1
Santa Clara County Case
Management Nurse Examination
– Version 2.0 Comprehensive
Advanced Practice Question Bank
150 Multiple-Choice Questions
with Detailed Answers and
Rationales
EXAM TITLE: Santa Clara County Nursing Case Management Board Certification Examination
(CMGT-BC™) – Advanced Clinical Practice Version 2.0
Exam Developer: ANCC Nursing Case Management Board Certification Examination (CMGT-
BC™)
Target Audience: Experienced Registered Nurses (minimum 2 years of experience, including at
least 1 year in community nursing) seeking case management certification or employment
, 2
within Santa Clara County Health System, Santa Clara Family Health Plan (SCFHP), and Santa
Clara Valley Medical Center (SCVMC).
Examination Structure: 150 scored questions based on the ANCC Nursing Case Management
Board Certification Test Content Outline (Effective October 23, 2024):
Domain Content Area Scored Questions Percentage
I Professional Foundation 27 22%
II Care Coordination 37 30%
III Quality Management 32 26%
IV Health Promotion 29 23%
Total 125 100%
Note: The examination contains 150 total questions; 125 are scored and 25 are pretest questions
that do not affect the candidate's score.
References: ANA Code of Ethics for Nurses with Interpretive Statements; CMSA Standards of
Practice for Case Management; Nursing: Scope and Standards of Practice.
DOMAIN I: PROFESSIONAL FOUNDATION (27 Questions)
Section A: Concepts, Standards, and Tools
1. A case management nurse at Santa Clara Valley Medical Center is developing a
comprehensive care plan for a patient with complex medical and psychosocial needs.
According to the CMSA Standards of Practice for Case Management, which of the following
represents the foundational principle that should guide all aspects of the nurse's practice?
A) Cost containment and efficient resource utilization
B) Patient advocacy and client-centered care
C) Adherence to physician orders without exception
D) Compliance with hospital administrative policies
, 3
-detailed answer 100% correct :- B
Rationale: The CMSA Standards of Practice for Case Management identify patient advocacy as a
foundational principle of case management practice. While cost containment, physician
collaboration, and policy compliance are important, advocacy for the client's self-determined
goals is the ethical and professional foundation of case management.
2. A newly hired case management nurse in Santa Clara County is reviewing the scope of
practice for the role. Which document provides the most authoritative guidance on the legal
scope of practice for Registered Nurses in California?
A) The Case Management Society of America Standards of Practice
B) The California Business and Professions Code, Section 2700 et seq. (Nursing Practice Act)
C) The ANCC Test Content Outline for Case Management Certification
D) The Santa Clara County Health System Employee Handbook
-detailed answer 100% correct :- B
Rationale: The Nursing Practice Act (NPA) is the body of California law that mandates the Board
of Registered Nursing to set out the scope of practice and responsibilities for RNs. The NPA is
codified in the California Business and Professions Code starting with Section 2700. While CMSA
Standards and ANCC outlines guide professional practice, the NPA defines the legal scope.
3. A case management nurse is working with a patient who has been hospitalized four times
in the past year for exacerbations of congestive heart failure. The nurse conducts a
comprehensive biopsychosocial health assessment. Which of the following elements
is MOST critical to include in this assessment?
A) The patient's complete financial portfolio and investment history
B) The patient's medical history, functional status, psychosocial history, environmental factors,
and social drivers of health
C) The patient's family medical history exclusively
D) The patient's dietary preferences and exercise habits only
-detailed answer 100% correct :- B
Rationale: Biopsychosocial health assessment encompasses medical history, functional status,
psychosocial history, environmental factors, and social drivers/determinants of health. This
, 4
holistic approach is fundamental to effective case management and addresses the root causes
of frequent hospitalizations.
4. According to the ANCC Nursing Case Management Board Certification Test Content Outline
(effective October 23, 2024), which content domain represents the largest percentage of
scored examination questions?
A) Professional Foundation
B) Care Coordination
C) Quality Management
D) Health Promotion
-detailed answer 100% correct :- B
Rationale: According to the ANCC Test Content Outline effective October 23, 2024, Care
Coordination comprises 30% (37 questions) of the scored examination, making it the largest
domain. This reflects the central role of care coordination in case management practice.
5. A case management nurse is documenting a patient's progress in the electronic health
record. According to Santa Clara County Medical Case Management documentation
standards, which of the following is REQUIRED for all documentation entries?
A) Documentation must be entered within 48 hours of the patient encounter
B) Documentation must be legible, signed, and dated by the Medical Case Manager
C) Documentation must be reviewed by a physician within 24 hours
D) Documentation must include the patient's full social security number
-detailed answer 100% correct :- B
Rationale: Santa Clara County Medical Case Management documentation standards require
that documentation of activities must be legible, signed, and dated by the Medical Case
Manager. This ensures accountability and meets regulatory requirements for medical record
keeping.
6. A case management nurse is synthesizing data from multiple sources to develop a patient's
care plan. The nurse receives conflicting information from the patient, the primary care
physician, and the patient's family. Which action best demonstrates the nurse's competency
in synthesizing pertinent data?
