1|Page
NSG554 Exam 1 /NSG 554 Primary Care Exam 1
Newest 2025/2026 With Complete Questions And
Correct Answers |Already Graded A+||Brand New
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?
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 -
...ANSWER...✔✔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 require financial reporting
,2|Page
2. What was an important finding of the Advisory Board
survey of 2014 about primary care preferences of
patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients -
...ANSWER...✔✔ANS: C
As part of 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 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 statement made by a health care provider
demonstrates the most appropriate understanding for
the goal of a performance report?
a. "This process allows me to critique the performance
of the rest of the staff." b. "Most organizations require
staff to undergo a performance evaluation yearly."
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c. "It is hard to be personally criticized but that's how
we learn to change."
d. "The comments should help me improve my
management skills." - ...ANSWER...✔✔ANS: D
The goal of the performance report is to provide
guidance to staff in the areas of professional
development, mentoring, and leadership development.
A peer review is written by others who perform similar
skills (peers). The remaining options may be true but do
not provide evidence of understanding of the goal of
this professional requirement.
4. Which assessment question would a health care
provider ask when engaging in the previsit stage of the
new model for primary care? (Select all that apply.)
a. "Are you ready to discuss some of the community
resources that are available?"
b. "Are you experiencing any side effects from your
newly prescribed medications?"
c. "Do you anticipate any problems with adhering to
your treatment plan?"
d. "Are you ready to discuss the results of your
laboratory tests?"
, 4|Page
e. "Do you have any questions about the lab tests that
have been ordered for you?" - ...ANSWER...✔✔ANS:
B, C, E
The nursing responsibilities in the previsit stage include
assessing the patient's tolerance of prescribed
medications, understanding of existing treatment plan,
and education about required lab testing. The primary
care provider is responsible for screening lab data and
discussing community resources during the actual visit.
5. To reduce adverse events associated with care
transitions, the Centers for Medicare and Medicaid
Service have implemented which policy?
a. Mandates for communication among primary
caregivers and hospitalists
b. Penalties for failure to perform medication
reconciliations at time of discharge
c. Reduction of payments for patients readmitted within
30 days after discharge
d. Requirements for written discharge instructions for
patients and caregivers - ...ANSWER...✔✔ANS: C
As a component of the Affordable Care Act, the Centers
for Medicare and Medicaid Service developed the
NSG554 Exam 1 /NSG 554 Primary Care Exam 1
Newest 2025/2026 With Complete Questions And
Correct Answers |Already Graded A+||Brand New
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?
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 -
...ANSWER...✔✔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 require financial reporting
,2|Page
2. What was an important finding of the Advisory Board
survey of 2014 about primary care preferences of
patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients -
...ANSWER...✔✔ANS: C
As part of 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 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 statement made by a health care provider
demonstrates the most appropriate understanding for
the goal of a performance report?
a. "This process allows me to critique the performance
of the rest of the staff." b. "Most organizations require
staff to undergo a performance evaluation yearly."
,3|Page
c. "It is hard to be personally criticized but that's how
we learn to change."
d. "The comments should help me improve my
management skills." - ...ANSWER...✔✔ANS: D
The goal of the performance report is to provide
guidance to staff in the areas of professional
development, mentoring, and leadership development.
A peer review is written by others who perform similar
skills (peers). The remaining options may be true but do
not provide evidence of understanding of the goal of
this professional requirement.
4. Which assessment question would a health care
provider ask when engaging in the previsit stage of the
new model for primary care? (Select all that apply.)
a. "Are you ready to discuss some of the community
resources that are available?"
b. "Are you experiencing any side effects from your
newly prescribed medications?"
c. "Do you anticipate any problems with adhering to
your treatment plan?"
d. "Are you ready to discuss the results of your
laboratory tests?"
, 4|Page
e. "Do you have any questions about the lab tests that
have been ordered for you?" - ...ANSWER...✔✔ANS:
B, C, E
The nursing responsibilities in the previsit stage include
assessing the patient's tolerance of prescribed
medications, understanding of existing treatment plan,
and education about required lab testing. The primary
care provider is responsible for screening lab data and
discussing community resources during the actual visit.
5. To reduce adverse events associated with care
transitions, the Centers for Medicare and Medicaid
Service have implemented which policy?
a. Mandates for communication among primary
caregivers and hospitalists
b. Penalties for failure to perform medication
reconciliations at time of discharge
c. Reduction of payments for patients readmitted within
30 days after discharge
d. Requirements for written discharge instructions for
patients and caregivers - ...ANSWER...✔✔ANS: C
As a component of the Affordable Care Act, the Centers
for Medicare and Medicaid Service developed the
