Latest NURS 6531 Final Exam Prep Test
Bank 2026 Winter QTR with 550 Questions
and Correct Answers with Rationales / NURS
6531 Final Exam 2026 Prep Test Bank
(Newest!)
A small, rural hospital is part of an Accountable Care Organization (ACO)
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b and is designated as a Level 1 ACO. What is part of this designation? p. 2
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a. Bonuses based on achievement of benchmarks
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b. Care coordination for chronic diseases
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c. Standards for minimum cash reserves b b b b
d. Strict requirements for financial reporting ..........ANSWER. .....ANS: A
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A Level 1 ACO has the least amount of financial risk and requirements, but
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b receives shared savings bonuses based on achievement of benchmarks for
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b quality measures and expenditures. Care coordination and minimum cash
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b reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have
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b strict requirements for financial reporting.
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What was an important finding of the Advisory Board survey of 2014 about
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b primary care preferences of patients? p. 2
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a. Associations with area hospitals b b b
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b. Costs of ambulatory care
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c. Ease of access to care
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d. The ratio of providers to patients ..........ANSWER. .... ANS: C
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As part of the 2014 survey, the Advisory Board learned that patients desired
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b 24/7 access to care, walk-in settings and the ability to be seen within 30
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b minutes, and care that is close to home. Associations with hospitals, costs of
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b care, and the ratio of providers to patients were not part of these results.
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Which assessments of care providers are performed as part of the value-
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b based purchasing (VBP) initiative? (Select all that apply.) p. 1
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a. Appraising costs per case of care for Medicare patients
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b. Assessing patients' satisfaction with hospital care
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c. Evaluating available evidence to guide clinical care guidelines
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d. Monitoring mortality rates of all patients with pneumonia
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e. Requiring advanced IT standards and minimum cash reserves
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..........ANSWER ...... ANS: A, B, D b b b
Value-based purchasing looks at five domain areas of processes of care,
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b including efficiency of care (cost per case), experience of care (patient
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b satisfaction measures), and outcomes of care (mortality rates for certain
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b conditions). Evaluation of evidence to guide clinical care is part of evidence-
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b based practice. The requirements for IT standards and financial status are
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part of Accountable Care Organization standards
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What is the purpose of Level II research? p. 6
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a. To define characteristics of interest of groups of patients
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b. To demonstrate the effectiveness of an intervention or treatment
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c. To describe relationships among characteristics or variables
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d. To evaluate the nature of relationships between two variables
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..........ANSWER. ......ANS: C b
Level II research is concerned with describing the relationships among
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b characteristics or variables. Level I research is conducted to define the
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b characteristics of groups of patients. Level II research evaluates the nature
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of the relationships between variables. Level IV
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research is conducted to demonstrate the effectiveness of interventions or
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b treatments.
Which is the most appropriate research design for a Level III research study?
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p. 6 b
a. Epidemiological studies b
b. Experimental design b
c. Qualitative studies b
d. Randomized clinical trials ..........ANSWER. .....ANS: B b b b b
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The experimental design is the most appropriate design for a Level III study.
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b Epidemiological studies are appropriate for Level II studies. Qualitative
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b designs are useful for Level I studies. Randomized clinical trials are used for
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b Level IV studies.
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What is the purpose of clinical research trials in the spectrum of
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b translational research? p. 6 b b b
a. Adoption of interventions and clinical practices into routine clinical care
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b. Determination of the basis of disease and various treatment options
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c. Examination of safety and effectiveness of various interventions
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d. Exploration of fundamental mechanisms of biology, disease, or behavior
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..........ANSWER. ......ANS: C b
Clinical research trials are concerned with determining the safety and
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b effectiveness of interventions. Adoption of interventions and practices is
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part of clinical implementation. Determination of the basis of disease and
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b treatment options is part of the preclinical research phase. Exploration of
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the fundamental mechanisms of biology, disease, or behavior is part
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of the basic research stage.
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Which statement made by a health care provider demonstrates the most
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b appropriate understanding for the goal of a performance report?
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