Walden University NURS 6531 Final Exam
2026 | Advanced Practice Care Practice
Questions & Verified Answers
A small, rural hospital is part ot an Accountable Care Organization (ACO)
and is designated as a Level 1 ACO. What is part ot this designation? p. 2
a. Bonuses based on achievement ot benchmarks
b. Care coordination tor chronic diseases
c. Standards tor minimum cash reserves
d. Strict requirements tor tinancial reporting AN3: A
A Level 1 ACO has the least amount ot tinancial risk and requirements, but
receives shared savings bonuses based on achievement ot benchmarks tor
quality measures and expenditures. Care coordination and minimum cash
reserves standards are part ot Level 2 ACO requirements. Level Σ ACOs have
strict requirements tor tinancial reporting.
What was an important tinding ot the Advisory Board survey ot 2014 about
primary care preterences ot patients? p. 2
a. Associations with area hospitals
b. Costs ot ambulatory care
c. Ease ot access to care
d. The ratio ot providers to patients AN3: C
As part ot the 2014 survey, the Advisory Board learned that patients desired
24/7 access to care, walk - in settings and the ability to be seen within Σ0
minutes, and care that is close to home. Associations with hospitals, costs ot
care, and the ratio ot providers to patients were not part ot these results.
Which assessments ot care providers are pertormed as part ot the value -
based purchasing (VBP) initiative? (Select all that apply.) p. 1
,a. Appraising costs per case ot care tor Medicare patients
b. Assessing patients' satistaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates ot all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves AN3: A, B,
D
Value - based purchasing looks at tive domain areas ot processes ot care,
including etticiency ot care (cost per case), experience ot care (patient
satistaction measures), and outcomes ot care (mortality rates tor certain
conditions). Evaluation ot evidence to guide clinical care is part ot evidence -
based practice. The requirements tor IT standards and tinancial status are
part ot Accountable Care Organization standards
What is the purpose ot Level II research? p. 6
a. To detine characteristics ot interest ot groups ot patients
b. To demonstrate the ettectiveness ot an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature ot relationships between two variables AN3: C
Level II research is concerned with describing the relationships among
characteristics or variables. Level I research is conducted to detine the
characteristics ot groups ot patients. Level II research evaluates the nature
ot the relationships between variables. Level IV
research is conducted to demonstrate the ettectiveness ot interventions or
treatments.
Which is the most appropriate research design tor a Level III research
study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials AN3: B
,The experimental design is the most appropriate design tor a Level III study.
Epidemiological studies are appropriate tor Level II studies. Qualitative
designs are usetul tor Level I studies. Randomized clinical trials are used tor
Level IV studies.
What is the purpose ot clinical research trials in the spectrum ot
translational research? p. 6
a. Adoption ot interventions and clinical practices into routine clinical care
b. Determination ot the basis ot disease and various treatment options
c. Examination ot satety and ettectiveness ot various interventions
d. Exploration ot tundamental mechanisms ot biology, disease, or behavior
AN3: C
Clinical research trials are concerned with determining the satety and
ettectiveness ot interventions. Adoption ot interventions and practices is
part ot clinical implementation. Determination ot the basis ot disease and
treatment options is part ot the preclinical research phase. Exploration ot
the tundamental mechanisms ot biology, disease, or behavior is part
ot the basic research stage.
Which statement made by a health care provider demonstrates the most
appropriate understanding tor the goal ot a pertormance report?
a. TThis process allows me to critique the pertormance ot the rest ot the
statt.T
b. TMost organizations require statt to undergo a pertormance evaluation
yearly.T
c. TIt is hard to be personally criticized but that's how we learn to change.T
d. TThe comments should help me improve my management skills.T AN3:
D
The goal ot the pertormance report is to provide guidance to statt in the
areas ot protessional development, mentoring, and leadership development.
A peer review is written by others who pertorm similar skills (peers). The
, remaining options may be true but do not provide evidence ot
understanding ot the goal ot this protessional requirement.
Which assessment question would a health care provider ask when engaging
in the previsit stage ot the new model tor primary care? (Select all that
apply.)
a. TAre you ready to discuss some ot the community resources that are
available?T
b. TAre you experiencing any side ettects trom your newly prescribed
medications?T
c. TDo you anticipate any problems with adhering to your treatment plan?T
d. TAre you ready to discuss the results ot your laboratory tests?T
e. TDo you have any questions about the lab tests that have been ordered tor
you?T AN3: B, C, E
The nursing responsibilities in the previsit stage include assessing the
patient's tolerance ot prescribed medications, understanding ot existing
treatment plan, and education about required lab testing. The primary care
provider is responsible tor screening lab data and
discussing community resources during the actual visit.
