NCLEX RN Case Management Practice
Exam 100 Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026
1. A nurse case manager is coordinating discharge for a client with heart
failure. Which action is the priority?
A. Arrange transportation home
B. Schedule a follow-up appointment
C. Assess the client's understanding of the medication regimen
D. Provide a list of community resources
Answer: Assess the client's understanding of the medication regimen
Rationale: Medication adherence is essential in preventing heart-failure
exacerbations and readmissions. The case manager should first identify
whether the client understands the treatment plan and can safely manage
medications after discharge.
2. Which activity best describes the primary role of a nurse case manager?
A. Performing all direct nursing care
B. Coordinating services to meet client needs across the continuum of care
C. Prescribing medications
D. Making medical diagnoses
Answer: Coordinating services to meet client needs across the continuum of
care
Rationale: Case management focuses on coordinating healthcare services,
promoting continuity, improving outcomes, and using resources efficiently
while advocating for the client.
,3. A client with diabetes is being discharged after hospitalization. Which
finding indicates a need for further case-management intervention?
A. The client has a glucometer
B. The client knows the name of the prescribed insulin
C. The client cannot afford the prescribed insulin
D. The client has a follow-up appointment
Answer: The client cannot afford the prescribed insulin
Rationale: Inability to obtain essential medication creates a significant barrier
to safe discharge. The case manager should explore financial assistance,
insurance coverage, medication programs, or alternative resources.
4. A case manager is developing a discharge plan. Which approach best
promotes client-centered care?
A. Select services based on hospital convenience
B. Allow the healthcare provider to make all decisions
C. Incorporate the client's preferences, goals, and available resources
D. Use the same discharge plan for clients with similar diagnoses
Answer: Incorporate the client's preferences, goals, and available resources
Rationale: Client-centered case management incorporates individual
preferences, values, goals, abilities, and circumstances into the plan of care.
5. A client is preparing for discharge after a stroke and has difficulty walking.
Which referral is most appropriate?
A. Speech therapy only
B. Physical therapy
C. Dietary counseling only
D. Laboratory services
Answer: Physical therapy
,Rationale: Physical therapists evaluate mobility and develop interventions to
improve strength, balance, transfers, gait, and functional independence.
6. A case manager identifies that a client repeatedly misses medical
appointments because of transportation problems. What should the nurse do
first?
A. Document noncompliance
B. Notify the healthcare provider that the client refuses treatment
C. Explore available transportation resources with the client
D. Discharge the client from the program
Answer: Explore available transportation resources with the client
Rationale: Case management addresses barriers to care. Transportation
difficulties are a potentially modifiable barrier and should be assessed and
addressed rather than labeled as noncompliance.
7. Which client is most appropriate for intensive case management?
A. A healthy adult with a minor abrasion
B. A client with multiple chronic conditions and frequent hospitalizations
C. A client receiving a routine vaccination
D. A client with an uncomplicated sore throat
Answer: A client with multiple chronic conditions and frequent
hospitalizations
Rationale: Clients with complex medical needs, multiple chronic conditions,
repeated hospitalizations, and multiple service requirements often benefit
from intensive case management.
8. Which outcome best demonstrates effective case management?
A. Increased number of specialist visits
B. Reduced continuity of care
C. Improved health outcomes with appropriate use of healthcare resources
, D. Increased length of hospitalization
Answer: Improved health outcomes with appropriate use of healthcare
resources
Rationale: Effective case management seeks to improve quality and outcomes
while coordinating services and avoiding unnecessary or duplicative resource
use.
9. A client with chronic obstructive pulmonary disease is being discharged.
Which intervention is most important for preventing readmission?
A. Provide information only about hospital visiting hours
B. Ensure the client understands the medication and symptom-management
plan
C. Encourage bed rest
D. Eliminate all physical activity
Answer: Ensure the client understands the medication and
symptommanagement plan
Rationale: Understanding medications, warning signs, oxygen or inhaler use,
and follow-up care supports self-management and can reduce preventable
exacerbations and readmissions.
10. A nurse case manager is reviewing a client's medication list. The client has
prescriptions from three different providers. What is the priority
intervention?
A. Tell the client to stop all medications
B. Perform medication reconciliation
C. Discard duplicate medications
D. Ask the client to choose one provider
Answer: Perform medication reconciliation
Rationale: Medication reconciliation compares all medications the client is
taking with newly prescribed medications to identify omissions, duplications,
interactions, and discrepancies.
