PN 101 Comprehensive Nursing and Healthcare
Insurance Key Concepts Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Medicaid - CORRECT ANSWER Major government insurance for low-income
individuals; funded by federal + state.
Medicare - CORRECT ANSWER Federal insurance for adults 65+, disabilities, ESRD;
includes Parts A-D.
Difference: Medicaid vs Medicare - CORRECT ANSWER Medicaid = income-based;
Medicare = age/disability-based.
Purpose of Regulatory Agencies - CORRECT ANSWER Ensure safety, quality, and
standards in health care.
Joint Commission (TJC) - CORRECT ANSWER Accredits hospitals; conducts
inspections and surveys for quality & safety.
State Survey - CORRECT ANSWER State inspectors check safety, documentation,
infection control, compliance.
Affordable Care Act (ACA) - CORRECT ANSWER Increases access; no denial for
pre-existing conditions; dependents covered until age 26.
Palliative Care - CORRECT ANSWER Comfort care at any stage of illness; can
receive curative treatment.
Hospice Care - CORRECT ANSWER End-of-life care for terminal illness (<6
months); no curative treatment.
Insurance Key Concepts Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Medicaid - CORRECT ANSWER Major government insurance for low-income
individuals; funded by federal + state.
Medicare - CORRECT ANSWER Federal insurance for adults 65+, disabilities, ESRD;
includes Parts A-D.
Difference: Medicaid vs Medicare - CORRECT ANSWER Medicaid = income-based;
Medicare = age/disability-based.
Purpose of Regulatory Agencies - CORRECT ANSWER Ensure safety, quality, and
standards in health care.
Joint Commission (TJC) - CORRECT ANSWER Accredits hospitals; conducts
inspections and surveys for quality & safety.
State Survey - CORRECT ANSWER State inspectors check safety, documentation,
infection control, compliance.
Affordable Care Act (ACA) - CORRECT ANSWER Increases access; no denial for
pre-existing conditions; dependents covered until age 26.
Palliative Care - CORRECT ANSWER Comfort care at any stage of illness; can
receive curative treatment.
Hospice Care - CORRECT ANSWER End-of-life care for terminal illness (<6
months); no curative treatment.
