Quiz 1: NURS5461 / NURS 5461
Adult Gerontology Management Across the Continuum of Care
Latest 2026/2027 |University of Texas at Arlington (UTA)
50 Questions with Correct Answers | Grade A
Section 1: Foundational Concepts & Continuum Overview
Q1: An 80-year-old patient is discharged from the hospital after a hip replacement and is
admitted to a Skilled Nursing Facility (SNF) to receive daily physical therapy. Which Medicare
coverage specifically pays for this post-acute care stay?
A. Medicare Part B
B. Medicare Part D
C. Medicare Part A [CORRECT]
D. Medicare Advantage (Part C) supplemental benefit
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, care in a Skilled Nursing Facility
following a qualifying hospital stay, hospice care, and some home health care. Part B covers
outpatient services, Part D covers prescription drugs, and Part C replaces Parts A and B but the
SNF benefit itself stems from the Part A statutory framework.
Q2: A 76-year-old patient requires a walker, outpatient occupational therapy, and a new
prescription for a blood pressure medication upon discharge home from an acute care facility.
Which combination of Medicare parts will cover these specific transitional needs?
A. Part A for the walker, Part B for the therapy, Part D for the medication [CORRECT]
B. Part B for the walker, Part A for the therapy, Part D for the medication
C. Part D for the walker, Part B for the therapy, Part A for the medication
D. Part B for the walker, therapy, and medication
Correct Answer: A
,Rationale: Medicare Part B covers durable medical equipment (walkers) and outpatient
physical/occupational therapy, while Part D covers prescription medications dispensed at a retail
pharmacy. Part A does not cover outpatient therapies or standard prescription medications.
Q3: A 78-year-old patient with heart failure is receiving home health nursing visits for wound
care and IV medication administration. Simultaneously, they are enrolled in an outpatient cardiac
rehabilitation program and need a high-cost branded inhaler. Analyze the Medicare coverage
required for these three services.
A. Part A for home health, Part B for cardiac rehab, Part D for inhaler [CORRECT]
B. Part B for home health, Part B for cardiac rehab, Part A for inhaler
C. Part A for home health, Part A for cardiac rehab, Part D for inhaler
D. Part B for home health, Part A for cardiac rehab, Part B for inhaler
Correct Answer: A
Rationale: Medicare Part A covers home health services when billed as an episode of care
(intermittent skilled nursing), Part B covers outpatient cardiac rehabilitation programs, and Part
D covers self-administered prescription inhalers.
Q4: Under Texas Health and Human Services Commission (HHSC) guidelines mirroring UTA
clinical affiliate protocols, a patient is being transferred from an acute care hospital to a long-
term care facility. Which of the following is a mandatory regulatory requirement for this
transition?
A. The patient must be formally screened using the Texas Uniform Assessment Instrument
(UAI) to determine level of care [CORRECT]
B. The attending physician must physically accompany the patient to the receiving facility
C. The hospital must guarantee a 30-day readmission-free period prior to transfer
D. The family must sign a waiver forfeiting the patient's right to return to the acute hospital
Correct Answer: A
Rationale: Texas HHSC requires a standardized assessment, such as the UAI, to ensure the
patient meets the medical necessity criteria for long-term care services before admission,
preventing inappropriate placements. The other options are false regulatory requirements.
, Q5: Which of the following best defines the "Continuum of Care" in adult gerontology
management?
A. A rigid, step-down model where patients move strictly from hospital to home
B. An integrated, patient-centered system of care that spans from health promotion to end-
of-life, adjusting based on patient needs [CORRECT]
C. A financial model used by Medicare to cap payments across all settings
D. A siloed approach where each provider manages only their specific acute episode
Correct Answer: B
Rationale: The continuum of care is a concept involving an integrated system of care that guides
and tracks patients over time through a comprehensive array of health services spanning all
levels of intensity of care.
Q6: An 85-year-old patient with advanced metastatic cancer decides to forgo further curative
treatment and requests comfort measures only. The adult-gerontology NP transitions the patient
from an oncology clinic to a home hospice program. This transition represents a shift along the
continuum to which level of care?
A. Primary care
B. Restorative care
C. Acute care
D. Palliative and end-of-life care [CORRECT]
Correct Answer: D
Rationale: Transitioning to comfort measures only via a home hospice program represents
palliative and end-of-life care, which focuses on symptom management and quality of life rather
than curative or restorative treatments.
Q7: A 72-year-old patient suffers a severe ischemic stroke and requires intensive daily physical,
occupational, and speech therapy. The family asks where the patient should go to maximize
recovery potential. Based on levels of care, what is the most appropriate recommendation?
