CMRP Practice Questions (2026) — Free Sample Questions with Answers

14 free CMRP questions from our 150-question bank, grouped by content domain. Each answer explains why the right option is right — and why every wrong option is wrong.

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Procurement/Product Value Analysis

Question 1

After two new buyers joined the team, a quarterly audit covered 1,800 purchase orders containing 7,200 lines. Corrections were needed on 162 lines spread across 108 POs. What was the PO error rate, measured by purchase order?

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Answer: C

  1. PO error rate = POs needing correction ÷ total POs
  2. 108 POs ÷ 1,800 POs = 0.06
  3. 0.06 × 100 = 6.0%

1.5%: Divides POs with errors by lines (108 ÷ 7,200), mixing two bases.

2.25%: This is the line error rate (162 ÷ 7,200), not the PO error rate.

6.0%: Correct. 108 POs with errors ÷ 1,800 POs = 6.0%.

9.0%: Divides lines with errors by POs (162 ÷ 1,800), mixing two bases.

Keep numerator and denominator on the same basis: POs over POs, or lines over lines.

Question 2

A cost-benefit analysis for switching to a lower-priced suction canister should include which costs besides unit price?

1. Staff time to train on the new canister 2. Differences in disposal cost 3. The amount already paid for the current canister wall mounts 4. Changes in canisters used per case

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Answer: B

1, 2, and 3 only: Includes statement 3, a sunk cost that does not change with the decision, and omits the usage change in statement 4.

1, 2, and 4 only: Correct. Training time, disposal cost and usage per case all change with the decision; money already spent on the current wall mounts is a sunk cost and is left out.

1, 3, and 4 only: Includes the sunk cost (3) and omits the disposal difference (2).

2, 3, and 4 only: Includes the sunk cost (3) and omits training time (1).

Cost-benefit analysis counts only costs that change with the decision; sunk costs are excluded.

Question 3

A buyer negotiates FOB destination, freight collect. Which statement describes the shipment?

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Answer: A

The supplier owns the goods in transit; the hospital pays the carrier.: Correct. FOB destination keeps title and risk of loss with the supplier until delivery; freight collect means the hospital pays the carrier. The two terms are set separately.

The hospital owns the goods in transit and pays the carrier.: That is FOB origin, freight collect: title passes at the shipping point.

The supplier owns the goods in transit and pays the carrier.: That is FOB destination, freight prepaid.

The hospital owns the goods in transit; the supplier pays the carrier.: That is FOB origin, freight prepaid.

The FOB point decides title and risk of loss; "prepaid" or "collect" decides who pays the freight bill.

Question 4

A buyer compares quotes for 1,200 cases a year of IV start kits, delivered in 12 monthly shipments of 100 cases each. Which supplier has the lowest total landed cost per case?

IV start kit quotes
SupplierPrice per caseFreight terms
Ashford Medical$41.00FOB destination, freight prepaid
Birchway Supply$38.50FOB origin, freight collect, $350 per shipment
Calloway Health$39.00FOB destination, prepay and add, $250 per shipment
Dunmore Surgical$40.25FOB destination, freight prepaid
Show answer & explanation

Answer: D

  1. Ashford: $41.00 + $0 freight = $41.00 per case
  2. Birchway: $38.50 + ($350 ÷ 100 cases) = $38.50 + $3.50 = $42.00 per case
  3. Calloway: $39.00 + ($250 ÷ 100 cases) = $39.00 + $2.50 = $41.50 per case
  4. Dunmore: $40.25 + $0 freight = $40.25 per case (lowest)

Ashford Medical: Ashford's freight is included, but its $41.00 landed cost is $0.75 higher than Dunmore's.

Birchway Supply: Lowest unit price, but freight collect adds $350 ÷ 100 = $3.50 per case, for $42.00 landed: the highest.

Calloway Health: FOB destination moves risk, not the freight bill: prepay and add puts $2.50 per case on the invoice, for $41.50.

Dunmore Surgical: Correct. Freight is prepaid and included, so the landed cost is $40.25 per case, the lowest of the four.

Compare landed cost (price plus any freight the hospital pays); FOB point sets title and risk, while "prepaid", "collect" and "prepay and add" decide who pays freight.

Inventory Distribution Management

Question 5

A nurse manager reports frequent stockouts on a medical unit whose par levels were set a year ago. What should the materials manager do FIRST?

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Answer: C

Raise every par level on the medical unit by 20 percent: An across-the-board increase adds inventory to items that never stock out and may not fix the ones that do.

Add a second daily replenishment round: More rounds may help, but adding labor before finding the cause is a solution in search of a problem.

