NURA 303 Exam 1 ACTUAL UPDATED
QUESTIONS AND CORRECT ANSWERS
Nursing students are reviewing information about health care delivery systems in preparation
for a quiz the next day. Which statements describe current U.S. health care delivery
practices? Select all that apply.
A. Access to care depends only on the ability to pay, not the availability of services.
B. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
D. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
E. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
F. Quality of care can be defined as the right care for the right person at the right time. -
CORRECT ANSWERS✅✅c, e, f. The Health Insurance Marketplace is designed to help
people more easily find health insurance that fits their budget. Every health insurance plan in
the Marketplace offers comprehensive coverage, from doctors to medications to hospital
visits. Fifty years ago, half of the doctors in the United States practiced primary care, but
today fewer than one in three do. Quality is the right care for the right person at the right
time. Access to care depends on both the ability to pay and the availability of services. The
Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to
qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one
third of their care out of pocket and are often charged higher amounts for their care than the
insured pay.
A nurse is providing health care to patients in a health care facility. Which of these patients
are receiving secondary health care? Select all that apply.
A. A patient enters a community clinic with signs of strep throat.
B. A patient is admitted to the hospital following a myocardial infarction.
C. A mother brings her son to the emergency department following a seizure.
D. A patient with osteogenesis imperfecta is being treated in a medical center.
E. A mother brings her son to a specialist to correct a congenital heart defect.
F. A woman has a hernia repair in an ambulatory care center. - CORRECT
ANSWERS✅✅b, c, f. Secondary health care treats problems that require specialized clinical
expertise, such as an MI, a seizure, and a hernia repair. Treating strep throat is primary health
,care. Tertiary health care involves management of rare and complex disorders, such as
osteogenesis imperfecta and congenital heart malformations.
A nurse working in a primary care facility prepares insurance forms in which the provider is
given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
A. Capitation
B. Prospective payment system
C. Bundled payment
D. Rate setting - CORRECT ANSWERS✅✅a. Capitation plans give providers a fixed
amount per enrollee in the health plan in an effort to build a payment plan that consists of the
best standards of care at the lowest cost. The prospective payment system groups inpatient
hospital services for Medicare patients into DRGs. With bundled payments, providers receive
a fixed sum of money to provide a range of services. Rate setting means that the government
could set targets or caps for spending on health care services.
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party
payer who pays all or most of the care. This is an example of what mode of health care
payment?
A. Out-of-pocket payment
B. Individual private insurance
C. Employer-based group private insurance
D. Government financing - CORRECT ANSWERS✅✅b. The four basic modes of paying
for health care are out-of-pocket payment, individual private insurance, employer-based
group private insurance, and government financing. With individual private insurance,
members pay monthly premiums either by themselves or in combination with employer
payments. These plans are called third-party payers because the insurance company pays all
or most of the cost of care. Out-of-pocket payment is paying for health care with cash
payments. Employer-based private insurance is employer-sponsored coverage and
government financing is provided through Medicare and Medicaid, and other federally
funded programs.
A nurse researcher keeps current on the trends to watch in health care delivery. What trends
are likely included? Select all that apply.
A. Globalization of the economy and society
B. Slowdown in technology development
C. Decreasing diversity
,D. Increasing complexity of patient care
E. Changing demographics
F. Shortages of key health care professionals and educators - CORRECT ANSWERS✅✅a,
d, e, f. Trends to watch in health care delivery include globalization of the economy and
society, increasing complexity of patient care, changing demographics, shortages of key
health care professionals and educators, technology explosion, and increasing diversity.
A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date - CORRECT ANSWERS✅✅b.
Performing patient health assessments is a common role of the nurse in a primary care center.
Assisting with major surgery is a role of the nurse in the hospital setting. Maintaining
patients' function and independence is a role of the nurse in an extended-care facility, and
keeping student immunization records up to date is a role of the school nurse.
A caregiver asks a nurse to explain respite care. How would the nurse respond?
A. "Respite care is a service that allows time away for caregivers."
B. "Respite care is a special service for the terminally ill and their family."
C. "Respite care is direct care provided to people in a long-term care facility."
D. "Respite care provides living units for people without regular shelter." - CORRECT
ANSWERS✅✅a. Respite care is provided to enable a primary caregiver time away from the
day-to-day responsibilities of homebound patients.
A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed care
as a framework for health care?
