2025| All Questions with Correct Answers
In relation to writing a patient encounter note, the acronym SOAP stands for which of the
following?
A) Symptoms, Observations, Assessment, Plan
B) Subjective, Objective, Assessment, Plan
C) Signs, Objective, Analysis, Prescription
D) Subjective, Observations, Actions, Prognosis
Correct Answer: B) Subjective, Objective, Assessment, Plan
Explanation: SOAP is a standard format for patient encounter notes: Subjective (patient-
reported symptoms), Objective (measurable or observable findings), Assessment (diagnosis or
differential), and Plan (treatment and follow-up). This structure ensures comprehensive and
organized documentation.
What is an Accountable Care Organization (ACO)?
A) A group of independent hospitals operating without coordination
B) A network of healthcare providers that coordinate care to improve quality and reduce costs
C) A government agency regulating healthcare payments
D) A private insurance company offering low-cost plans
Correct Answer: B) A network of healthcare providers that coordinate care to improve quality
and reduce costs
Explanation: An ACO is a group of healthcare providers (e.g., physicians, hospitals) who
collaborate to provide coordinated, high-quality care to a defined patient population, aiming to
improve outcomes and reduce costs, often sharing savings under programs like Medicare.
The Affordable Care Act (ACA), which passed in 2010, has a number of provisions, including
the establishment of health exchanges. The purpose of a health insurance exchange is to:
A) Provide free healthcare to all citizens
,B) Create a marketplace for individuals to purchase health insurance
C) Regulate hospital billing practices
D) Fund medical research programs
Correct Answer: B) Create a marketplace for individuals to purchase health insurance
Explanation: Health insurance exchanges, established under the ACA, are online
marketplaces where individuals and small businesses can compare and purchase health insurance
plans, often with subsidies based on income, to increase access to coverage.
Which of the following statements does not belong in the past medical history portion of your
chart note?
A) History of hypertension diagnosed in 2016
B) Current temperature of 98.6°F
C) Previous appendectomy at age 25
D) Diagnosis of asthma in childhood
Correct Answer: B) Current temperature of 98.6°F
Explanation: Past medical history includes chronic conditions (e.g., hypertension, asthma)
and past surgeries (e.g., appendectomy). Current temperature is an objective finding from the
present visit and belongs in the objective section of the chart note.
Most health maintenance organizations (HMOs) use a reimbursement mechanism called
capitation. What does this mean?
A) Providers are paid per procedure performed
B) Providers receive a fixed payment per patient per period
C) Providers are reimbursed based on patient outcomes
D) Providers bill patients directly for services
Correct Answer: B) Providers receive a fixed payment per patient per period
Explanation: Capitation is a payment model where providers receive a fixed amount per
patient per time period (e.g., monthly) to cover all necessary care, regardless of the number of
services provided, encouraging cost-efficient care.
, Which of the following statements about Medicaid is true?
A) Medicaid is available only to individuals over 65
B) Medicaid provides health coverage for low-income individuals and families
C) Medicaid is funded entirely by private insurers
D) Medicaid covers only inpatient hospital care
Correct Answer: B) Medicaid provides health coverage for low-income individuals and
families
Explanation: Medicaid is a federal and state program providing health coverage to low-
income individuals, including children, pregnant women, and disabled persons. It is not limited
to those over 65, is publicly funded, and covers a broad range of services.
Which of the following demonstrates a subjective finding?
A) Patient reports fatigue and joint pain
B) Blood pressure of 128/82 mm Hg
C) Swelling observed in the right knee
D) Heart rate of 76 beats per minute
Correct Answer: A) Patient reports fatigue and joint pain
Explanation: Subjective findings are symptoms reported by the patient, such as fatigue or
joint pain. Objective findings include measurable or observable data like blood pressure,
swelling, or heart rate.
What must you do as an advanced practice registered nurse (APRN) before billing for visits?
A) Obtain a National Provider Identifier (NPI) number
B) Complete a medical residency program
C) Purchase malpractice insurance
D) Register with the state medical board only
Correct Answer: A) Obtain a National Provider Identifier (NPI) number
Explanation: APRNs must obtain an NPI number, a unique identifier required for billing
Medicare, Medicaid, and private insurers. While malpractice insurance and state registration are
important, the NPI is specifically required for billing.