Review the unit's recent usage and stockout data: Correct. Usage and stockout data show which items fail and why (usage growth, missed replenishment, misplaced stock), so any fix is aimed at the real cause.

Convert the unit to a two-bin kanban system: A program change could be the eventual answer, but it comes after analysis shows the current par system is the cause.

Answer service complaints with data: review usage against pars before changing pars, labor or the replenishment method.

Question 6

An audit samples 300 receipt lines posted in the MMIS during a month in which 2,400 lines were received. Auditors find 9 lines posted in error (wrong item or quantity), involving 15 units. The receiving clerk later corrected 3 of those lines. What is the receiving accuracy rate?

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Answer: B

  1. Receiving accuracy = lines posted correctly ÷ lines audited.
  2. Lines posted correctly = 300 lines − 9 lines in error = 291 lines.
  3. 291 lines ÷ 300 lines = 0.97 = 97.0%.

95.0%: Subtracts the 15 error units from 300 lines, mixing units with lines.

97.0%: Correct. Accuracy is correct lines divided by lines audited: (300 − 9) ÷ 300 = 97.0%.

98.0%: Drops the 3 corrected lines; an error caught after posting is still a receiving error.

99.6%: Divides the 9 errors by all 2,400 lines received instead of the 300 lines audited.

Measure accuracy on the same base you audited (lines, not units), and count every error found, corrected or not.

Question 7

A storeroom issues $2,920,000 of supplies at cost a year. Inventory at cost was $260,000 at the start of the year and $220,000 at the end. Using a 365-day year, how many days of inventory are on hand?

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Answer: D

  1. Average inventory = ($260,000 + $220,000) ÷ 2 = $240,000
  2. Daily issues = $2,920,000 ÷ 365 days = $8,000 per day
  3. Days on hand = $240,000 ÷ $8,000 per day = 30.0 days (same as 365 ÷ 12.17 turns)

12.2 days: This is the turn rate ($2,920,000 ÷ $240,000), not days on hand.

27.5 days: Uses ending inventory ($220,000) instead of average inventory.

29.6 days: Uses a 360-day year when the stem states 365.

30.0 days: Correct. Average inventory $240,000 ÷ daily issues $8,000 = 30.0 days.

Days on hand = average inventory ÷ daily cost of issues = 365 ÷ turns; use the stated day basis.

Question 8

A Class I recall notice arrives for a lot of consigned orthopedic screws. The storeroom confirms that units of that lot are in the OR consignment cabinet, and a case using those screws is scheduled this morning. Which action should the materials manager take FIRST?

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Answer: C

Ask the supplier representative to pull the lot from the shelf: The hospital must control its own shelves now; waiting for the rep leaves affected units available for this morning's case.

Notify surgeons who implanted the lot in the past month: Clinician notice is required, but stopping further use of stock already on hand comes first.

Locate and quarantine every unit of the affected lot: Correct. The lot is confirmed on hand at the point of use with a case pending, so the first step is to pull and quarantine it (and any other units, including consigned and point-of-use stock) before it can be used; clinician notice, patient tracking and return follow. Had the location been unknown, searching records to find the stock would come first.

Ask risk management to begin patient tracking: Patient tracking is needed for implants, but it follows quarantine of the remaining stock.

Recall sequence: find and quarantine all affected stock (including consigned), notify clinicians and risk management, track patients for implants, return per the notice, document closure. When the lot is already known to be on hand, quarantine it at once.

Information Systems and Data Management

Question 9

Over a quarter, the MMIS shows 1,200 units of a surgical mesh issued to the OR, while the EHR documents 950 units used on patients. OR inventory of the mesh is unchanged. What does the gap MOST likely indicate?

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Answer: B

An overstated par level in the OR: An excessive par would build stock on the shelf, but OR inventory did not change.

Use or waste not documented to patients: Correct. With stock flat, the 250 units were consumed; if they are not on patient records, they were wasted or used without documentation, which also means lost charges.

A supplier invoicing error: Issues and EHR documentation are both internal records; supplier invoices are not part of this comparison.

Duplicate item records in the item master: Duplicates split issues across records; they do not create 250 extra units consumed.

Comparing supply (issue) data with patient usage data exposes waste and missed charge capture.

Finance

Question 10

A supplier's terms are 2/10 net 30. Using a 365-day year, what is the approximate annualized cost of paying on day 30 instead of taking the discount?