What is the Quadruple Aim? p. 15 1) Improved patient satistaction
2) Reduce per capita costs
Σ) Improve population health
4) Improve patient care team experience
To reduce adverse events associated with care transitions, the Centers tor
Medicare and Medicaid Service have implemented which policy?
a. Mandates tor communication among primary caregivers and hospitalists
b. Penalties tor tailure to pertorm medication reconciliations at time ot
discharge
c. Reduction ot payments tor patients readmitted within Σ0 days atter
discharge
2026 | Advanced Practice Care Practice
Questions & Verified Answers
A small, rural hospital is part ot an Accountable Care Organization (ACO)
and is designated as a Level 1 ACO. What is part ot this designation? p. 2
a. Bonuses based on achievement ot benchmarks
b. Care coordination tor chronic diseases
c. Standards tor minimum cash reserves
d. Strict requirements tor tinancial reporting AN3: A
A Level 1 ACO has the least amount ot tinancial risk and requirements, but
receives shared savings bonuses based on achievement ot benchmarks tor
quality measures and expenditures. Care coordination and minimum cash
reserves standards are part ot Level 2 ACO requirements. Level Σ ACOs have
strict requirements tor tinancial reporting.
What was an important tinding ot the Advisory Board survey ot 2014 about
primary care preterences ot patients? p. 2
a. Associations with area hospitals
b. Costs ot ambulatory care
c. Ease ot access to care
d. The ratio ot providers to patients AN3: C
As part ot the 2014 survey, the Advisory Board learned that patients desired
24/7 access to care, walk - in settings and the ability to be seen within Σ0
minutes, and care that is close to home. Associations with hospitals, costs ot
care, and the ratio ot providers to patients were not part ot these results.
Which assessments ot care providers are pertormed as part ot the value -
based purchasing (VBP) initiative? (Select all that apply.) p. 1
,a. Appraising costs per case ot care tor Medicare patients
b. Assessing patients' satistaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates ot all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves AN3: A, B,
D
Value - based purchasing looks at tive domain areas ot processes ot care,
including etticiency ot care (cost per case), experience ot care (patient
satistaction measures), and outcomes ot care (mortality rates tor certain
conditions). Evaluation ot evidence to guide clinical care is part ot evidence -
based practice. The requirements tor IT standards and tinancial status are
part ot Accountable Care Organization standards
What is the purpose ot Level II research? p. 6
a. To detine characteristics ot interest ot groups ot patients
b. To demonstrate the ettectiveness ot an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature ot relationships between two variables AN3: C
Level II research is concerned with describing the relationships among
characteristics or variables. Level I research is conducted to detine the
characteristics ot groups ot patients. Level II research evaluates the nature
ot the relationships between variables. Level IV
research is conducted to demonstrate the ettectiveness ot interventions or
treatments.
Which is the most appropriate research design tor a Level III research
study? p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials AN3: B
,The experimental design is the most appropriate design tor a Level III study.
Epidemiological studies are appropriate tor Level II studies. Qualitative
designs are usetul tor Level I studies. Randomized clinical trials are used tor
Level IV studies.
What is the purpose ot clinical research trials in the spectrum ot
translational research? p. 6
a. Adoption ot interventions and clinical practices into routine clinical care
b. Determination ot the basis ot disease and various treatment options
c. Examination ot satety and ettectiveness ot various interventions
d. Exploration ot tundamental mechanisms ot biology, disease, or behavior
AN3: C
Clinical research trials are concerned with determining the satety and
ettectiveness ot interventions. Adoption ot interventions and practices is
part ot clinical implementation. Determination ot the basis ot disease and
treatment options is part ot the preclinical research phase. Exploration ot
the tundamental mechanisms ot biology, disease, or behavior is part
ot the basic research stage.
Which statement made by a health care provider demonstrates the most
appropriate understanding tor the goal ot a pertormance report?
a. TThis process allows me to critique the pertormance ot the rest ot the
statt.T
b. TMost organizations require statt to undergo a pertormance evaluation
yearly.T
c. TIt is hard to be personally criticized but that's how we learn to change.T
d. TThe comments should help me improve my management skills.T AN3:
D
The goal ot the pertormance report is to provide guidance to statt in the
areas ot protessional development, mentoring, and leadership development.
A peer review is written by others who pertorm similar skills (peers). The
, remaining options may be true but do not provide evidence ot
understanding ot the goal ot this protessional requirement.
Which assessment question would a health care provider ask when engaging
in the previsit stage ot the new model tor primary care? (Select all that
apply.)
a. TAre you ready to discuss some ot the community resources that are
available?T
b. TAre you experiencing any side ettects trom your newly prescribed
medications?T
c. TDo you anticipate any problems with adhering to your treatment plan?T
d. TAre you ready to discuss the results ot your laboratory tests?T
e. TDo you have any questions about the lab tests that have been ordered tor
you?T AN3: B, C, E
The nursing responsibilities in the previsit stage include assessing the
patient's tolerance ot prescribed medications, understanding ot existing
treatment plan, and education about required lab testing. The primary care
provider is responsible tor screening lab data and
discussing community resources during the actual visit.
What is the Quadruple Aim? p. 15 1) Improved patient satistaction
2) Reduce per capita costs
Σ) Improve population health
4) Improve patient care team experience
To reduce adverse events associated with care transitions, the Centers tor
Medicare and Medicaid Service have implemented which policy?
a. Mandates tor communication among primary caregivers and hospitalists
b. Penalties tor tailure to pertorm medication reconciliations at time ot
discharge
c. Reduction ot payments tor patients readmitted within Σ0 days atter
discharge
