ANCC CMGT-BC Certification Sample Questions

The ANCC Nursing Case Management Certification Certification Sample Question Set on this page is designed to familiarize you with the actual ANCC CMGT-BC exam format and question types. These sample questions help you understand how questions are structured and what to expect on test day. While they provide a useful starting point, they represent only a limited preview of the real exam experience.

These sample questions are intended for evaluation and familiarization only. To understand exam style, pacing, and reasoning patterns more clearly, we recommend trying our online sample practice environment. If you are preparing for the ANCC Nursing Case Management-Board Certified (CMGT-BC) and want to assess your readiness more rigorously, structured, timed, scenario-based practice is recommended. This approach aligns with the cognitive demands and professional expectations typically associated with Registered nurses, Case managers, Care coordination professionals working in settings such as Hospitals, Community health settings, Managed care organizations.

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The demo introduces core concepts, while full-length premium simulations provide deeper, scenario-based coverage that more closely reflects the actual cognitive demands of the ANCC Nursing Case Management Certification exam, particularly in areas such as Care coordination, Patient assessment, Resource management. You can use these sample questions as a starting point, then progress to the ANCC CMGT-BC Certification Practice Exam for stronger readiness. Our premium simulations are designed to mirror real exam conditions, helping you refine reasoning, pacing, and decision-making before your official exam attempt.

ANCC CMGT-BC Sample Questions:

01. A patient with limited English proficiency nods during discharge teaching, but the interpreter notes that the patient has asked repeated questions about medication timing and follow-up.
Which action is most appropriate?
a) Review the signed discharge instructions with the patient a second time, given that a qualified interpreter participated throughout the original teaching session
b) Use teach-back with the interpreter to check what he understood before he leaves
c) Ask an adult family member to interpret the remaining instructions so that the discharge process can be completed today
d) Document the repeated questions as situational discharge anxiety and refer the remaining teaching to the outpatient clinic after the patient returns home

02. Which action most clearly reflects the CMSA Standards of Practice concept of patient advocacy as applied to nursing case management?
a) Making sure the patient's own needs, wishes, and barriers shape the choice
b) Presenting a thorough summary of the patient's history, stated goals, and identified barriers to the interdisciplinary team in a meeting the patient does not attend
c) Backing the plan the most senior discipline prefers
d) Framing the available options around payer requirements at the outset, on the understanding that coverage determines which alternatives are feasible

03. A nurse case manager learns that a patient with recurrent admissions frequently runs out of food before the end of each month but has never reported this to the medical team.
Which action is most appropriate?
a) Confine the care plan to the clinical issues precipitating this admission and designate food access a longer-term community matter
b) Assess how often food runs short and add it to the care plan.
c) Verify at the subsequent admission whether nutritional insufficiency is again implicated, and incorporate the finding only if the pattern recurs
d) Refer the patient to a general community assistance line and close the item on the assumption that contact will be established

04. Which statement best describes the purpose of transition-of-care management in nursing case management?
a) To move discharge forward as soon as the acute treatment goals of the admission have been met
b) To transfer responsibility, records, and open tasks from the inpatient team to the outpatient team
c) To keep care continuous, understandable, and workable as the patient moves between settings
d) To assemble documentation so that each setting holds a complete legal record of the episode

05. A patient with cirrhosis needs close post-discharge follow-up, but the earliest hepatology appointment is several weeks away. The discharging team assumes primary care can “hold things together” until then, although no communication has been sent.
Which action is most appropriate?
a) Accept the delay because specialty appointment availability cannot be changed
b) Cancel the specialty referral because an appointment that far out has limited value now
c) Advise the patient to watch for symptoms and call if anything changes before the appointment
d) Set up interim follow-up and tell the primary care team what must be monitored until hepatology

06. A patient with poorly controlled asthma has repeated emergency department visits because the controller inhaler is often unavailable at the neighborhood pharmacy.
Which intervention is most appropriate?
a) Coordinate a medication-access plan around formulary, stock availability, and refill workflow
b) Keep sending the prescriptions to the same pharmacy, since it is the closest one to the patient's home
c) Advise the patient to rely on the rescue inhaler until the controller is back in stock
d) Arrange pulmonary follow-up, spirometry, and an action plan and treat pharmacy stock as a separate issue

07. A patient with chronic pain says, “Exercise always makes things worse, so I do not see the point.”
Which response by the nurse case manager best supports readiness for change?
a) “You will need to exercise anyway, because staying inactive is what keeps the pain going.”
b) “Tell me what activity has been like for you, and what kind of movement feels manageable.”
c) “If you are not willing to try exercise, there is not much more that I can offer you.”
d) “I can refer you to therapy and start an exercise plan, though it rarely helps unless your outlook changes.”

08. A payor denies authorization for inpatient rehabilitation after a stroke and approves home-based services instead. The patient has left-sided weakness, the spouse works full time, and the home entrance has three steps without rails.
Which action by the nurse case manager is most appropriate?
a) Appeal the denial and set out the deficits, the caregiver's hours, and the steps.
b) Accept the determination as final and initiate home services, supplementing them with a bathing aide, a medication organizer, and a weekly telephone check-in
c) Advise the family to finance the inpatient rehabilitation stay privately so that the discharge can proceed on the anticipated timeline
d) Keep the patient in hospital until the payor reconsiders.

09. A case management department introduces a new documentation prompt for medication-access barriers. Completion rates improve, but clinicians report the prompt is often filled with vague entries such as “patient needs help.”
Which action is most appropriate?
a) Keep the prompt as written, since the added documentation increases the volume of data available
b) Compare completion rates by staff member, and coach the outliers before revisiting the design
c) Remove the prompt on the grounds that narrative documentation cannot support quality work
d) Refine the prompt and its guidance so entries are specific enough to support action and later analysis

10. Which situation most clearly requires the nurse case manager to balance patient advocacy against resource stewardship?
a) A patient requests a private room for personal convenience during an otherwise stable admission
b) A patient declines the offered follow-up services and states that further help is unwanted
c) A patient needs a post-acute level of care for safe recovery that the available benefits will not cover
d) A provider asks whether the discharge summary has been sent to the receiving care setting

Answers:

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Note: These sample questions are not official exam questions and are intended only for familiarization and study purposes. If you find any typos or data entry errors in these ANCC Nursing Case Management Certification (CMGT-BC) sample questions, please let us know by emailing us at feedback@medicoexam.com