CCM (Certified Case Manager) – Original 100-Question
Final Practice Exam Questions with Correct Answers
and Detailed Rationales - Latest Update 2026
SECTION 1 – Care Coordination & Transitions (Q1–25)
Q1. A hospitalized patient with heart failure is being discharged home. Which action best
reduces readmission risk?
A. Give verbal discharge instructions only
B. Provide written instructions, medication reconciliation, and schedule follow-up within 7
days
C. Delay follow-up 1 month
D. Avoid involving family
E. No teaching
B. Provide written instructions, medication reconciliation, and schedule follow-up
within 7 days
Early follow-up and clear instructions reduce readmissions.
Q2. Which task is a core responsibility of the case manager during hospitalization?
A. Perform surgery
B. Assess needs, coordinate services, and facilitate safe transitions
C. Prescribe all medications
,D. Provide anesthesia
E. Bill insurance directly
B. Assess needs, coordinate services, and facilitate safe transitions
Case management focuses on coordination and continuity.
Q3. A patient prefers home health over skilled nursing after stroke. What is the case
manager’s priority?
A. Ignore patient preference
B. Assess safety, home support, and eligibility; then advocate for preferred setting if
appropriate
C. Force SNF placement
D. Avoid assessment
E. No follow-up
B. Assess safety, home support, and eligibility; then advocate for preferred setting if
appropriate
Patient-centered planning with safety assessment.
Q4. Which component is essential in a discharge plan?
A. No medication list
B. Clear follow-up plan, medication reconciliation, and warning signs
C. No contact information
D. No transportation plan
E. No teaching
,B. Clear follow-up plan, medication reconciliation, and warning signs
Safe transitions require these elements.
Q5. A patient with COPD is readmitted frequently. Which intervention is most appropriate?
A. No changes
B. Care coordination, inhaler teaching, action plan, and follow-up
C. Avoid all meds
D. Discourage follow-up
E. No education
B. Care coordination, inhaler teaching, action plan, and follow-up
Self-management and coordination reduce readmissions.
Q6. Which finding suggests the need for post-acute SNF placement?
A. Independent ambulation and self-care
B. Need for daily skilled nursing and therapy services
C. No medical needs
D. Full caregiver support at home
E. No deficits
B. Need for daily skilled nursing and therapy services
SN indications include skilled needs.
Q7. A patient lives alone with limited mobility. Which resource is most helpful at discharge?
, A. No services
B. Home health and medical equipment (e.g., walker, shower chair)
C. Avoid equipment
D. No teaching
E. No follow-up
B. Home health and medical equipment (e.g., walker, shower chair)
Supports safety and function.
Q8. Which action supports medication adherence after discharge?
A. Complex regimen with multiple daily doses
B. Simplify regimen, use pill boxes, and teach purpose/side effects
C. No teaching
D. Avoid pharmacies
E. No follow-up
B. Simplify regimen, use pill boxes, and teach purpose/side effects
Simplification and teaching improve adherence.
Q9. A patient misses several appointments. What is the case manager’s best response?
A. Discharge from services
B. Assess barriers (transportation, cost, health literacy) and problem-solve
C. No action
D. Blame patient
E. Avoid contact
Final Practice Exam Questions with Correct Answers
and Detailed Rationales - Latest Update 2026
SECTION 1 – Care Coordination & Transitions (Q1–25)
Q1. A hospitalized patient with heart failure is being discharged home. Which action best
reduces readmission risk?
A. Give verbal discharge instructions only
B. Provide written instructions, medication reconciliation, and schedule follow-up within 7
days
C. Delay follow-up 1 month
D. Avoid involving family
E. No teaching
B. Provide written instructions, medication reconciliation, and schedule follow-up
within 7 days
Early follow-up and clear instructions reduce readmissions.
Q2. Which task is a core responsibility of the case manager during hospitalization?
A. Perform surgery
B. Assess needs, coordinate services, and facilitate safe transitions
C. Prescribe all medications
,D. Provide anesthesia
E. Bill insurance directly
B. Assess needs, coordinate services, and facilitate safe transitions
Case management focuses on coordination and continuity.
Q3. A patient prefers home health over skilled nursing after stroke. What is the case
manager’s priority?
A. Ignore patient preference
B. Assess safety, home support, and eligibility; then advocate for preferred setting if
appropriate
C. Force SNF placement
D. Avoid assessment
E. No follow-up
B. Assess safety, home support, and eligibility; then advocate for preferred setting if
appropriate
Patient-centered planning with safety assessment.
Q4. Which component is essential in a discharge plan?
A. No medication list
B. Clear follow-up plan, medication reconciliation, and warning signs
C. No contact information
D. No transportation plan
E. No teaching
,B. Clear follow-up plan, medication reconciliation, and warning signs
Safe transitions require these elements.
Q5. A patient with COPD is readmitted frequently. Which intervention is most appropriate?
A. No changes
B. Care coordination, inhaler teaching, action plan, and follow-up
C. Avoid all meds
D. Discourage follow-up
E. No education
B. Care coordination, inhaler teaching, action plan, and follow-up
Self-management and coordination reduce readmissions.
Q6. Which finding suggests the need for post-acute SNF placement?
A. Independent ambulation and self-care
B. Need for daily skilled nursing and therapy services
C. No medical needs
D. Full caregiver support at home
E. No deficits
B. Need for daily skilled nursing and therapy services
SN indications include skilled needs.
Q7. A patient lives alone with limited mobility. Which resource is most helpful at discharge?
, A. No services
B. Home health and medical equipment (e.g., walker, shower chair)
C. Avoid equipment
D. No teaching
E. No follow-up
B. Home health and medical equipment (e.g., walker, shower chair)
Supports safety and function.
Q8. Which action supports medication adherence after discharge?
A. Complex regimen with multiple daily doses
B. Simplify regimen, use pill boxes, and teach purpose/side effects
C. No teaching
D. Avoid pharmacies
E. No follow-up
B. Simplify regimen, use pill boxes, and teach purpose/side effects
Simplification and teaching improve adherence.
Q9. A patient misses several appointments. What is the case manager’s best response?
A. Discharge from services
B. Assess barriers (transportation, cost, health literacy) and problem-solve
C. No action
D. Blame patient
E. Avoid contact
