NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as a Level 1 ACO. What is
part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting: ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordination
and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients: ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations
with hospitals, costs of care, and the ratio of providers to patients were not part of these results.
3. Which assessments of care providers are performed as part
of the val-ue-based purchasing (VBP) initiative? (Select all that
apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves: ANS:
A, B, D Value-based purchasing looks at five domain areas of processes of care, including eflciency of
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality
rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-based
practice. The requirements for IT standards and financial status are
part of Accountable Care Organization standards
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
4. What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables: ANS:
C
Level II research is concerned with describing the relationships among characteristics or variables. Level
I research is conducted to define the characteristics of groups of patients. Level II research evaluates
the nature of the relationships between variables. Level IV
research is conducted to demonstrate the ettectiveness of interventions or treatments.
5. Which is the most appropriate research design for a Level III
research study?
p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials: ANS: B
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
The experimental design is the most appropriate design for a Level III study. Epidemiological studies
are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized clinical
trials are used for Level IV studies.
6. What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
a. Adoption of interventions and clinical practices into routine
clinical care
b. Determination of the basis of disease and various treatment
options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or
behavior: -
ANS: C
Clinical research trials are concerned with determining the safety and ettectiveness of interventions.
Adoption of interventions and practices is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical research phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part
of the basic research stage.
Update (Actual Exam) 2025\2026 LATEST VERSION!!
1. A small, rural hospital is part of an Accountable Care
Organization (ACO) and is designated as a Level 1 ACO. What is
part of this designation? p. 2
a. Bonuses based on achievement of benchmarks
b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting: ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared savings
bonuses based on achievement of benchmarks for quality measures and expenditures. Care coordination
and minimum cash reserves standards are part of Level 2 ACO requirements. Level 3 ACOs have strict
requirements for financial reporting.
2. What was an important finding of the Advisory Board survey of
2014 about primary care preferences of patients? p. 2
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients: ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care, walk-
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
in settings and the ability to be seen within 30 minutes, and care that is close to home. Associations
with hospitals, costs of care, and the ratio of providers to patients were not part of these results.
3. Which assessments of care providers are performed as part
of the val-ue-based purchasing (VBP) initiative? (Select all that
apply.) p. 1
a. Appraising costs per case of care for Medicare patients
b. Assessing patients' satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves: ANS:
A, B, D Value-based purchasing looks at five domain areas of processes of care, including eflciency of
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care (mortality
rates for certain conditions). Evaluation of evidence to guide clinical care is part of evidence-based
practice. The requirements for IT standards and financial status are
part of Accountable Care Organization standards
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
4. What is the purpose of Level II research? p. 6
a. To define characteristics of interest of groups of patients
b. To demonstrate the effectiveness of an intervention or treatment
c. To describe relationships among characteristics or variables
d. To evaluate the nature of relationships between two variables: ANS:
C
Level II research is concerned with describing the relationships among characteristics or variables. Level
I research is conducted to define the characteristics of groups of patients. Level II research evaluates
the nature of the relationships between variables. Level IV
research is conducted to demonstrate the ettectiveness of interventions or treatments.
5. Which is the most appropriate research design for a Level III
research study?
p. 6
a. Epidemiological studies
b. Experimental design
c. Qualitative studies
d. Randomized clinical trials: ANS: B
, NRNP 6531 Final Exam Questions and Answers (Verified Answers)
Update (Actual Exam) 2025\2026 LATEST VERSION!!
The experimental design is the most appropriate design for a Level III study. Epidemiological studies
are appropriate for Level II studies. Qualitative designs are useful for Level I studies. Randomized clinical
trials are used for Level IV studies.
6. What is the purpose of clinical research trials in the spectrum of
translational research? p. 6
a. Adoption of interventions and clinical practices into routine
clinical care
b. Determination of the basis of disease and various treatment
options
c. Examination of safety and effectiveness of various interventions
d. Exploration of fundamental mechanisms of biology, disease, or
behavior: -
ANS: C
Clinical research trials are concerned with determining the safety and ettectiveness of interventions.
Adoption of interventions and practices is part of clinical implementation. Determination of the basis of
disease and treatment options is part of the preclinical research phase. Exploration of the fundamental
mechanisms of biology, disease, or behavior is part
of the basic research stage.
