NCLEX The Health Care Delivery System Exam Practice Test

150 Questions and Answers

$4.99

A deep understanding of how the healthcare system functions is essential for every nurse, especially when preparing for licensure. The NCLEX The Health Care Delivery System Exam Practice Test is carefully designed to equip you with the knowledge and decision-making skills needed to navigate complex healthcare structures—an area frequently evaluated on the NCLEX-RN exam.

This comprehensive practice test covers vital topics such as the organization of healthcare delivery in the U.S., types of healthcare settings, levels of care (primary, secondary, tertiary), and roles of various healthcare professionals. It also explores essential components like healthcare financing, insurance models (Medicare, Medicaid, private insurance), case management, and patient referral systems.

You’ll engage with scenario-based questions that assess your understanding of access to care, continuity of care, resource allocation, interdisciplinary collaboration, and the nurse’s role within different delivery settings—from hospitals and outpatient clinics to long-term care and home health environments.

The exam content also emphasizes current healthcare challenges such as healthcare disparities, health policy, quality improvement initiatives, and cost-effective care. You’ll learn how to advocate for patient needs within the system, contribute to safe and efficient care delivery, and understand how regulatory bodies and accreditation agencies impact clinical practice.

By using this NCLEX-aligned practice test, you’ll build confidence in answering questions related to care coordination, discharge planning, and navigating ethical dilemmas that arise within healthcare delivery frameworks. These are core competencies not only for passing the NCLEX but also for excelling in today’s dynamic nursing environments.

Ideal for nursing students, graduates, and internationally educated nurses, this tool enhances your ability to critically evaluate how healthcare is structured and delivered. It helps you connect the broader system to the everyday responsibilities of nursing practice.

With this focused preparation, you’ll be ready to demonstrate your understanding of the health care delivery system—and play a vital role in improving patient outcomes through informed, system-aware nursing care.

