ACM-RN Practice Exam 2026–2027 |
Comprehensive 100-Question Practice Test
with Answers & Rationales| Pdf Access
Already Graded A+.
Domain 1: Screening & Assessment (Questions 1–30)
1. During the initial assessment of a newly admitted patient, the case manager should
prioritize which action?
A. Scheduling discharge transportation
B. Identifying patient needs, strengths, and barriers to care
C. Completing insurance authorization forms
D. Contacting the patient's family for financial information
Answer: B
Rationale: The initial assessment is the foundation of the case management process. Identifying
needs, strengths, and barriers ensures an effective, patient-centered plan. Discharge planning
and authorization tasks follow the comprehensive assessment.
2. What is the primary purpose of performing an initial screening in case management?
A. To develop a discharge plan
B. To identify patients who may benefit from case management services
C. To determine the patient's insurance coverage
D. To assign a primary care physician
Answer: B
Rationale: Screening identifies patients who may benefit from case management based on risk
factors, complexity, and resource needs. This is the first step in the case management process.
3. Which component is essential for a comprehensive case management assessment?
,A. Physical, psychosocial, financial, and functional status
B. Laboratory values only
C. Insurance coverage only
D. Family history only
Answer: A
Rationale: A comprehensive case management assessment evaluates the whole person—
physical health, psychosocial factors, financial resources, and functional capacity—ensuring all
barriers to optimal health are identified.
4. When assessing a patient with limited English proficiency, the case manager should:
A. Use the patient's family member as an interpreter
B. Arrange for a qualified medical interpreter
C. Use written translation materials only
D. Communicate using simple English
Answer: B
Rationale: Federal regulations and ethical standards require qualified medical interpreters to
ensure accurate communication. Family members may misinterpret or withhold critical health
information.
5. A patient with chronic heart failure is admitted with shortness of breath. Which assessment
finding is most critical for the case manager to address for safe discharge?
A. The patient lives alone on the third floor of a walk-up building
B. The patient has Medicare Part A coverage
C. The patient has a history of smoking
D. The patient's family lives out of state
Answer: A
Rationale: Social determinants of health, such as housing and transportation, critically affect
discharge safety. Living on a third floor without elevator access poses a significant barrier for a
patient with heart failure.
6. Which of the following is an example of an "instrumental activity of daily living" (IADL)?
,A. Bathing
B. Dressing
C. Managing finances
D. Eating
Answer: C
Rationale: IADLs include complex tasks such as managing finances, meal preparation, shopping,
transportation, and medication management. Bathing, dressing, and eating are basic ADLs.
7. A patient with a history of multiple hospitalizations for COPD exacerbations. The case
manager should assess for:
A. Adequate social support and medication adherence
B. Transportation to clinic visits only
C. Financial status only
D. Family history only
Answer: A
Rationale: For patients with recurrent COPD exacerbations, assessing social support and
medication adherence is critical. These factors directly impact the patient's ability to manage
their condition and prevent readmissions.
8. Health literacy assessment is important in case management because:
A. It determines the patient's educational level
B. Low health literacy is associated with poor health outcomes
C. It is required by Medicare
D. It replaces the need for patient education
Answer: B
Rationale: Low health literacy is linked to poorer health outcomes, higher hospitalization rates,
medication errors, and lower adherence to treatment. Assessing health literacy helps tailor
education and communication.
9. A readiness assessment evaluates:
A. The patient's health literacy
B. The patient's motivation and capacity to engage in care
, C. The patient's financial resources
D. Follow-up appointment scheduling
Answer: B
Rationale: A readiness assessment evaluates the patient's motivation and capacity to engage in
care, which is essential for developing an effective patient-centered plan.
10. The case manager identifies that a patient lacks health literacy. What is the best approach
to patient education?
A. Provide all written materials at a college reading level
B. Use teach-back method to confirm understanding
C. Give the patient all information at once
D. Assume the family will explain everything
Answer: B
Rationale: The teach-back method confirms patient understanding by asking the patient to
explain the information in their own words. This is an evidence-based approach for patients
with limited health literacy.
11. A patient with a substance use disorder is admitted for medical complications. What
should the case manager do?
A. Focus only on the medical issue
B. Conduct a comprehensive assessment including behavioral health needs
C. Discharge the patient immediately
D. Refer only to a psychiatrist
Answer: B
Rationale: A comprehensive assessment that includes behavioral health needs ensures the
patient receives appropriate care and resources for both medical and substance use issues.
12. The case manager is evaluating a patient with a new fracture and a history of multiple ED
visits. The radiologist raises concern about possible domestic violence. Which assessment
finding would NOT indicate domestic violence?