A. A design to control the cost of care while maintaining the quality of care
B. Care coordination to maximize positive outcomes to contain costs
C. The delivery of services from initial contact through ongoing care
D. Based on a philosophy of ensuring death in comfort and dignity - CORRECT
ANSWERS✅✅a. Managed care is a way of providing care designed to control costs while
maintaining the quality of care.
, A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. What type of care is the nurse
providing?
A. Respite care
B. Palliative care
C. Hospice care
D. Extended care - CORRECT ANSWERS✅✅c. The hospice nurse combines the skills of
the home care nurse with the ability to provide daily emotional support to dying patients and
their families. Respite care is a type of care provided for caregivers of homebound ill,
disabled, or older adults. Palliative care, which can be used in conjunction with medical
treatment and in all types of health care settings, is focused on the relief of physical, mental,
and spiritual distress. Extended-care facilities include transitional subacute care, assisted-
living facilities, intermediate and long-term care, homes for medically fragile children,
retirement centers, and residential institutions for mentally and developmentally or physically
disabled patients of all ages.
Nurses provide care to patients as collaborative members of the health care team. Which roles
may be performed by the advanced practice registered nurse? Select all that apply.
A. Primary care provider
B. Hospitalist
C. Physical therapist
D. Anesthetist
E. Midwife
F. Pharmacist - CORRECT ANSWERS✅✅a, d, e. The Advanced Practice Registered Nurse
(APRN) is a registered nurse educated at the master's or post-master's level in a specific role
and for a specific population. Whether they are nurse practitioners, clinical nurse specialists,
nurse anesthetists, or nurse midwives, APRNs play a pivotal role in the future of health care.
APRNs are often primary care providers and are at the forefront of providing preventive care
to the public. Hospitalists are health care providers who provide care to patients when they
visit the emergency department or are admitted to the hospital. A physical therapist completes
a specific training program to learn to help patients restore function or to prevent further
disability in a patient after an injury or illness. A pharmacist, prepared at the doctoral level, is
licensed to formulate and dispense medications.
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral
aneurysm following a loss of consciousness in the emergency department (ED). The nurse
QUESTIONS AND CORRECT ANSWERS
Nursing students are reviewing information about health care delivery systems in preparation
for a quiz the next day. Which statements describe current U.S. health care delivery
practices? Select all that apply.
A. Access to care depends only on the ability to pay, not the availability of services.
B. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
C. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
D. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
E. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
F. Quality of care can be defined as the right care for the right person at the right time. -
CORRECT ANSWERS✅✅c, e, f. The Health Insurance Marketplace is designed to help
people more easily find health insurance that fits their budget. Every health insurance plan in
the Marketplace offers comprehensive coverage, from doctors to medications to hospital
visits. Fifty years ago, half of the doctors in the United States practiced primary care, but
today fewer than one in three do. Quality is the right care for the right person at the right
time. Access to care depends on both the ability to pay and the availability of services. The
Patient Protection and Affordable Care Act provides Medicaid or subsidized coverage to
qualifying people with incomes up to 400% of poverty. The uninsured pay for more than one
third of their care out of pocket and are often charged higher amounts for their care than the
insured pay.
A nurse is providing health care to patients in a health care facility. Which of these patients
are receiving secondary health care? Select all that apply.
A. A patient enters a community clinic with signs of strep throat.
B. A patient is admitted to the hospital following a myocardial infarction.
C. A mother brings her son to the emergency department following a seizure.
D. A patient with osteogenesis imperfecta is being treated in a medical center.
E. A mother brings her son to a specialist to correct a congenital heart defect.
F. A woman has a hernia repair in an ambulatory care center. - CORRECT
ANSWERS✅✅b, c, f. Secondary health care treats problems that require specialized clinical
expertise, such as an MI, a seizure, and a hernia repair. Treating strep throat is primary health
,care. Tertiary health care involves management of rare and complex disorders, such as
osteogenesis imperfecta and congenital heart malformations.
A nurse working in a primary care facility prepares insurance forms in which the provider is
given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
A. Capitation
B. Prospective payment system
C. Bundled payment
D. Rate setting - CORRECT ANSWERS✅✅a. Capitation plans give providers a fixed
amount per enrollee in the health plan in an effort to build a payment plan that consists of the
best standards of care at the lowest cost. The prospective payment system groups inpatient
hospital services for Medicare patients into DRGs. With bundled payments, providers receive
a fixed sum of money to provide a range of services. Rate setting means that the government
could set targets or caps for spending on health care services.
A nurse working in a pediatric clinic provides codes for a patient's services to a third-party
payer who pays all or most of the care. This is an example of what mode of health care
payment?