Santa Clara County Case
Management Nurse Examination
– Version 2.0 Comprehensive
Advanced Practice Question Bank
150 Multiple-Choice Questions
with Detailed Answers and
Rationales
EXAM TITLE: Santa Clara County Nursing Case Management Board Certification Examination
(CMGT-BC™) – Advanced Clinical Practice Version 2.0
Exam Developer: ANCC Nursing Case Management Board Certification Examination (CMGT-
BC™)
Target Audience: Experienced Registered Nurses (minimum 2 years of experience, including at
least 1 year in community nursing) seeking case management certification or employment
, 2
within Santa Clara County Health System, Santa Clara Family Health Plan (SCFHP), and Santa
Clara Valley Medical Center (SCVMC).
Examination Structure: 150 scored questions based on the ANCC Nursing Case Management
Board Certification Test Content Outline (Effective October 23, 2024):
Domain Content Area Scored Questions Percentage
I Professional Foundation 27 22%
II Care Coordination 37 30%
III Quality Management 32 26%
IV Health Promotion 29 23%
Total 125 100%
Note: The examination contains 150 total questions; 125 are scored and 25 are pretest questions
that do not affect the candidate's score.
References: ANA Code of Ethics for Nurses with Interpretive Statements; CMSA Standards of
Practice for Case Management; Nursing: Scope and Standards of Practice.
DOMAIN I: PROFESSIONAL FOUNDATION (27 Questions)
Section A: Concepts, Standards, and Tools
1. A case management nurse at Santa Clara Valley Medical Center is developing a
comprehensive care plan for a patient with complex medical and psychosocial needs.
According to the CMSA Standards of Practice for Case Management, which of the following
represents the foundational principle that should guide all aspects of the nurse's practice?
A) Cost containment and efficient resource utilization
B) Patient advocacy and client-centered care
C) Adherence to physician orders without exception
D) Compliance with hospital administrative policies
, 3
-detailed answer 100% correct :- B
Rationale: The CMSA Standards of Practice for Case Management identify patient advocacy as a
foundational principle of case management practice. While cost containment, physician
collaboration, and policy compliance are important, advocacy for the client's self-determined
goals is the ethical and professional foundation of case management.
2. A newly hired case management nurse in Santa Clara County is reviewing the scope of
practice for the role. Which document provides the most authoritative guidance on the legal
scope of practice for Registered Nurses in California?
A) The Case Management Society of America Standards of Practice
B) The California Business and Professions Code, Section 2700 et seq. (Nursing Practice Act)
C) The ANCC Test Content Outline for Case Management Certification
D) The Santa Clara County Health System Employee Handbook
-detailed answer 100% correct :- B
Rationale: The Nursing Practice Act (NPA) is the body of California law that mandates the Board
of Registered Nursing to set out the scope of practice and responsibilities for RNs. The NPA is
codified in the California Business and Professions Code starting with Section 2700. While CMSA
Standards and ANCC outlines guide professional practice, the NPA defines the legal scope.
3. A case management nurse is working with a patient who has been hospitalized four times
in the past year for exacerbations of congestive heart failure. The nurse conducts a
comprehensive biopsychosocial health assessment. Which of the following elements
is MOST critical to include in this assessment?
A) The patient's complete financial portfolio and investment history
B) The patient's medical history, functional status, psychosocial history, environmental factors,
and social drivers of health
C) The patient's family medical history exclusively
D) The patient's dietary preferences and exercise habits only
-detailed answer 100% correct :- B
Rationale: Biopsychosocial health assessment encompasses medical history, functional status,
psychosocial history, environmental factors, and social drivers/determinants of health. This
, 4
holistic approach is fundamental to effective case management and addresses the root causes
of frequent hospitalizations.
4. According to the ANCC Nursing Case Management Board Certification Test Content Outline
(effective October 23, 2024), which content domain represents the largest percentage of
scored examination questions?
A) Professional Foundation
B) Care Coordination
C) Quality Management
D) Health Promotion
-detailed answer 100% correct :- B
Rationale: According to the ANCC Test Content Outline effective October 23, 2024, Care
Coordination comprises 30% (37 questions) of the scored examination, making it the largest
domain. This reflects the central role of care coordination in case management practice.
5. A case management nurse is documenting a patient's progress in the electronic health
record. According to Santa Clara County Medical Case Management documentation
standards, which of the following is REQUIRED for all documentation entries?
A) Documentation must be entered within 48 hours of the patient encounter
B) Documentation must be legible, signed, and dated by the Medical Case Manager
C) Documentation must be reviewed by a physician within 24 hours
D) Documentation must include the patient's full social security number
-detailed answer 100% correct :- B
Rationale: Santa Clara County Medical Case Management documentation standards require
that documentation of activities must be legible, signed, and dated by the Medical Case
Manager. This ensures accountability and meets regulatory requirements for medical record
keeping.
6. A case management nurse is synthesizing data from multiple sources to develop a patient's
care plan. The nurse receives conflicting information from the patient, the primary care
physician, and the patient's family. Which action best demonstrates the nurse's competency
in synthesizing pertinent data?