A. Repeated traumatic injuries
B. Spouse will not leave patient unattended
Comprehensive 100-Question Practice Test
with Answers & Rationales| Pdf Access
Already Graded A+.
Domain 1: Screening & Assessment (Questions 1–30)
1. During the initial assessment of a newly admitted patient, the case manager should
prioritize which action?
A. Scheduling discharge transportation
B. Identifying patient needs, strengths, and barriers to care
C. Completing insurance authorization forms
D. Contacting the patient's family for financial information
Answer: B
Rationale: The initial assessment is the foundation of the case management process. Identifying
needs, strengths, and barriers ensures an effective, patient-centered plan. Discharge planning
and authorization tasks follow the comprehensive assessment.
2. What is the primary purpose of performing an initial screening in case management?
A. To develop a discharge plan
B. To identify patients who may benefit from case management services
C. To determine the patient's insurance coverage
D. To assign a primary care physician
Answer: B
Rationale: Screening identifies patients who may benefit from case management based on risk
factors, complexity, and resource needs. This is the first step in the case management process.
3. Which component is essential for a comprehensive case management assessment?
,A. Physical, psychosocial, financial, and functional status
B. Laboratory values only
C. Insurance coverage only
D. Family history only
Answer: A
Rationale: A comprehensive case management assessment evaluates the whole person—
physical health, psychosocial factors, financial resources, and functional capacity—ensuring all
barriers to optimal health are identified.
4. When assessing a patient with limited English proficiency, the case manager should:
A. Use the patient's family member as an interpreter
B. Arrange for a qualified medical interpreter
C. Use written translation materials only
D. Communicate using simple English
Answer: B
Rationale: Federal regulations and ethical standards require qualified medical interpreters to
ensure accurate communication. Family members may misinterpret or withhold critical health
information.
5. A patient with chronic heart failure is admitted with shortness of breath. Which assessment
finding is most critical for the case manager to address for safe discharge?
A. The patient lives alone on the third floor of a walk-up building
B. The patient has Medicare Part A coverage
C. The patient has a history of smoking
D. The patient's family lives out of state
Answer: A
Rationale: Social determinants of health, such as housing and transportation, critically affect
discharge safety. Living on a third floor without elevator access poses a significant barrier for a
patient with heart failure.
6. Which of the following is an example of an "instrumental activity of daily living" (IADL)?
,A. Bathing
B. Dressing
C. Managing finances
D. Eating
Answer: C
Rationale: IADLs include complex tasks such as managing finances, meal preparation, shopping,
transportation, and medication management. Bathing, dressing, and eating are basic ADLs.
7. A patient with a history of multiple hospitalizations for COPD exacerbations. The case
manager should assess for:
A. Adequate social support and medication adherence
B. Transportation to clinic visits only
C. Financial status only
D. Family history only
Answer: A
Rationale: For patients with recurrent COPD exacerbations, assessing social support and
medication adherence is critical. These factors directly impact the patient's ability to manage
their condition and prevent readmissions.
8. Health literacy assessment is important in case management because:
A. It determines the patient's educational level
B. Low health literacy is associated with poor health outcomes
C. It is required by Medicare
D. It replaces the need for patient education
Answer: B
Rationale: Low health literacy is linked to poorer health outcomes, higher hospitalization rates,
medication errors, and lower adherence to treatment. Assessing health literacy helps tailor
education and communication.
9. A readiness assessment evaluates:
A. The patient's health literacy
B. The patient's motivation and capacity to engage in care
, C. The patient's financial resources
D. Follow-up appointment scheduling
Answer: B
Rationale: A readiness assessment evaluates the patient's motivation and capacity to engage in
care, which is essential for developing an effective patient-centered plan.
10. The case manager identifies that a patient lacks health literacy. What is the best approach
to patient education?
A. Provide all written materials at a college reading level
B. Use teach-back method to confirm understanding
C. Give the patient all information at once
D. Assume the family will explain everything
Answer: B
Rationale: The teach-back method confirms patient understanding by asking the patient to
explain the information in their own words. This is an evidence-based approach for patients
with limited health literacy.
11. A patient with a substance use disorder is admitted for medical complications. What
should the case manager do?
A. Focus only on the medical issue
B. Conduct a comprehensive assessment including behavioral health needs
C. Discharge the patient immediately
D. Refer only to a psychiatrist
Answer: B
Rationale: A comprehensive assessment that includes behavioral health needs ensures the
patient receives appropriate care and resources for both medical and substance use issues.
12. The case manager is evaluating a patient with a new fracture and a history of multiple ED
visits. The radiologist raises concern about possible domestic violence. Which assessment
finding would NOT indicate domestic violence?
A. Repeated traumatic injuries
B. Spouse will not leave patient unattended
