NSG554 EXAM 1 /NSG 554 PRIMARY CARE EXAM 1
(2025/2026) ALL COMPLETE QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
Page | 1
RATIONALE ACTUAL REAL EXAM |EXPERT
VERIFIED FOR GUARANTEED PASS|
TOP RATED A+.
NSG554
Pass the NSG 554 exam 2025/2026 with confidence. This exam resource
features questions in areas like: patient care, med-surg, pharmacology, and
critical thinking. This study guide is perfect for ADN, BSN, and graduate
nursing students preparing for exams and clinical practice.
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
RATIONALE: 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
Page | 2 are part of Level 2 ACO requirements. Level 3 ACOs require financial
reporting
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
RATIONALE: 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."
, 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."
Page | 3 ....... ANSWER ......ANS: D
RATIONALE: 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?"
e. "Do you have any questions about the lab tests that have been ordered
for you?" ....... ANSWER ......ANS: B, C, E
, RATIONALE: 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
Page | 4
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
RATIONALE: As a component of the Affordable Care Act, the Centers
for Medicare and Medicaid Service developed the Readmissions
Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate
communication, institute penalties for failure to perform medication
reconciliations, or require written discharge instructions.
6. According to multiple research studies, which intervention has resulted
in lower costs and fewer rehospitalizations in high-risk older patients?
(2025/2026) ALL COMPLETE QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
Page | 1
RATIONALE ACTUAL REAL EXAM |EXPERT
VERIFIED FOR GUARANTEED PASS|
TOP RATED A+.
NSG554
Pass the NSG 554 exam 2025/2026 with confidence. This exam resource
features questions in areas like: patient care, med-surg, pharmacology, and
critical thinking. This study guide is perfect for ADN, BSN, and graduate
nursing students preparing for exams and clinical practice.
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
RATIONALE: 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
Page | 2 are part of Level 2 ACO requirements. Level 3 ACOs require financial
reporting
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
RATIONALE: 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."
, 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."
Page | 3 ....... ANSWER ......ANS: D
RATIONALE: 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?"
e. "Do you have any questions about the lab tests that have been ordered
for you?" ....... ANSWER ......ANS: B, C, E
, RATIONALE: 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
Page | 4
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
RATIONALE: As a component of the Affordable Care Act, the Centers
for Medicare and Medicaid Service developed the Readmissions
Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate
communication, institute penalties for failure to perform medication
reconciliations, or require written discharge instructions.
6. According to multiple research studies, which intervention has resulted
in lower costs and fewer rehospitalizations in high-risk older patients?
