NURS 201 - EXAM 3 PRACTICE
QUESTIONS EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A. Nursing students are reviewing information about health care delivery systems in
preparation for a quiz the next day. Which statements describe current U.S. health care
delivery practices? Select all that apply.
B. Access to care depends only on the ability to pay, not the availability of services.
C. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
D. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
E. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
F. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
G. Quality of care can be defined as the right care for the right person at the right time. -
CORRECT-ANSWERSc, e, f
H. The Health Insurance Marketplace is designed to help people more easily find health
insurance that fits their budget. Every health insurance plan in the Marketplace offers
comprehensive coverage, from doctors to medications to hospital visits. Fifty years ago,
half of the doctors in the United States practiced primary care, but today fewer than one
, in three do. Quality is the right care for the right person at the right time. Access to care
depends on both the ability to pay and the availability of services. The Patient Protection
and Affordable Care Act provides Medicaid or subsidized coverage to qualifying people
with incomes up to 400% of poverty. The uninsured pay for more than one third of their
care out of pocket and are often charged higher amounts for their care than the insured
pay.
I. A nurse is providing health care to patients in a health care facility. Which of these
patients are receiving secondary health care? Select all that apply.
J. A patient enters a community clinic with signs of strep throat.
K. A patient is admitted to the hospital following a myocardial infarction.
L. A mother brings her son to the emergency department following a seizure.
M. A patient with osteogenesis imperfecta is being treated in a medical center.
N. A mother brings her son to a specialist to correct a congenital heart defect.
O. A woman has a hernia repair in an ambulatory care center. - CORRECT-ANSWERSb, c,
f
P. Secondary health care treats problems that require specialized clinical expertise, such as
an MI, a seizure, and a hernia repair. Treating strep throat is primary health care. Tertiary
health care involves management of rare and complex disorders, such as osteogenesis
imperfecta and congenital heart malformations.
Q. A nurse working in a primary care facility prepares insurance forms in which the provider
is given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
R. Capitation
,S. Prospective payment system
T. Bundled payment
U. Rate setting - CORRECT-ANSWERSa
V. Capitation plans give providers a fixed amount per enrollee in the health plan in an effort
to build a payment plan that consists of the best standards of care at the lowest cost. The
prospective payment system groups inpatient hospital services for Medicare patients into
DRGs. With bundled payments, providers receive a fixed sum of money to provide a
range of services. Rate setting means that the government could set targets or caps for
spending on health care services.
W. A nurse working in a pediatric clinic provides codes for a patient's services to a third-
party payer who pays all or most of the care. This is an example of what mode of health
care payment?
X. Out-of-pocket payment
Y. Individual private insurance
Z. Employer-based group private insurance
AA. Government financing - CORRECT-ANSWERSb
BB. The four basic modes of paying for health care are out-of-pocket payment,
individual private insurance, employer-based group private insurance, and government
financing. With individual private insurance, members pay monthly premiums either by
themselves or in combination with employer payments. These plans are called third-party
payers because the insurance company pays all or most of the cost of care. Out-of-pocket
payment is paying for health care with cash payments. Employer-based private insurance
is employer-sponsored coverage and government financing is provided through Medicare
and Medicaid, and other federally funded programs.
, CC. A nurse researcher keeps current on the trends to watch in health care delivery.
What trends are likely included? Select all that apply.
DD. Globalization of the economy and society
EE.Slowdown in technology development
FF. Decreasing diversity
GG. Increasing complexity of patient care
HH. Changing demographics
II. Shortages of key health care professionals and educators - CORRECT-ANSWERSa, d, e,
f
JJ. Trends to watch in health care delivery include globalization of the economy and society,
increasing complexity of patient care, changing demographics, shortages of key health
care professionals and educators, technology explosion, and increasing diversity.
KK. A nurse is caring for patients in a primary care center. What is the most likely role
of this nurse based on the setting?
LL.Assisting with major surgery
MM. Performing a health assessment
NN. Maintaining patients' function and independence
OO. Keeping student immunization records up to date - CORRECT-ANSWERSb
QUESTIONS EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
A. Nursing students are reviewing information about health care delivery systems in
preparation for a quiz the next day. Which statements describe current U.S. health care
delivery practices? Select all that apply.
