NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
Health Law Creation
Federal Statutes dominate
Arises from authority to "tax and spend" and "regulate
interstate commerce" (Article 1 of the US Constitution)
Entitlement
a type of financial help provided by the government for
members of a particular group
Medicare and Medicaid
Two very large entitlement programs that provide health care
and services.
Combined they serve more than one third of the US population.
Medicare - 60 million beneficiaries
Medicaid - 70 million beneficiaries.
Medicare
Federal social insurance program.
Managed by Centers for Medicare and Medicaid Services (CMS).
Anyone 65 years or older is eligible.
On SSDI > 24 months.
ESRD patients who have been on dialysis for three months.
,NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
(added by Nixon)
Those with ALS
Paying for Medicare
40 %from general fund.
Rest from Medicare taxes, premiums, deductibles, SS taxes,
etc...
Medicare Part A
No premium for most.
Covers hospital stays and short term rehab (after $1300
deductible).
Covers some home health.
Covers 100% of hospice care including meds, staff, equipment in
hospice
Will pay first 90 days of a hospital stay. Co-pay of about
$300/day after day 60.
Also offers 60 "lifetime reserve" days beyond the 90. Co-pay of
about $600/day for these.
Medicare Part B
,NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
Premium-based (most pay about $100/month).
Covers MD visits.
Preventive care.
Durable medical equipment (walker, shower chair, ect.)
Ambulance service.
$183 annual deductible then Medicare pays 80%, patient pays
20%
Medicare Part C
AKA Medicare Advantage
Basically, a highly regulated but private replacement for Parts A
and B.
Coverage and premiums vary.
Not generally something lower income patients enroll in due to
costs
Medicare Part D
Large expansion of Medicare passed in 2003 under President
Bush.
Prescription drug plan. Cost estimate $92 billion in 2018
$400 annual deductible.
Avg $40/mo
̴ premium. Varies with plan, income.
Pays 75% of drug costs, up to $2970 per year (now $3700 per
, NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
year).
Then nothing until costs reaches $4750 at which point Medicare
pays 95%.
Donut Hole (the hole between what Medicare D will pay for and
what the pt has to pay for)
ACA trying to close that hole by raising the amount Medicare D
will pay
Medicaid
Federal health insurance program for certain low-income and
disabled individuals.
Funded jointly by federal and state governments (50-80%
federal).
Managed by states.
Eligibility largely determined at state level.
25% of all children covered by Medicaid.
50% of all Medicaid recipients are children.
Account for only 20% of cost.
Medicaid Eligibility
Highly Variable
For adults, usually based on % of FPL (federal poverty level)
FPL is $12K for one adult. $20K for family of 3.
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
Health Law Creation
Federal Statutes dominate
Arises from authority to "tax and spend" and "regulate
interstate commerce" (Article 1 of the US Constitution)
Entitlement
a type of financial help provided by the government for
members of a particular group
Medicare and Medicaid
Two very large entitlement programs that provide health care
and services.
Combined they serve more than one third of the US population.
Medicare - 60 million beneficiaries
Medicaid - 70 million beneficiaries.
Medicare
Federal social insurance program.
Managed by Centers for Medicare and Medicaid Services (CMS).
Anyone 65 years or older is eligible.
On SSDI > 24 months.
ESRD patients who have been on dialysis for three months.
,NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
(added by Nixon)
Those with ALS
Paying for Medicare
40 %from general fund.
Rest from Medicare taxes, premiums, deductibles, SS taxes,
etc...
Medicare Part A
No premium for most.
Covers hospital stays and short term rehab (after $1300
deductible).
Covers some home health.
Covers 100% of hospice care including meds, staff, equipment in
hospice
Will pay first 90 days of a hospital stay. Co-pay of about
$300/day after day 60.
Also offers 60 "lifetime reserve" days beyond the 90. Co-pay of
about $600/day for these.
Medicare Part B
,NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
Premium-based (most pay about $100/month).
Covers MD visits.
Preventive care.
Durable medical equipment (walker, shower chair, ect.)
Ambulance service.
$183 annual deductible then Medicare pays 80%, patient pays
20%
Medicare Part C
AKA Medicare Advantage
Basically, a highly regulated but private replacement for Parts A
and B.
Coverage and premiums vary.
Not generally something lower income patients enroll in due to
costs
Medicare Part D
Large expansion of Medicare passed in 2003 under President
Bush.
Prescription drug plan. Cost estimate $92 billion in 2018
$400 annual deductible.
Avg $40/mo
̴ premium. Varies with plan, income.
Pays 75% of drug costs, up to $2970 per year (now $3700 per
, NUR 212 EXAM QUESTIONS AND ANSWERS
UPDATED 2025/2026 ALL ANSWERS 100%
ACCURATE BEST GRADED A+ FOR PASS
year).
Then nothing until costs reaches $4750 at which point Medicare
pays 95%.
Donut Hole (the hole between what Medicare D will pay for and
what the pt has to pay for)
ACA trying to close that hole by raising the amount Medicare D
will pay
Medicaid
Federal health insurance program for certain low-income and
disabled individuals.
Funded jointly by federal and state governments (50-80%
federal).
Managed by states.
Eligibility largely determined at state level.
25% of all children covered by Medicaid.
50% of all Medicaid recipients are children.
Account for only 20% of cost.
Medicaid Eligibility
Highly Variable
For adults, usually based on % of FPL (federal poverty level)
FPL is $12K for one adult. $20K for family of 3.