Exam 100 Questions And Correct
Answers (Verified Answers) Plus
Rationales 2026
1. A nurse case manager is coordinating discharge for a client with heart
failure. Which action is the priority?
A. Arrange transportation home
B. Schedule a follow-up appointment
C. Assess the client's understanding of the medication regimen
D. Provide a list of community resources
Answer: Assess the client's understanding of the medication regimen
Rationale: Medication adherence is essential in preventing heart-failure
exacerbations and readmissions. The case manager should first identify
whether the client understands the treatment plan and can safely manage
medications after discharge.
2. Which activity best describes the primary role of a nurse case manager?
A. Performing all direct nursing care
B. Coordinating services to meet client needs across the continuum of care
C. Prescribing medications
D. Making medical diagnoses
Answer: Coordinating services to meet client needs across the continuum of
care
Rationale: Case management focuses on coordinating healthcare services,
promoting continuity, improving outcomes, and using resources efficiently
while advocating for the client.
,3. A client with diabetes is being discharged after hospitalization. Which
finding indicates a need for further case-management intervention?
A. The client has a glucometer
B. The client knows the name of the prescribed insulin
C. The client cannot afford the prescribed insulin
D. The client has a follow-up appointment
Answer: The client cannot afford the prescribed insulin
Rationale: Inability to obtain essential medication creates a significant barrier
to safe discharge. The case manager should explore financial assistance,
insurance coverage, medication programs, or alternative resources.
4. A case manager is developing a discharge plan. Which approach best
promotes client-centered care?
A. Select services based on hospital convenience
B. Allow the healthcare provider to make all decisions
C. Incorporate the client's preferences, goals, and available resources
D. Use the same discharge plan for clients with similar diagnoses
Answer: Incorporate the client's preferences, goals, and available resources
Rationale: Client-centered case management incorporates individual
preferences, values, goals, abilities, and circumstances into the plan of care.
5. A client is preparing for discharge after a stroke and has difficulty walking.
Which referral is most appropriate?
A. Speech therapy only
B. Physical therapy
C. Dietary counseling only
D. Laboratory services
Answer: Physical therapy
,Rationale: Physical therapists evaluate mobility and develop interventions to
improve strength, balance, transfers, gait, and functional independence.
6. A case manager identifies that a client repeatedly misses medical
appointments because of transportation problems. What should the nurse do
first?
A. Document noncompliance
B. Notify the healthcare provider that the client refuses treatment
C. Explore available transportation resources with the client
D. Discharge the client from the program
Answer: Explore available transportation resources with the client
Rationale: Case management addresses barriers to care. Transportation
difficulties are a potentially modifiable barrier and should be assessed and
addressed rather than labeled as noncompliance.
7. Which client is most appropriate for intensive case management?
A. A healthy adult with a minor abrasion
B. A client with multiple chronic conditions and frequent hospitalizations
C. A client receiving a routine vaccination
D. A client with an uncomplicated sore throat
Answer: A client with multiple chronic conditions and frequent
hospitalizations
Rationale: Clients with complex medical needs, multiple chronic conditions,
repeated hospitalizations, and multiple service requirements often benefit
from intensive case management.
8. Which outcome best demonstrates effective case management?
A. Increased number of specialist visits
B. Reduced continuity of care
C. Improved health outcomes with appropriate use of healthcare resources
, D. Increased length of hospitalization
Answer: Improved health outcomes with appropriate use of healthcare
resources
Rationale: Effective case management seeks to improve quality and outcomes
while coordinating services and avoiding unnecessary or duplicative resource
use.
9. A client with chronic obstructive pulmonary disease is being discharged.
Which intervention is most important for preventing readmission?
A. Provide information only about hospital visiting hours
B. Ensure the client understands the medication and symptom-management
plan
C. Encourage bed rest
D. Eliminate all physical activity
Answer: Ensure the client understands the medication and
symptommanagement plan
Rationale: Understanding medications, warning signs, oxygen or inhaler use,
and follow-up care supports self-management and can reduce preventable
exacerbations and readmissions.
10. A nurse case manager is reviewing a client's medication list. The client has
prescriptions from three different providers. What is the priority
intervention?
A. Tell the client to stop all medications
B. Perform medication reconciliation
C. Discard duplicate medications
D. Ask the client to choose one provider
Answer: Perform medication reconciliation
Rationale: Medication reconciliation compares all medications the client is
taking with newly prescribed medications to identify omissions, duplications,
interactions, and discrepancies.
