FLORIDA BOARD OF NURSING CASE
MANAGEMENT NURSING CERTIFICATION
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 with congestive heart failure is being
discharged after treatment for acute pulmonary edema. The patient
lives alone, has difficulty obtaining medications, and has been
readmitted twice within the past three months. Which action by the
case management nurse is the priority?
A. Provide the patient with a general heart-failure education brochure
B. Arrange a follow-up appointment without discussing transportation
C. Conduct a comprehensive assessment of clinical, functional,
psychosocial, financial, and environmental needs
D. Tell the patient to contact the primary care provider if symptoms
worsen
Answer: C. Conduct a comprehensive assessment of clinical,
functional, psychosocial, financial, and environmental needs
Rationale: Case management begins with comprehensive assessment.
The patient's recurrent admissions, living situation, medication-access
problems, and potential transportation barriers indicate multiple
interacting factors affecting outcomes. Identifying these barriers
allows the nurse to develop an individualized plan addressing medical
needs and social determinants of health rather than focusing
exclusively on the diagnosis.
1
,2. A case manager is coordinating care for a patient with diabetes,
chronic kidney disease, hypertension, and depression. Which
intervention best demonstrates effective case management?
A. Allow each specialist to develop an independent treatment plan
B. Coordinate communication among providers and integrate the plans
into a patient-centered care plan
C. Focus exclusively on diabetes because it is the patient's primary
diagnosis
D. Transfer all coordination responsibilities to the patient's family
Answer: B. Coordinate communication among providers and
integrate the plans into a patient-centered care plan
Rationale: Case management is fundamentally interdisciplinary and
patient-centered. Complex patients often receive care from multiple
providers, creating risks for conflicting medications, duplicated
testing, fragmented communication, and inconsistent goals. The case
manager helps integrate services around the patient's needs and
preferences.
3. A patient with COPD repeatedly visits the emergency department
because of exacerbations. During assessment, the case manager
discovers that the patient does not understand how to use the
prescribed inhaler. What is the best initial intervention?
A. Request that the physician prescribe a stronger inhaler
B. Arrange immediate hospitalization
C. Assess the patient's current knowledge and demonstrate correct
inhaler technique using teach-back
D. Document that the patient is noncompliant
Answer: C. Assess the patient's current knowledge and demonstrate
correct inhaler technique using teach-back
2
,Rationale: The case manager should determine whether the problem is
knowledge, technique, access, cognition, or another barrier before
labeling the patient as noncompliant. Teach-back allows the nurse to
verify actual understanding and identify gaps requiring additional
education.
4. A patient refuses a recommended home health referral following
hospital discharge. The patient is alert, understands the
recommendation, and explains that maintaining independence is
more important to them. What should the case manager do?
A. Override the patient's decision because the referral is medically
beneficial
B. Ask the family to force the patient to accept services
C. Respect the informed decision while assessing risks and documenting
education provided
D. Cancel all discharge planning
Answer: C. Respect the informed decision while assessing risks and
documenting education provided
Rationale: A competent adult has the right to participate in healthcare
decisions, including refusing recommended services. The nurse should
ensure that the patient understands the potential benefits and risks,
explore alternatives, document the discussion, and develop the safest
feasible plan consistent with the patient's preferences.
5. A case manager notices that a patient scheduled for discharge has
no transportation, cannot climb the stairs to the apartment, and has
no caregiver available. Which concept is most directly demonstrated
by these findings?
3
, A. Medical diagnosis
B. Social determinants and functional barriers to care
C. Primary prevention
D. Pharmacokinetic monitoring
Answer: B. Social determinants and functional barriers to care
Rationale: Transportation, housing accessibility, caregiver availability,
and functional ability can significantly influence whether a patient
can safely follow a treatment plan. Effective case management
addresses these factors because medical treatment alone may not
produce successful outcomes when practical barriers remain
unresolved.
6. A hospital case manager is reviewing a patient's planned
discharge. Which finding most strongly indicates that additional
discharge planning is required?
A. The patient can state the name of the diagnosis
B. The patient has received a printed discharge summary
C. The patient cannot explain which medications should be taken after
discharge
D. The patient's vital signs are stable
Answer: C. The patient cannot explain which medications should be
taken after discharge
Rationale: Medication understanding is a critical component of safe
transition from hospital to home. A written discharge summary does
not demonstrate comprehension. The nurse should clarify the
medication regimen, assess barriers such as cost or health literacy,
and use teach-back.
