NUR390 EXAM 4 BLUEPRINT 2026 PRACTICE
TEST QUESTIONS AND DETAILED NURSING
PROCESS AND HEALTH ASSESSMENT
BREAKDOWN FULL REVIEW
◉ _____: pt may select any physician on the preferred list, no referral
needed.
● Provider lists include primary care & specialists.
● Physicians have agreed to RETROSPECTIVE REIMBURSEMENT
(pre-established fees) from the insurance company after services
have been rendered.
● MOST insurance plans today are PPOs. Answer: Preferred
Provider Organizations (PPO)
◉ A type of private health insurance that Focus is on treatment
(health restoration). Answer: Preferred Provider Organizations
(PPO)
◉ __________ : a.k.a Obamacare, this law was designed to improve the
quality of healthcare by:
,● Providing PREVENTIVE services at little/no cost.
● Lifting any pre-existing condition restrictions from coverage.
● Expanding coverage for young adults.
● Improved access to healthcare.
● Lower healthcare costs.
● Employers were to offer healthcare insurance to their employees.
● Mandate coverage → everyone was to have health insurance.
● All plans must include basic benefits: emergency services,
hospitalization, ambulatory pt services,
pregnancy/maternity/newborn care, mental health services,
prescription drugs, rehabilitation, lab services, preventive services,
pediatric services, and women's contraceptive methods. Answer:
Patient Protection & Affordable Care Act (ACA)
Doesn't include transportation and abortion
,◉ ___ improves the quality of health care by:
Eliminating cancellation and caps on Lifetime coverage
Disallowing refusal of coverage for those with pre-existing
conditions
Expanding age coverage for young adults previously dropped from
parent policies
Establishing the standardized minimum coverage required by all
insurance policies
Restricting insurance companies from in discriminating raising
premium rates
Providing for preventive and wellness services (at little to no cost)
Minimizing fraud and practitioner billing Answer: Patient Protection
& Affordable Care Act (ACA)
◉ With the partial repeal passed when affixed to ______ ___ ___ (2017)
, NOW (PPAA): no mandated coverage, and no individual tax credit
funding to allay cost of health insurance premiums Answer: Tax
Reform BILL
◉ _____ ___: (1st contact-entry with healthcare system), Delivered
Usually in Doctor's office or clinic Answer: Primary Care
◉ ____ ____: Acute care needs usually in a hospital or skilled nursing
facility, INCLUDES: Hospitals, skill nursing facilities, Aim is for early
diagnosis and treatment
MOST expensive care, greatest use and greatest cost Answer:
Secondary Care
◉ ____: Rehabilitation services, non-acute treatment (chronic
conditions), those who need help with daily living activities, long-
term care centers
Second Most expensive care Answer: Tertiary Care
◉ ______ ____: Targeted to healthy populations (people without
symptoms of illnesses or disease).
TEST QUESTIONS AND DETAILED NURSING
PROCESS AND HEALTH ASSESSMENT
BREAKDOWN FULL REVIEW
◉ _____: pt may select any physician on the preferred list, no referral
needed.
● Provider lists include primary care & specialists.
● Physicians have agreed to RETROSPECTIVE REIMBURSEMENT
(pre-established fees) from the insurance company after services
have been rendered.
● MOST insurance plans today are PPOs. Answer: Preferred
Provider Organizations (PPO)
◉ A type of private health insurance that Focus is on treatment
(health restoration). Answer: Preferred Provider Organizations
(PPO)
◉ __________ : a.k.a Obamacare, this law was designed to improve the
quality of healthcare by:
,● Providing PREVENTIVE services at little/no cost.
● Lifting any pre-existing condition restrictions from coverage.
● Expanding coverage for young adults.
● Improved access to healthcare.
● Lower healthcare costs.
● Employers were to offer healthcare insurance to their employees.
● Mandate coverage → everyone was to have health insurance.
● All plans must include basic benefits: emergency services,
hospitalization, ambulatory pt services,
pregnancy/maternity/newborn care, mental health services,
prescription drugs, rehabilitation, lab services, preventive services,
pediatric services, and women's contraceptive methods. Answer:
Patient Protection & Affordable Care Act (ACA)
Doesn't include transportation and abortion
,◉ ___ improves the quality of health care by:
Eliminating cancellation and caps on Lifetime coverage
Disallowing refusal of coverage for those with pre-existing
conditions
Expanding age coverage for young adults previously dropped from
parent policies
Establishing the standardized minimum coverage required by all
insurance policies
Restricting insurance companies from in discriminating raising
premium rates
Providing for preventive and wellness services (at little to no cost)
Minimizing fraud and practitioner billing Answer: Patient Protection
& Affordable Care Act (ACA)
◉ With the partial repeal passed when affixed to ______ ___ ___ (2017)
, NOW (PPAA): no mandated coverage, and no individual tax credit
funding to allay cost of health insurance premiums Answer: Tax
Reform BILL
◉ _____ ___: (1st contact-entry with healthcare system), Delivered
Usually in Doctor's office or clinic Answer: Primary Care
◉ ____ ____: Acute care needs usually in a hospital or skilled nursing
facility, INCLUDES: Hospitals, skill nursing facilities, Aim is for early
diagnosis and treatment
MOST expensive care, greatest use and greatest cost Answer:
Secondary Care
◉ ____: Rehabilitation services, non-acute treatment (chronic
conditions), those who need help with daily living activities, long-
term care centers
Second Most expensive care Answer: Tertiary Care
◉ ______ ____: Targeted to healthy populations (people without
symptoms of illnesses or disease).
