RELIAS CASE MANAGEMENT ASSESSMENT A – VERIFIED NURSING Q&A & QUESTI… EXAM
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Relias Case Management
Assessment A – Verified
Nursing Q&A & Question
Bank (2026 Edition)
Verified Answers Exam Ready With Rationales
51 QUESTIONS
DOCUMENT OVERVIEW
This document features 51 verified questions with correct answers and detailed rationales focused on
nursing case management. It serves as a comprehensive resource for understanding key concepts within
this field. Students can utilize it for effective study, review, and preparation for certification exams.
CONTENTS
01 Patient Assessment Q1–Q8
02 Insurance and Legal Issues Q9–Q13
03 Care Planning Q14–Q21
04 Clinical Guidelines Q22–Q26
05 Behavioral Health Q27–Q31
Page 1
, 06 Quality and Outcomes Q32–Q34
07 Discharge Planning Q35–Q38
08 Additional Questions Q39–Q51
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 51
Your patient recieved a cancer diagnosis. You find them crying on their bed. They state they just got divorced
and do not have family in town. What would be your PRIORITY action?
CORRECT ANSWER
Comfort your patient, listen to their concerns, and inform them of referrals to inpatient psychosocial services and
an oncology nurse navigator.
RATIONALE
Providing emotional support and facilitating access to psychosocial resources is critical in oncology care, as patients
often experience heightened distress due to their diagnosis and life circumstances. Establishing a trusting therapeutic
relationship enhances coping mechanisms and promotes well-being during a vulnerable time.
Q2 QUESTION 2 OF 51
In your psychosocial aassessment you suspect the parent of you 6-year-old patient to be committing
Munchhausen by Proxy Syndrome. What PRIORITY actions would you take to protect your patient?
CORRECT ANSWER
Immediately alert you patient's care team, report you suspicions to Child protective services, document you
findings inthe patient's chart, and get psychiatry consult STAT to appropriately speparate the parent from the
child or have the parent monitored in the room by a sitter
RATIONALE
Prompt reporting to the care team and Child Protective Services is imperative to ensure the child's safety, as
Munchausen by Proxy involves a caregiver fabricating or inducing illness in a dependent, putting the child at
significant risk. Immediate intervention and documentation facilitate timely psychiatric evaluation and protective
measures, which are critical in managing suspected abuse effectively.
Page 2
, Q3 QUESTION 3 OF 51
What are the three key domains of a functional status assessment?
CORRECT ANSWER
ADLs, IADLs, Mobility (fall)
RATIONALE
Assessing functional status involves evaluating Activities of Daily Living (ADLs), Instrumental Activities of Daily Living
(IADLs), and mobility, which collectively inform healthcare providers about a patient's ability to perform self-care
tasks, manage their environment, and maintain safety, particularly regarding fall risks. These domains are critical for
determining the level of support and intervention needed for optimal patient care.
Q4 QUESTION 4 OF 51
A patient is admitted for inpatient sevices who has Medicare. Medicare Part A pays at 100% of the inpatient stay
minus the patient's Part A deductible (if they have not met the deductible previously) for how many days?
CORRECT ANSWER
Day 1- 60
RATIONALE
Medicare Part A covers inpatient hospital services for up to 60 days per benefit period after the deductible is met,
emphasizing the program's focus on providing substantial support for acute care needs. This policy reinforces the
importance of understanding coverage limits in managing patient care and financial planning.
Q5 QUESTION 5 OF 51
A patient with a history of HIV is admitted with an infection and you are monitoring their febrile status. What
symptoms would trigger a sepsis alert?
CORRECT ANSWER
Hypotension, tachycardia, dyspnea, and altered mental state
Page 3
P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
Relias Case Management
Assessment A – Verified
Nursing Q&A & Question
Bank (2026 Edition)
Verified Answers Exam Ready With Rationales
51 QUESTIONS
DOCUMENT OVERVIEW
This document features 51 verified questions with correct answers and detailed rationales focused on
nursing case management. It serves as a comprehensive resource for understanding key concepts within
this field. Students can utilize it for effective study, review, and preparation for certification exams.
CONTENTS
01 Patient Assessment Q1–Q8
02 Insurance and Legal Issues Q9–Q13
03 Care Planning Q14–Q21
04 Clinical Guidelines Q22–Q26
05 Behavioral Health Q27–Q31
Page 1
, 06 Quality and Outcomes Q32–Q34
07 Discharge Planning Q35–Q38
08 Additional Questions Q39–Q51
E XA M Q U EST I O N S
Q1 QUESTION 1 OF 51
Your patient recieved a cancer diagnosis. You find them crying on their bed. They state they just got divorced
and do not have family in town. What would be your PRIORITY action?
CORRECT ANSWER
Comfort your patient, listen to their concerns, and inform them of referrals to inpatient psychosocial services and
an oncology nurse navigator.
RATIONALE
Providing emotional support and facilitating access to psychosocial resources is critical in oncology care, as patients
often experience heightened distress due to their diagnosis and life circumstances. Establishing a trusting therapeutic
relationship enhances coping mechanisms and promotes well-being during a vulnerable time.
Q2 QUESTION 2 OF 51
In your psychosocial aassessment you suspect the parent of you 6-year-old patient to be committing
Munchhausen by Proxy Syndrome. What PRIORITY actions would you take to protect your patient?
CORRECT ANSWER
Immediately alert you patient's care team, report you suspicions to Child protective services, document you
findings inthe patient's chart, and get psychiatry consult STAT to appropriately speparate the parent from the
child or have the parent monitored in the room by a sitter
RATIONALE
Prompt reporting to the care team and Child Protective Services is imperative to ensure the child's safety, as
Munchausen by Proxy involves a caregiver fabricating or inducing illness in a dependent, putting the child at
significant risk. Immediate intervention and documentation facilitate timely psychiatric evaluation and protective
measures, which are critical in managing suspected abuse effectively.
Page 2
, Q3 QUESTION 3 OF 51
What are the three key domains of a functional status assessment?
CORRECT ANSWER
ADLs, IADLs, Mobility (fall)
RATIONALE
Assessing functional status involves evaluating Activities of Daily Living (ADLs), Instrumental Activities of Daily Living
(IADLs), and mobility, which collectively inform healthcare providers about a patient's ability to perform self-care
tasks, manage their environment, and maintain safety, particularly regarding fall risks. These domains are critical for
determining the level of support and intervention needed for optimal patient care.
Q4 QUESTION 4 OF 51
A patient is admitted for inpatient sevices who has Medicare. Medicare Part A pays at 100% of the inpatient stay
minus the patient's Part A deductible (if they have not met the deductible previously) for how many days?
CORRECT ANSWER
Day 1- 60
RATIONALE
Medicare Part A covers inpatient hospital services for up to 60 days per benefit period after the deductible is met,
emphasizing the program's focus on providing substantial support for acute care needs. This policy reinforces the
importance of understanding coverage limits in managing patient care and financial planning.
Q5 QUESTION 5 OF 51
A patient with a history of HIV is admitted with an infection and you are monitoring their febrile status. What
symptoms would trigger a sepsis alert?
CORRECT ANSWER
Hypotension, tachycardia, dyspnea, and altered mental state
Page 3