A. Out-of-pocket payment
B. Individual private insurance
C. Employer-based group private insurance
D. Government financing - CORRECT ANSWERS✅✅b. The four basic modes of paying
for health care are out-of-pocket payment, individual private insurance, employer-based
group private insurance, and government financing. With individual private insurance,
members pay monthly premiums either by themselves or in combination with employer
payments. These plans are called third-party payers because the insurance company pays all
or most of the cost of care. Out-of-pocket payment is paying for health care with cash
payments. Employer-based private insurance is employer-sponsored coverage and
government financing is provided through Medicare and Medicaid, and other federally
funded programs.
A nurse researcher keeps current on the trends to watch in health care delivery. What trends
are likely included? Select all that apply.
A. Globalization of the economy and society
B. Slowdown in technology development
C. Decreasing diversity
,D. Increasing complexity of patient care
E. Changing demographics
F. Shortages of key health care professionals and educators - CORRECT ANSWERS✅✅a,
d, e, f. Trends to watch in health care delivery include globalization of the economy and
society, increasing complexity of patient care, changing demographics, shortages of key
health care professionals and educators, technology explosion, and increasing diversity.
A nurse is caring for patients in a primary care center. What is the most likely role of this
nurse based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date - CORRECT ANSWERS✅✅b.
Performing patient health assessments is a common role of the nurse in a primary care center.
Assisting with major surgery is a role of the nurse in the hospital setting. Maintaining
patients' function and independence is a role of the nurse in an extended-care facility, and
keeping student immunization records up to date is a role of the school nurse.
A caregiver asks a nurse to explain respite care. How would the nurse respond?
A. "Respite care is a service that allows time away for caregivers."
B. "Respite care is a special service for the terminally ill and their family."
C. "Respite care is direct care provided to people in a long-term care facility."
D. "Respite care provides living units for people without regular shelter." - CORRECT
ANSWERS✅✅a. Respite care is provided to enable a primary caregiver time away from the
day-to-day responsibilities of homebound patients.
A nurse caring for patients in a primary care setting submits paperwork for reimbursement
from managed care plans for services performed. Which purpose best describes managed care
as a framework for health care?
A. A design to control the cost of care while maintaining the quality of care
B. Care coordination to maximize positive outcomes to contain costs
C. The delivery of services from initial contact through ongoing care
D. Based on a philosophy of ensuring death in comfort and dignity - CORRECT
ANSWERS✅✅a. Managed care is a way of providing care designed to control costs while
maintaining the quality of care.
, A nurse cares for dying patients by providing physical, psychological, social, and spiritual
care for the patients, their families, and other loved ones. What type of care is the nurse
providing?
A. Respite care
B. Palliative care
C. Hospice care
D. Extended care - CORRECT ANSWERS✅✅c. The hospice nurse combines the skills of
the home care nurse with the ability to provide daily emotional support to dying patients and
their families. Respite care is a type of care provided for caregivers of homebound ill,
disabled, or older adults. Palliative care, which can be used in conjunction with medical
treatment and in all types of health care settings, is focused on the relief of physical, mental,
and spiritual distress. Extended-care facilities include transitional subacute care, assisted-
living facilities, intermediate and long-term care, homes for medically fragile children,
retirement centers, and residential institutions for mentally and developmentally or physically
disabled patients of all ages.
Nurses provide care to patients as collaborative members of the health care team. Which roles
may be performed by the advanced practice registered nurse? Select all that apply.
A. Primary care provider
B. Hospitalist
C. Physical therapist
D. Anesthetist
E. Midwife
F. Pharmacist - CORRECT ANSWERS✅✅a, d, e. The Advanced Practice Registered Nurse
(APRN) is a registered nurse educated at the master's or post-master's level in a specific role
and for a specific population. Whether they are nurse practitioners, clinical nurse specialists,
nurse anesthetists, or nurse midwives, APRNs play a pivotal role in the future of health care.
APRNs are often primary care providers and are at the forefront of providing preventive care
to the public. Hospitalists are health care providers who provide care to patients when they
visit the emergency department or are admitted to the hospital. A physical therapist completes
a specific training program to learn to help patients restore function or to prevent further
disability in a patient after an injury or illness. A pharmacist, prepared at the doctoral level, is
licensed to formulate and dispense medications.
A nurse is caring for a patient in the ICU who is being monitored for a possible cerebral
aneurysm following a loss of consciousness in the emergency department (ED). The nurse