A. Long-term care facility
B. Assisted living facility
C. Inpatient Rehabilitation Facility (IRF) [CORRECT]
Adult Gerontology Management Across the Continuum of Care
Latest 2026/2027 |University of Texas at Arlington (UTA)
50 Questions with Correct Answers | Grade A
Section 1: Foundational Concepts & Continuum Overview
Q1: An 80-year-old patient is discharged from the hospital after a hip replacement and is
admitted to a Skilled Nursing Facility (SNF) to receive daily physical therapy. Which Medicare
coverage specifically pays for this post-acute care stay?
A. Medicare Part B
B. Medicare Part D
C. Medicare Part A [CORRECT]
D. Medicare Advantage (Part C) supplemental benefit
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, care in a Skilled Nursing Facility
following a qualifying hospital stay, hospice care, and some home health care. Part B covers
outpatient services, Part D covers prescription drugs, and Part C replaces Parts A and B but the
SNF benefit itself stems from the Part A statutory framework.
Q2: A 76-year-old patient requires a walker, outpatient occupational therapy, and a new
prescription for a blood pressure medication upon discharge home from an acute care facility.
Which combination of Medicare parts will cover these specific transitional needs?
A. Part A for the walker, Part B for the therapy, Part D for the medication [CORRECT]
B. Part B for the walker, Part A for the therapy, Part D for the medication
C. Part D for the walker, Part B for the therapy, Part A for the medication
D. Part B for the walker, therapy, and medication
Correct Answer: A
,Rationale: Medicare Part B covers durable medical equipment (walkers) and outpatient
physical/occupational therapy, while Part D covers prescription medications dispensed at a retail
pharmacy. Part A does not cover outpatient therapies or standard prescription medications.
Q3: A 78-year-old patient with heart failure is receiving home health nursing visits for wound
care and IV medication administration. Simultaneously, they are enrolled in an outpatient cardiac
rehabilitation program and need a high-cost branded inhaler. Analyze the Medicare coverage
required for these three services.
A. Part A for home health, Part B for cardiac rehab, Part D for inhaler [CORRECT]
B. Part B for home health, Part B for cardiac rehab, Part A for inhaler
C. Part A for home health, Part A for cardiac rehab, Part D for inhaler
D. Part B for home health, Part A for cardiac rehab, Part B for inhaler
Correct Answer: A
Rationale: Medicare Part A covers home health services when billed as an episode of care
(intermittent skilled nursing), Part B covers outpatient cardiac rehabilitation programs, and Part
D covers self-administered prescription inhalers.
Q4: Under Texas Health and Human Services Commission (HHSC) guidelines mirroring UTA
clinical affiliate protocols, a patient is being transferred from an acute care hospital to a long-
term care facility. Which of the following is a mandatory regulatory requirement for this
transition?
A. The patient must be formally screened using the Texas Uniform Assessment Instrument
(UAI) to determine level of care [CORRECT]
B. The attending physician must physically accompany the patient to the receiving facility
C. The hospital must guarantee a 30-day readmission-free period prior to transfer
D. The family must sign a waiver forfeiting the patient's right to return to the acute hospital
Correct Answer: A
Rationale: Texas HHSC requires a standardized assessment, such as the UAI, to ensure the
patient meets the medical necessity criteria for long-term care services before admission,
preventing inappropriate placements. The other options are false regulatory requirements.
, Q5: Which of the following best defines the "Continuum of Care" in adult gerontology
management?
A. A rigid, step-down model where patients move strictly from hospital to home
B. An integrated, patient-centered system of care that spans from health promotion to end-
of-life, adjusting based on patient needs [CORRECT]
C. A financial model used by Medicare to cap payments across all settings
D. A siloed approach where each provider manages only their specific acute episode
Correct Answer: B
Rationale: The continuum of care is a concept involving an integrated system of care that guides
and tracks patients over time through a comprehensive array of health services spanning all
levels of intensity of care.
Q6: An 85-year-old patient with advanced metastatic cancer decides to forgo further curative
treatment and requests comfort measures only. The adult-gerontology NP transitions the patient
from an oncology clinic to a home hospice program. This transition represents a shift along the
continuum to which level of care?
A. Primary care
B. Restorative care
C. Acute care
D. Palliative and end-of-life care [CORRECT]
Correct Answer: D
Rationale: Transitioning to comfort measures only via a home hospice program represents
palliative and end-of-life care, which focuses on symptom management and quality of life rather
than curative or restorative treatments.
Q7: A 72-year-old patient suffers a severe ischemic stroke and requires intensive daily physical,
occupational, and speech therapy. The family asks where the patient should go to maximize
recovery potential. Based on levels of care, what is the most appropriate recommendation?
A. Long-term care facility
B. Assisted living facility
C. Inpatient Rehabilitation Facility (IRF) [CORRECT]
