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 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 unchanged because any additional documentation improves data volume
b) Refine the prompt and guidance so entries are specific enough to support action and analysis
c) Remove the prompt because qualitative documentation cannot support quality work
d) Compare individual staff completion rates before improving the field design

02. A nurse case management department implemented a new workflow for documenting transportation barriers. Completion improved, but staff say the field is rarely used to trigger actual interventions. Which next step is most appropriate?
a) Link the documentation field to an actionable process for referral, escalation, or follow-up
b) Stop documenting transportation barriers because unused information has no value
c) Continue current practice because documentation improvement should be considered sufficient
d) Ask staff to write longer narrative comments instead of using the field

03. 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 have to exercise anyway because inactivity is the reason your pain continues.”
b) “What has your past experience with activity been like, and what kinds of movement feel most manageable to you?”
c) “If you are not willing to exercise, there is nothing more I can offer.”
d) “I will refer you to therapy, but it probably will not help unless you change your attitude.”

04. A payer denies authorization for inpatient rehabilitation after stroke, approving only home-based services. The patient has left-sided weakness, the spouse works full time, and the home has three entry steps without rails.
Which action by the nurse case manager is most appropriate?
a) Accept the denial and initiate home services because payer determinations cannot be challenged
b) Advise the family to pay privately for rehabilitation placement and continue the discharge process
c) Submit an appeal using functional and environmental information that supports the requested level of care
d) Keep the patient hospitalized until the payer automatically reconsiders the decision

05. A physician asks the nurse case manager to document that a family is “noncompliant” because they are questioning a proposed discharge destination. Which response is most appropriate?
a) Use the requested term so the record reflects the physician’s view of the delay
b) Document specific concerns, questions, and barriers objectively rather than labeling the family
c) Leave the issue undocumented to avoid increasing tension in the chart
d) Note that the family is difficult and resistant so reviewers understand the conflict

06. Which statement best describes the purpose of transition-of-care management in nursing case management?
a) To make discharge occur as quickly as possible once acute treatment goals are met
b) To transfer responsibility from inpatient teams to outpatient teams with minimal overlap
c) To focus primarily on documentation so each setting has a complete legal record
d) To ensure continuity, clarity, and feasibility of care as the patient moves between settings and services

07. A patient with limited English proficiency nods during discharge discussions, but the interpreter notes that the patient has asked repeated questions about medication timing and follow-up.
Which action is most appropriate?
a) Proceed with discharge because interpreter services were already used
b) Reassess understanding using interpreter-supported teach-back and clarify the plan before transition
c) Ask the family to interpret so discharge can proceed faster
d) Document the questions as anxiety and recommend outpatient reinforcement only

08. Which situation most clearly requires the nurse case manager to balance advocacy with stewardship rather than focusing on only one?
a) A patient needs an appropriate level of post-acute care, but available benefits are limited and alternatives must be evaluated carefully
b) A patient requests a private room for convenience during a stable admission
c) A patient refuses all follow-up and states no help is needed
d) A provider asks whether a discharge summary has been sent to the next setting

09. Which action most clearly reflects the CMSA Standards of Practice concept of patient advocacy as applied to nursing case management?
a) Minimizing patient participation so the team can move quickly through discharge planning
b) Ensuring the patient’s needs, preferences, and barriers are represented in decisions about care and services
c) Accepting the plan preferred by the dominant discipline to preserve team cohesion
d) Focusing on payer requirements first because they usually determine the feasible options

10. A patient with severe depression and diabetes has follow-up appointments with behavioral health and primary care on the same day at opposite ends of the city. The patient has limited transportation and has missed similar clustered appointments in the past. Which action is most appropriate?
a) Rework the plan to better match transportation realities and reduce the risk of failed follow-up
b) Keep both visits unchanged because same-day scheduling is more efficient
c) Ask the patient to decide which appointment matters more
d) Leave the scheduling unchanged and let the clinics manage missed visits individually

Answers:

For full-length, timed, scenario-based practice aligned with the official exam framework - and to build pacing, consistency, and confidence - explore our Premium ANCC CMGT-BC Certification Practice Exam.

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