100+ Free ACM-RN Practice Questions
Pass your Accredited Case Manager - Registered Nurse (ACM-RN) exam on the first try — instant access, no signup required.
An RN case manager must assess a patient's support system. Which finding indicates the STRONGEST support for a safe home discharge?
Sample ACM-RN Practice Questions
Try these sample questions to test your ACM-RN exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1An RN case manager is admitting a 74-year-old patient with new-onset stroke. Which information source is the MOST appropriate FIRST step to begin a comprehensive case management assessment?
2While assessing a newly admitted patient, the RN case manager wants to gauge how well the patient understands medication instructions and follow-up care. Which assessment component does this BEST represent?
3A patient lives alone in a third-floor walk-up apartment with no elevator, has limited income, and no nearby family. Which assessment domain do these findings primarily reflect?
4A patient with advanced dementia cannot reliably state treatment preferences. The RN case manager needs to identify who can make medical decisions. Which assessment element is the priority?
5An RN case manager reviews a chart and finds the patient has a properly executed advance directive naming a healthcare agent. What is the MOST appropriate next action?
6A 68-year-old post-hip-replacement patient was independent at home but now needs assistance with bathing, dressing, and ambulation. Assessing these activities of daily living evaluates which element?
7A patient declines a blood transfusion citing religious convictions. The RN case manager documents this finding under which assessment category?
8During assessment, the RN case manager identifies that a patient with congestive heart failure has had three admissions in the past 90 days. Identifying this pattern primarily supports which assessment task?
9An RN case manager completes an assessment revealing significant unmet home-care needs. According to the content outline, what should the case manager do with these assessment findings?
10A patient with a new diagnosis of type 2 diabetes expresses fear and denial about the condition. The RN case manager recognizes this as part of assessing the patient's:
About the ACM-RN Exam
The ACM-RN is the registered-nurse pathway of ACMA's Accredited Case Manager credential for health care delivery system case management. The exam pairs a 110-item multiple-choice core (90 scored) with an RN-specific simulation of 12 cases (31 questions), both delivered through Pearson VUE since December 2025. Eligibility requires a current RN license in good standing and at least 1 year (2,080 hours) of supervised, paid case management experience.
Assessment
Two scored portions: a 110-question multiple-choice core (90 scored + 20 pretest) and a discipline-specific simulation of 12 cases with 31 multiple-choice questions. RN candidates must pass both.
Time Limit
2 hours for the multiple-choice core; 90 minutes for the specialty simulation (a 10-minute break is built in between portions).
Passing Score
Set by a modified Angoff method during a passing point study; the exact passing point varies by exam form and is not publicly disclosed. Both the core and simulation portions must be passed.
Exam Fee
$359 (covers both portions); expedited scheduling adds $46. Retest of both portions is $359; retest of one portion is $200. (American Case Management Association (ACMA) / National Board for Case Management (NBCM))
ACM-RN Exam Content Outline
Screening and Assessment
Gathering and assessing patient data including health literacy, medical and psychosocial history, developmental/cognitive status, cultural beliefs, social determinants of health, decisional capacity, advance directives, functional status, discharge barriers, readmission risk, and patient goals (38 of 90 scored core items).
Care Coordination, Intervention, and Transition Management
Collaborating with care teams, building the plan of care, entitlement programs, regulatory compliance (HIPAA, CMS, EMTALA), legal and ethical practice, service coordination, referrals, utilization review of medical necessity and level of care, payor issues, cultural competence, and avoidable delays (45 of 90 scored core items).
Process Improvement and Evaluation
Collecting timely, accurate data to evaluate interventions, identifying additional external resources, and identifying and resolving patient safety and risk management issues (7 of 90 scored core items).
Specialty Simulation (Assessment, Care Coordination, and Intervention)
Discipline-specific RN simulation of 12 cases / 31 questions covering screening, information gathering, level-of-care review, payor authorization, service coordination, response-to-care evaluation, additional education, non-coverage/appeal notices, external resources, and transition re-evaluation.
How to Pass the ACM-RN Exam
What You Need to Know
- Passing score: Set by a modified Angoff method during a passing point study; the exact passing point varies by exam form and is not publicly disclosed. Both the core and simulation portions must be passed.
- Assessment: Two scored portions: a 110-question multiple-choice core (90 scored + 20 pretest) and a discipline-specific simulation of 12 cases with 31 multiple-choice questions. RN candidates must pass both.
- Time limit: 2 hours for the multiple-choice core; 90 minutes for the specialty simulation (a 10-minute break is built in between portions).
- Exam fee: $359 (covers both portions); expedited scheduling adds $46. Retest of both portions is $359; retest of one portion is $200.
Keys to Passing
- Complete 500+ practice questions
- Score 80%+ consistently before scheduling
- Focus on highest-weighted sections
- Use our AI tutor for tough concepts
ACM-RN Study Tips from Top Performers
Frequently Asked Questions
How many questions are on the ACM-RN exam?
The multiple-choice core has 110 questions (90 scored and 20 unscored pretest items), and the discipline-specific simulation has 12 cases with a total of 31 multiple-choice questions. RN candidates must pass both portions.
How much does the ACM-RN exam cost?
The examination fee is $359 and covers both the core and simulation portions. Expedited scheduling adds $46. Retesting both portions costs $359, and retesting a single portion costs $200.
What is the passing score for the ACM-RN?
The passing standard is determined using a modified Angoff method during a passing point study by a panel of experts. The exact passing point varies by exam form and is not publicly disclosed; candidates must pass both the core and simulation portions.
Who administers the ACM-RN exam and what are the eligibility requirements?
ACMA/NBCM administers the ACM through Pearson VUE (test center or OnVUE online). RN candidates must hold a current, valid nursing license in good standing and have at least 1 year (2,080 hours) of supervised, paid case management work experience.