FLORIDA BOARD OF NURSING CERTIFIED
CASE MANAGER EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1. A 72-year-old patient is hospitalized with acute decompensated
heart failure. The patient has Medicare, lives alone, has difficulty
obtaining medications, and has been admitted three times in the
previous six months. Which intervention should the case manager
prioritize during the initial assessment?
A. Arrange a cardiology appointment six months after discharge
B. Determine the patient's clinical, functional, psychosocial, financial,
medication-access, and environmental barriers to a safe transition
C. Immediately recommend permanent nursing-home placement
D. Focus exclusively on reducing the patient's inpatient length of stay
Answer: B
Rationale: The initial case-management assessment should be
comprehensive and multidimensional. Recurrent admissions may
reflect not only disease severity but also medication access, health
literacy, functional limitations, social isolation, transportation
barriers, and inadequate post-discharge support. The case manager
should identify these factors before developing an individualized
transition plan.
1
,2. A case manager is developing goals for a patient with poorly
controlled diabetes who repeatedly misses appointments. Which
goal is most appropriately written according to principles of
measurable care planning?
A. Patient will understand diabetes better.
B. Patient will improve compliance with treatment.
C. Patient will attend all recommended appointments and demonstrate
correct insulin administration by the next care-plan review.
D. Patient will become healthier.
Answer: C
Rationale: Effective case-management goals should be specific,
measurable, attainable, relevant, and time-oriented. “Become
healthier” and “understand diabetes better” are vague. The selected
answer identifies observable behaviors and a timeframe, making
progress easier to evaluate objectively.
3. A hospitalized patient is medically stable but cannot safely return
home because the patient cannot ambulate independently and has
no caregiver. Which factor is most important when determining the
appropriate level of post-acute care?
A. The patient's preference for a particular television provider
B. The patient's functional status and ability to safely perform activities
of daily living
C. The hospital's preferred discharge destination
D. The patient's room number
Answer: B
Rationale: Post-acute placement should be based on clinical necessity,
functional ability, rehabilitation potential, available support, and
safety. Case managers must match the patient's needs with the least
2
,restrictive and most appropriate level of care rather than selecting a
setting solely for institutional convenience.
4. A case manager identifies that a patient cannot afford a newly
prescribed medication. Which action is most appropriate?
A. Tell the patient to stop taking the medication
B. Ignore the issue because medication affordability is not a clinical
matter
C. Explore formulary alternatives, manufacturer assistance when
applicable, generic alternatives, insurance coverage, and community
resources in collaboration with the prescribing clinician
D. Substitute another medication independently
Answer: C
Rationale: Medication affordability is a major determinant of
adherence and health outcomes. The case manager should coordinate
with the prescriber, pharmacy, payer, and available assistance
programs to identify a safe and affordable solution. The case manager
should never independently change a medication regimen.
5. A patient tells the case manager, “I don't understand why I need
this surgery, but everyone keeps telling me to sign the papers.”
What should the case manager do first?
A. Tell the patient to sign because the physician recommended the
procedure
B. Explain the surgery in detail and obtain informed consent personally
C. Notify the appropriate clinical team that the patient may not
understand the proposed procedure and facilitate communication with
the treating clinician
D. Tell the patient to refuse surgery
3
, Answer: C
Rationale: Informed consent is a clinical/legal process that requires
adequate disclosure and understanding by the appropriate clinician.
The case manager should recognize a potential communication or
health-literacy problem and facilitate clarification rather than
obtaining consent or making the treatment decision.
6. A case manager is evaluating whether a patient is ready for
discharge after a stroke. Which finding most strongly indicates that
discharge planning requires additional intervention?
A. The patient knows the hospital's name
B. The patient has a television at home
C. The patient cannot independently transfer from bed to chair and the
home has multiple stairs without an available caregiver
D. The patient prefers to eat breakfast at home
Answer: C
Rationale: Safe discharge requires consideration of functional ability,
environmental barriers, caregiver availability, and the patient's
clinical needs. An inability to transfer combined with significant
architectural barriers and no caregiver creates a substantial safety risk
requiring additional planning.
7. A case manager receives conflicting recommendations from the
hospital team, family, and patient regarding discharge. What is the
best approach?
