ANM Study Guide 2026

Everything you need to pass the ANM exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

📋 ANM Exam Format at a Glance

115
Questions
120 min
Time Limit
75.00%
Passing Score

📚 ANM Topics to Study (41)

✍️ Sample ANM Questions & Answers

1. An ANM is reviewing a near-miss event where a patient almost received the wrong medication. The BEST action is to:
✓ Conduct a root cause analysis to identify system-level factors contributing to the near-miss

Root cause analysis focuses on system-level fixes rather than individual blame, which is the foundation of a just culture and safety improvement.

2. What is a key indicator of care coordination effectiveness?
✓ Readmission rates

Readmission rates are a key indicator of care coordination effectiveness because high rates often signal gaps in discharge planning, inadequate post-discharge support, or insufficient management of chronic conditions. Lower readmission rates reflect successful transitions of care, effective patient education, and well-coordinated follow-up, indicating that patients are better prepared for self-management after leaving the hospital.

3. An assistant nurse manager observes that a culturally diverse nursing staff tends to communicate hierarchically and avoids questioning physicians. Which development strategy is most appropriate?
✓ Offer psychological safety workshops and role-play SBAR communication scenarios

Building psychological safety and practicing structured communication tools like SBAR helps staff overcome cultural communication barriers.

4. The primary purpose of conducting a variance analysis for a nursing unit's budget is to:
✓ Compare actual financial performance to the budgeted plan to identify and explain differences.

Variance analysis is the process of comparing actual results (revenue and expenses) against the budgeted amounts to understand the differences or 'variances'. This helps managers identify areas of concern, take corrective action, and improve future budgeting accuracy.

5. A root cause analysis (RCA) team identifies that inadequate nurse-to-patient ratios contributed to a fall with injury. This is an example of a:
✓ Latent contributing factor

Inadequate staffing ratios are a latent (system-level) contributing factor that creates conditions for errors rather than directly causing them.

6. Under the CMS Hospital Conditions of Participation, what is the required minimum for registered nurse coverage on a patient care unit?
✓ An RN must be on duty and responsible for each patient's care on every unit 24 hours a day, 7 days a week

42 CFR 482.23 requires that a registered nurse must supervise and evaluate nursing care for each patient, with RN presence on every unit 24/7.

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Your ANM Study Path
1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

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  • A timed, full-length ANM mock exam — 115 questions in 120 minutes with a 75% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
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