Sample Questions and Answers

  • Which type of health care focuses on preventing disease and promoting health?
    A. Primary care
    B. Secondary care
    C. Tertiary care
    D. Emergency care
    Answer: A
  • The role of managed care organizations (MCOs) is to:
    A. Provide free health care services.
    B. Ensure cost-effective, high-quality care.
    C. Focus only on acute care services.
    D. Deliver care exclusively to rural populations.
    Answer: B
  • Which agency oversees Medicare and Medicaid services in the U.S.?
    A. FDA
    B. NIH
    C. CDC
    D. CMS
    Answer: D
  • A patient is recovering from a stroke in a rehabilitation facility. This level of care is classified as:
    A. Preventive care
    B. Primary care
    C. Tertiary care
    D. Restorative care
    Answer: D
  • The Health Insurance Portability and Accountability Act (HIPAA) primarily ensures:
    A. Patient privacy and data security.
    B. Access to free health care.
    C. Elimination of health disparities.
    D. Universal health coverage.
    Answer: A
  • The primary goal of the Affordable Care Act (ACA) is to:
    A. Reduce health care costs for providers.
    B. Expand access to health insurance.
    C. Eliminate private insurance companies.
    D. Decrease medical innovation.
    Answer: B
  • Which type of insurance plan requires a referral from a primary care provider for specialist care?
    A. PPO
    B. HMO
    C. FFS
    D. POS
    Answer: B
  • A patient requiring dialysis treatment would typically receive care at a:
    A. Long-term care facility
    B. Specialty care clinic
    C. Home health agency
    D. Hospice center
    Answer: B
  • Which organization is responsible for accrediting hospitals in the U.S.?
    A. OSHA
    B. The Joint Commission
    C. AMA
    D. AHRQ
    Answer: B
  • Telehealth services provide care by:
    A. Utilizing traditional in-person visits.
    B. Offering virtual consultations using technology.
    C. Delivering care exclusively for emergencies.
    D. Limiting access to rural areas only.
    Answer: B
  • Hospice care primarily focuses on:
    A. Cure of chronic illnesses.
    B. Comfort and quality of life for terminally ill patients.
    C. Emergency interventions.
    D. Restorative therapies.
    Answer: B
  • Which government program provides health coverage for individuals aged 65 and older?
    A. Medicaid
    B. CHIP
    C. Medicare
    D. TRICARE
    Answer: C
  • In case of a public health emergency, which agency is most likely to respond?
    A. FDA
    B. CMS
    C. CDC
    D. WHO
    Answer: C
  • What is the primary function of a community health center?
    A. Conducting high-level research.
    B. Offering specialized surgical care.
    C. Providing preventive and primary care services.
    D. Administering emergency medical services.
    Answer: C
  • The Patient-Centered Medical Home (PCMH) model emphasizes:
    A. Specialized tertiary care.
    B. Coordinated and accessible primary care.
    C. Exclusive inpatient treatment.
    D. Home health nursing only.
    Answer: B
  • A nurse educating a community about diabetes prevention is an example of:
    A. Primary prevention
    B. Secondary prevention
    C. Tertiary prevention
    D. Acute care
    Answer: A
  • Which legislation protects employees’ health benefits when changing jobs?
    A. ACA
    B. OSHA
    C. HIPAA
    D. ADA
    Answer: C
  • Which care setting is appropriate for a patient requiring ventilator support at home?
    A. Acute care hospital
    B. Skilled nursing facility
    C. Home health services
    D. Outpatient surgery center
    Answer: C
  • A nurse explains health disparities as differences in health outcomes due to:
    A. Personal choices
    B. Socioeconomic, environmental, and systemic factors
    C. Random occurrences
    D. Individual genetic mutations
    Answer: B
  • Which type of health care plan allows patients to choose providers outside the network at a higher cost?
    A. PPO
    B. HMO
    C. POS
    D. EPO
    Answer: A
  • A nurse prioritizes discharge planning to ensure:
    A. Timely hospital bed turnover.
    B. Continuity of care after discharge.
    C. Accurate billing procedures.
    D. Proper medication administration in the hospital.
    Answer: B
  • Which level of care involves diagnosing and treating illnesses in a hospital setting?
    A. Primary care
    B. Secondary care
    C. Tertiary care
    D. Palliative care
    Answer: B
  • Which type of provider is most likely part of a long-term care facility?
    A. Emergency physician
    B. Rehabilitation therapist
    C. Primary care nurse practitioner
    D. Radiologist
    Answer: B
  • Public health initiatives like vaccinations are examples of:
    A. Individualized care plans
    B. Tertiary prevention
    C. Secondary prevention
    D. Population-based interventions
    Answer: D
  • Which type of nursing involves managing patient care within a specific budget?
    A. Clinical nursing
    B. Financial nursing
    C. Case management nursing
    D. Charge nursing
    Answer: C
  • The purpose of a durable medical equipment (DME) provider is to:
    A. Supply medications.
    B. Offer physical therapy services.
    C. Provide medical devices and equipment.
    D. Train home health caregivers.
    Answer: C
  • The Institute of Medicine (IOM) emphasizes improving:
    A. Patient safety, quality, and access to care.
    B. Pharmaceutical innovations.
    C. Medical school curriculums.
    D. Global health diplomacy.
    Answer: A
  • Which term best describes an integrated network of providers offering comprehensive care?
    A. Health Care Coalition
    B. Accountable Care Organization (ACO)
    C. National Health System
    D. Medical Partnership Plan
    Answer: B
  • A nurse practicing evidence-based care ensures decisions are based on:
    A. Intuition and experience.
    B. Patient feedback only.
    C. Best available research, clinical expertise, and patient preferences.
    D. Latest technology trends.
    Answer: C
  • Which intervention reflects secondary prevention in health care?
    A. Screening for hypertension
    B. Educating on healthy eating
    C. Cardiac rehabilitation post-MI
    D. Providing hospice care
    Answer: A

 

  • What is the primary purpose of the National Patient Safety Goals (NPSGs)?
    A. Increase health care access for underserved populations.
    B. Reduce medical errors and improve patient safety.
    C. Ensure financial support for hospitals.
    D. Promote health care worker education.
    Answer: B
  • Which health care payment system reimburses providers based on a predetermined fixed amount?
    A. Fee-for-service
    B. Capitation
    C. Retrospective payment
    D. Per diem reimbursement
    Answer: B

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