A. Automatically follow the family's wishes
B. Automatically follow the physician's wishes
C. Facilitate interdisciplinary communication while incorporating the
patient's preferences, goals, clinical needs, safety, and available
4
CASE MANAGER EXAM WITH ACTUAL
QUESTIONS AND VERIFIED ANSWERS,
PLUS EXPLAINED RATIONALES/EXPERT
VERIFIED FOR GUARANTEED 100% PASS
2026/LATEST UPDATE/INSTANT
DOWNLOAD PDF
1. A 72-year-old patient is hospitalized with acute decompensated
heart failure. The patient has Medicare, lives alone, has difficulty
obtaining medications, and has been admitted three times in the
previous six months. Which intervention should the case manager
prioritize during the initial assessment?
A. Arrange a cardiology appointment six months after discharge
B. Determine the patient's clinical, functional, psychosocial, financial,
medication-access, and environmental barriers to a safe transition
C. Immediately recommend permanent nursing-home placement
D. Focus exclusively on reducing the patient's inpatient length of stay
Answer: B
Rationale: The initial case-management assessment should be
comprehensive and multidimensional. Recurrent admissions may
reflect not only disease severity but also medication access, health
literacy, functional limitations, social isolation, transportation
barriers, and inadequate post-discharge support. The case manager
should identify these factors before developing an individualized
transition plan.
1
,2. A case manager is developing goals for a patient with poorly
controlled diabetes who repeatedly misses appointments. Which
goal is most appropriately written according to principles of
measurable care planning?
A. Patient will understand diabetes better.
B. Patient will improve compliance with treatment.
C. Patient will attend all recommended appointments and demonstrate
correct insulin administration by the next care-plan review.
D. Patient will become healthier.
Answer: C
Rationale: Effective case-management goals should be specific,
measurable, attainable, relevant, and time-oriented. “Become
healthier” and “understand diabetes better” are vague. The selected
answer identifies observable behaviors and a timeframe, making
progress easier to evaluate objectively.
3. A hospitalized patient is medically stable but cannot safely return
home because the patient cannot ambulate independently and has
no caregiver. Which factor is most important when determining the
appropriate level of post-acute care?
A. The patient's preference for a particular television provider
B. The patient's functional status and ability to safely perform activities
of daily living
C. The hospital's preferred discharge destination
D. The patient's room number
Answer: B
Rationale: Post-acute placement should be based on clinical necessity,
functional ability, rehabilitation potential, available support, and
safety. Case managers must match the patient's needs with the least
2
,restrictive and most appropriate level of care rather than selecting a
setting solely for institutional convenience.
4. A case manager identifies that a patient cannot afford a newly
prescribed medication. Which action is most appropriate?
A. Tell the patient to stop taking the medication
B. Ignore the issue because medication affordability is not a clinical
matter
C. Explore formulary alternatives, manufacturer assistance when
applicable, generic alternatives, insurance coverage, and community
resources in collaboration with the prescribing clinician
D. Substitute another medication independently
Answer: C
Rationale: Medication affordability is a major determinant of
adherence and health outcomes. The case manager should coordinate
with the prescriber, pharmacy, payer, and available assistance
programs to identify a safe and affordable solution. The case manager
should never independently change a medication regimen.
5. A patient tells the case manager, “I don't understand why I need
this surgery, but everyone keeps telling me to sign the papers.”
What should the case manager do first?
A. Tell the patient to sign because the physician recommended the
procedure
B. Explain the surgery in detail and obtain informed consent personally
C. Notify the appropriate clinical team that the patient may not
understand the proposed procedure and facilitate communication with
the treating clinician
D. Tell the patient to refuse surgery
3
, Answer: C
Rationale: Informed consent is a clinical/legal process that requires
adequate disclosure and understanding by the appropriate clinician.
The case manager should recognize a potential communication or
health-literacy problem and facilitate clarification rather than
obtaining consent or making the treatment decision.
6. A case manager is evaluating whether a patient is ready for
discharge after a stroke. Which finding most strongly indicates that
discharge planning requires additional intervention?
A. The patient knows the hospital's name
B. The patient has a television at home
C. The patient cannot independently transfer from bed to chair and the
home has multiple stairs without an available caregiver
D. The patient prefers to eat breakfast at home
Answer: C
Rationale: Safe discharge requires consideration of functional ability,
environmental barriers, caregiver availability, and the patient's
clinical needs. An inability to transfer combined with significant
architectural barriers and no caregiver creates a substantial safety risk
requiring additional planning.
7. A case manager receives conflicting recommendations from the
hospital team, family, and patient regarding discharge. What is the
best approach?
A. Automatically follow the family's wishes
B. Automatically follow the physician's wishes
C. Facilitate interdisciplinary communication while incorporating the
patient's preferences, goals, clinical needs, safety, and available
4