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Answer: C

  1. Discount forgone per dollar actually paid = 2 ÷ 98 = 0.0204.
  2. Extra days of credit gained = 30 days − 10 days = 20 days; periods per year = 365 ÷ 20 = 18.25.
  3. Annualized cost = 0.0204 × 18.25 ≈ 0.372 = 37.2%.

24.8%: Uses the full 30-day term instead of the 20 extra days gained: 2/98 × 365/30.

36.7%: Uses a 360-day year; the stem states 365 days.

37.2%: Correct. Cost = 2/98 × 365/20 = 0.0204 × 18.25 ≈ 37.2%.

74.5%: Uses the 10-day discount period instead of the 20 days between day 10 and day 30.

Skipping a 2/10 net 30 discount costs about 37% a year, so it pays to take the discount unless funds cost more than that.

Question 11

The OR's supply budget for the year was $480,000, based on 4,000 cases at $120 per case. The OR performed 4,400 cases and spent $506,000 on supplies. Using a flexible budget, what is the supply expense variance?

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Answer: A

  1. Flexed budget = 4,400 cases × $120 per case = $528,000.
  2. Variance = flexed budget − actual = $528,000 − $506,000 = $22,000.
  3. Actual spending is below the flexed budget, so the $22,000 variance is favorable.

$22,000 favorable: Correct. The budget flexed to 4,400 cases is $528,000; actual spending of $506,000 is $22,000 below it.

$22,000 unfavorable: Right amount, wrong direction: spending below the flexed budget is favorable.

$26,000 unfavorable: Compares actual with the static $480,000 budget and ignores the 400 extra cases.

$48,000 favorable: This is the volume adjustment ($528,000 − $480,000), not the spending variance.

Flex the budget to actual volume before judging spending; a static comparison mixes volume with efficiency.

Strategic Planning, Leadership, and Compliance

Question 12

Under the CMS emergency preparedness requirements for hospitals, how often must the hospital conduct exercises to test its emergency plan?

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Answer: C

At least every 2 years: Every 2 years is the minimum interval for reviewing and updating the plan, not for exercises.

At least once a year: One full-scale or functional exercise a year is required, but CMS also requires a second exercise.

At least twice a year: Correct. 42 CFR 482.15(d)(2) requires exercises at least twice a year: a full-scale community-based (or facility-based functional) exercise plus a second exercise such as a mock drill or tabletop.

At least once a quarter: Quarterly is more frequent than the CMS minimum.

CMS: test the hospital emergency plan twice a year and review the plan at least every 2 years.

Question 13

Which items are core elements a hospital's emergency preparedness program must include under the CMS Emergency Preparedness rule?

1. A facility- and community-based risk assessment using an all-hazards approach 2. Policies and procedures based on the risk assessment and emergency plan 3. A communication plan that complies with federal, state and local law 4. A separate stand-alone plan written for each individual hazard

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Answer: A

1, 2, and 3 only: Correct. Under 42 CFR 482.15 the program rests on an all-hazards risk assessment and plan, policies and procedures built on it, and a communication plan (with training and testing); one all-hazards plan, not a plan per hazard, is required.

1, 2, and 4 only: Statement 4 is wrong: CMS requires one plan using an all-hazards approach, not separate plans per hazard; the communication plan (3) is a required element.

1, 3, and 4 only: Leaves out policies and procedures (2), a required element, and includes the per-hazard plans (4).

2, 3, and 4 only: Leaves out the all-hazards risk assessment (1) that the whole plan is built on, and includes the per-hazard plans (4).

The CMS emergency preparedness program has four core elements: an all-hazards risk assessment and plan, policies and procedures, a communication plan, and training and testing.

Question 14

Using the monthly order data shown, what is the perfect order rate?

Orders delivered to departments, one month (2,000 orders)
DefectOrders
Late60
Incomplete50
Damaged10
Documentation error30
20 orders had two defects and are counted in two rows.
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Answer: B

  1. Defect entries = 60 + 50 + 10 + 30 = 150.
  2. Orders with at least one defect = 150 − 20 counted twice = 130 orders.
  3. Perfect orders = 2,000 − 130 = 1,870; 1,870 ÷ 2,000 = 0.935 = 93.5%.

92.5%: Adds all 150 defects without removing the 20 orders counted twice.

93.5%: Correct. Orders with at least one defect = 150 − 20 = 130; perfect orders = 1,870 ÷ 2,000 = 93.5%.

97.0%: Counts only late orders (on-time rate); a perfect order must also be complete, undamaged and correctly documented.

97.5%: Counts only incomplete orders (fill measure), ignoring the other defect types.

A perfect order is on time, complete, undamaged and correctly documented all at once; count each order once.

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