is the primary national voice for nursing in federal policy.
7. The largest purchaser of healthcare in the U.S. is:
A. Private insurers
B. Out-of-pocket consumers
C. Medicare
, D. Employers
Rationale: Medicare purchases a massive portion of healthcare services, especially
for older adults.
8. A health policy that spreads risk across a large population is based on:
A. Competition theory
B. Social justice
C. Market justice
D. Cost-benefit analysis
Rationale: Social justice supports equitable distribution of resources and risk-
sharing.
9. Which healthcare model emphasizes consumer choice and private markets?
A. Beveridge model
B. Market justice model
C. Bismarck model
D. National health insurance model
Rationale: Market justice models rely on market forces and consumer
responsibility.
10. A nurse wanting to influence a bill should first:
A. Contact the President
B. Contact their legislator
C. Call CMS
D. Petition the Supreme Court
Rationale: Legislators introduce and vote on bills; contacting them is the first step.
11. What is the first step in the policy process?
Analysis, Implementation, and Impact on
Advanced Nursing Practice 2025/2026
1. Which branch of government is primarily responsible for creating healthcare
laws?
A. Executive
B. Legislative
C. Judicial
D. Regulatory agencies
Rationale: The legislative branch drafts, debates, and passes laws that guide
healthcare policy.
2. Which organization is the major payer for long-term care services in the
United States?
A. Private insurance
B. Medicaid
C. Medicare Part D
D. Veterans Affairs
Rationale: Medicaid funds the majority of long-term care services, especially for
low-income adults and older adults.
3. The primary purpose of the Affordable Care Act (ACA) was to:
A. Control hospital spending
B. Expand access to insurance
C. Eliminate private insurance
D. Standardize provider salaries
,Rationale: The ACA aimed to increase access to health insurance and reduce
barriers to care.
4. Which group has the authority to enforce health policy regulations?
A. Congress
B. State legislatures
C. Administrative agencies
D. Supreme Court
Rationale: Agencies interpret and enforce laws through regulations.
5. The term “policy advocacy” refers to:
A. Negotiating for higher wages
B. Lobbying for corporate changes
C. Influencing policy decisions to improve public health
D. Publishing research
Rationale: Advocacy involves shaping policy to produce health improvements.
6. Which nursing organization is most engaged in federal policy lobbying?
A. Sigma Theta Tau
B. ANA local chapters
C. American Nurses Association (ANA)
D. ASPAN
Rationale: The ANA is the primary national voice for nursing in federal policy.
7. The largest purchaser of healthcare in the U.S. is:
A. Private insurers
B. Out-of-pocket consumers
C. Medicare
, D. Employers
Rationale: Medicare purchases a massive portion of healthcare services, especially
for older adults.
8. A health policy that spreads risk across a large population is based on:
A. Competition theory
B. Social justice
C. Market justice
D. Cost-benefit analysis
Rationale: Social justice supports equitable distribution of resources and risk-
sharing.
9. Which healthcare model emphasizes consumer choice and private markets?
A. Beveridge model
B. Market justice model
C. Bismarck model
D. National health insurance model
Rationale: Market justice models rely on market forces and consumer
responsibility.
10. A nurse wanting to influence a bill should first:
A. Contact the President
B. Contact their legislator
C. Call CMS
D. Petition the Supreme Court
Rationale: Legislators introduce and vote on bills; contacting them is the first step.
11. What is the first step in the policy process?
