Accredited Case Manager Exam Prep
Free practice questions

Free ACM Practice Questions

10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.

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The ACM exam has 141 questions and runs 3 hours 30 minutes.

These 10 free ACM questions are organized by exam domain, so you can see how each part of the Accredited Case Manager blueprint is tested. Reveal the answer and explanation under each question.

Domain 1: Screening and Assessment

Question 1

A 72-year-old patient is being evaluated for discharge after hospitalization for heart failure. The patient correctly repeats medication instructions but states, "I do not understand why weighing myself every day matters." Which assessment finding requires the case manager's primary attention?

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Correct answer: A - Limited health literacy related to the purpose of self-monitoring

Question 2

A patient with pneumonia is alert and oriented but declines a recommended treatment after risks and benefits are explained. The family asks the case manager to override the decision. What is the most appropriate next action?

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Correct answer: B - Assess decision-making capacity and identify the patient's stated goals

Question 3

During an assessment, a case manager learns that a patient lives alone, has no transportation, and cannot afford prescribed medications. Which category best captures these findings?

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Correct answer: A - Social determinants of health affecting access to care

Domain 2: Care Coordination, Intervention, and Transition Management

Question 4

A patient is medically stable for discharge, but the home health agency cannot begin services for five days. The patient requires wound care beginning tomorrow. What should the case manager do first?

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Correct answer: B - Coordinate an alternative service plan to address the immediate care need

Question 5

A hospital case manager reviews an admission and finds the documented condition does not support the current level of care. Which concept should guide the review?

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Correct answer: A - Medical necessity and appropriateness of the level of care

Question 6

A nurse case manager receives a request to send a patient's entire medical record to a community organization. Before releasing information, the case manager should primarily consider which requirement?

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Correct answer: B - HIPAA privacy and authorization requirements

Question 7

A patient scheduled for discharge says they cannot afford a medication that prevents complications after discharge. Which intervention best reflects case management practice?

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Correct answer: A - Connect the patient with appropriate medication assistance resources

Question 8

A patient is denied coverage for a planned service. The patient asks what options remain available. Which response best reflects case management responsibilities?

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Correct answer: A - Explain applicable noncoverage and appeal processes according to requirements

Question 9

A patient arrives in the emergency department after a motor vehicle crash and reports inability to pay for care. Which federal requirement is most directly relevant to the patient's evaluation?

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Correct answer: A - EMTALA emergency evaluation and treatment requirements

Question 10

A case manager identifies repeated discharge delays caused by missing transportation arrangements. Which action best addresses the problem?

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Correct answer: A - Identify the operational barrier and coordinate a timely solution

The rest of the ACM blueprint

The ACM exam also covers these domains. Drill them in the full free practice test:

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