4
MANAGEMENT NURSING CERTIFICATION
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 with congestive heart failure is being
discharged after treatment for acute pulmonary edema. The patient
lives alone, has difficulty obtaining medications, and has been
readmitted twice within the past three months. Which action by the
case management nurse is the priority?
A. Provide the patient with a general heart-failure education brochure
B. Arrange a follow-up appointment without discussing transportation
C. Conduct a comprehensive assessment of clinical, functional,
psychosocial, financial, and environmental needs
D. Tell the patient to contact the primary care provider if symptoms
worsen
Answer: C. Conduct a comprehensive assessment of clinical,
functional, psychosocial, financial, and environmental needs
Rationale: Case management begins with comprehensive assessment.
The patient's recurrent admissions, living situation, medication-access
problems, and potential transportation barriers indicate multiple
interacting factors affecting outcomes. Identifying these barriers
allows the nurse to develop an individualized plan addressing medical
needs and social determinants of health rather than focusing
exclusively on the diagnosis.
1
,2. A case manager is coordinating care for a patient with diabetes,
chronic kidney disease, hypertension, and depression. Which
intervention best demonstrates effective case management?
A. Allow each specialist to develop an independent treatment plan
B. Coordinate communication among providers and integrate the plans
into a patient-centered care plan
C. Focus exclusively on diabetes because it is the patient's primary
diagnosis
D. Transfer all coordination responsibilities to the patient's family
Answer: B. Coordinate communication among providers and
integrate the plans into a patient-centered care plan
Rationale: Case management is fundamentally interdisciplinary and
patient-centered. Complex patients often receive care from multiple
providers, creating risks for conflicting medications, duplicated
testing, fragmented communication, and inconsistent goals. The case
manager helps integrate services around the patient's needs and
preferences.
3. A patient with COPD repeatedly visits the emergency department
because of exacerbations. During assessment, the case manager
discovers that the patient does not understand how to use the
prescribed inhaler. What is the best initial intervention?
A. Request that the physician prescribe a stronger inhaler
B. Arrange immediate hospitalization
C. Assess the patient's current knowledge and demonstrate correct
inhaler technique using teach-back
D. Document that the patient is noncompliant
Answer: C. Assess the patient's current knowledge and demonstrate
correct inhaler technique using teach-back
2
,Rationale: The case manager should determine whether the problem is
knowledge, technique, access, cognition, or another barrier before
labeling the patient as noncompliant. Teach-back allows the nurse to
verify actual understanding and identify gaps requiring additional
education.
4. A patient refuses a recommended home health referral following
hospital discharge. The patient is alert, understands the
recommendation, and explains that maintaining independence is
more important to them. What should the case manager do?
A. Override the patient's decision because the referral is medically
beneficial
B. Ask the family to force the patient to accept services
C. Respect the informed decision while assessing risks and documenting
education provided
D. Cancel all discharge planning
Answer: C. Respect the informed decision while assessing risks and
documenting education provided
Rationale: A competent adult has the right to participate in healthcare
decisions, including refusing recommended services. The nurse should
ensure that the patient understands the potential benefits and risks,
explore alternatives, document the discussion, and develop the safest
feasible plan consistent with the patient's preferences.
5. A case manager notices that a patient scheduled for discharge has
no transportation, cannot climb the stairs to the apartment, and has
no caregiver available. Which concept is most directly demonstrated
by these findings?
3
, A. Medical diagnosis
B. Social determinants and functional barriers to care
C. Primary prevention
D. Pharmacokinetic monitoring
Answer: B. Social determinants and functional barriers to care
Rationale: Transportation, housing accessibility, caregiver availability,
and functional ability can significantly influence whether a patient
can safely follow a treatment plan. Effective case management
addresses these factors because medical treatment alone may not
produce successful outcomes when practical barriers remain
unresolved.
6. A hospital case manager is reviewing a patient's planned
discharge. Which finding most strongly indicates that additional
discharge planning is required?
A. The patient can state the name of the diagnosis
B. The patient has received a printed discharge summary
C. The patient cannot explain which medications should be taken after
discharge
D. The patient's vital signs are stable
Answer: C. The patient cannot explain which medications should be
taken after discharge
Rationale: Medication understanding is a critical component of safe
transition from hospital to home. A written discharge summary does
not demonstrate comprehension. The nurse should clarify the
medication regimen, assess barriers such as cost or health literacy,
and use teach-back.
4