B. Access to care depends only on the ability to pay, not the availability of services.
C. The Patient Protection and Affordable Care Act provides private health care insurance to
underserved populations.
D. Every health insurance plan in the Health Insurance Marketplace offers comprehensive
coverage, from doctors to medications to hospital visits.
E. The uninsured pay for more than one third of their care out of pocket and are usually
charged lower amounts for their care than the insured pay.
F. Fifty years ago, half of the doctors in the United States practiced primary care, but today
fewer than one in three do.
G. Quality of care can be defined as the right care for the right person at the right time. -
CORRECT-ANSWERSc, e, f
H. The Health Insurance Marketplace is designed to help people more easily find health
insurance that fits their budget. Every health insurance plan in the Marketplace offers
comprehensive coverage, from doctors to medications to hospital visits. Fifty years ago,
half of the doctors in the United States practiced primary care, but today fewer than one
, in three do. Quality is the right care for the right person at the right time. Access to care
depends on both the ability to pay and the availability of services. The Patient Protection
and Affordable Care Act provides Medicaid or subsidized coverage to qualifying people
with incomes up to 400% of poverty. The uninsured pay for more than one third of their
care out of pocket and are often charged higher amounts for their care than the insured
pay.
I. A nurse is providing health care to patients in a health care facility. Which of these
patients are receiving secondary health care? Select all that apply.
J. A patient enters a community clinic with signs of strep throat.
K. A patient is admitted to the hospital following a myocardial infarction.
L. A mother brings her son to the emergency department following a seizure.
M. A patient with osteogenesis imperfecta is being treated in a medical center.
N. A mother brings her son to a specialist to correct a congenital heart defect.
O. A woman has a hernia repair in an ambulatory care center. - CORRECT-ANSWERSb, c,
f
P. Secondary health care treats problems that require specialized clinical expertise, such as
an MI, a seizure, and a hernia repair. Treating strep throat is primary health care. Tertiary
health care involves management of rare and complex disorders, such as osteogenesis
imperfecta and congenital heart malformations.
Q. A nurse working in a primary care facility prepares insurance forms in which the provider
is given a fixed amount per enrollee of the health plan. What is the term for this type of
reimbursement?
R. Capitation
,S. Prospective payment system
T. Bundled payment
U. Rate setting - CORRECT-ANSWERSa
V. Capitation plans give providers a fixed amount per enrollee in the health plan in an effort
to build a payment plan that consists of the best standards of care at the lowest cost. The
prospective payment system groups inpatient hospital services for Medicare patients into
DRGs. With bundled payments, providers receive a fixed sum of money to provide a
range of services. Rate setting means that the government could set targets or caps for
spending on health care services.
W. A nurse working in a pediatric clinic provides codes for a patient's services to a third-
party payer who pays all or most of the care. This is an example of what mode of health
care payment?
X. Out-of-pocket payment
Y. Individual private insurance
Z. Employer-based group private insurance
AA. Government financing - CORRECT-ANSWERSb
BB. The four basic modes of paying for health care are out-of-pocket payment,
individual private insurance, employer-based group private insurance, and government
financing. With individual private insurance, members pay monthly premiums either by
themselves or in combination with employer payments. These plans are called third-party
payers because the insurance company pays all or most of the cost of care. Out-of-pocket
payment is paying for health care with cash payments. Employer-based private insurance
is employer-sponsored coverage and government financing is provided through Medicare
and Medicaid, and other federally funded programs.
, CC. A nurse researcher keeps current on the trends to watch in health care delivery.
What trends are likely included? Select all that apply.
DD. Globalization of the economy and society
EE.Slowdown in technology development
FF. Decreasing diversity
GG. Increasing complexity of patient care
HH. Changing demographics
II. Shortages of key health care professionals and educators - CORRECT-ANSWERSa, d, e,
f
JJ. Trends to watch in health care delivery include globalization of the economy and society,
increasing complexity of patient care, changing demographics, shortages of key health
care professionals and educators, technology explosion, and increasing diversity.
KK. A nurse is caring for patients in a primary care center. What is the most likely role
of this nurse based on the setting?
LL.Assisting with major surgery
MM. Performing a health assessment
NN. Maintaining patients' function and independence
OO. Keeping student immunization records up to date - CORRECT-ANSWERSb
