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Updated: Aug 16, 2026

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Nursing NEA-BC Exam Overview:

Certification Vendor:ANCC
Exam Name:Nurse Executive Advanced Certification
Exam Number:NEA-BC
Exam Format:Multiple Choice Questions (MCQ), Computer-Based Testing (CBT)
Exam Duration:210 minutes
Available Languages:English
Related Certifications:RN
NE-BC
Certificate Validity Period:5 years
Exam Price:$395 (ANCC members) / $495 (non-members) USD
Passing Score:Scaled score (varies by psychometric analysis; approximately 70-75%)
Real Exam Qty:175 (150 scored + 25 pretest questions)
Sample Questions:Nursing NEA-BC Sample Questions
Exam Way:Pearson VUE Testing Centers (CBT); Online Proctored Testing available
Pre Condition:Valid RN license; Bachelor's degree or higher in nursing; Minimum of 2 years of experience in an administrative role at the executive level within the past 5 years; Completion of 30 hours of continuing education in nursing administration within the last 3 years
Official Syllabus URL:https://www.nursingworld.org/certification/nea-bc/

Nursing NEA-BC Exam Syllabus Topics:

SectionWeightObjectives
Systems and Strategic Planning20%- Change Management
- Strategic Planning Processes
- Organizational Structure and Culture
- Healthcare Policy and Advocacy
Quality, Safety, and Risk Management20%- Risk Management Strategies
- Regulatory Compliance (Joint Commission, CMS)
- Outcome Measurement and Analysis
- Quality Improvement Models and Methodologies
- Patient Safety Principles
Human Resource Management10%- Labor Relations
- Employee Engagement and Satisfaction
- Employment Laws and Regulations
- Workforce Diversity and Inclusion
- Recruitment and Retention Strategies
Financial Management25%- Financial Analysis and Reporting
- Reimbursement Systems
- Cost-Effectiveness and Resource Allocation
- Labor Relations and Staffing Models
- Budget Development and Management
Leadership and Leadership Development25%- Leadership Theories and Styles
- Conflict Resolution and Negotiation
- Staff Development and Mentorship
- Leadership Competencies
- Performance Improvement
- Emotional Intelligence

Nursing ANCC - Nurse Executive Advanced Certification (NEA-BC) Sample Questions:

1. Safeguards have just been reviewed for a covered entity. The case management team found:
-The covered entity has only successfully implemented two technical safeguards
- The covered entity has tried, but not implemented properly one of the technical safeguards The covered entity did not implement the safeguard that ensures that a covered entity implements technical policies and procedures that allow only authorized individuals to access e-PHI. What safeguard is this?

A) Audit controls.
B) Access control.
C) Workstation and device security.
D) Facility access and control.


2. Regarding incident reporting, all of the following are incidents that staff nurses should report EXCEPT:

A) patient's refusal for a treatment procedure
B) medication administration errors
C) needle stick injuries
D) patient falls


3. School-based clinics and faith-based clinics would be part of which model of nursing care delivery?

A) patient and family centered care
B) partnership clinical model
C) collaborative patient management model
D) community-based nursing centers


4. All but which of the following can contribute to feelings of powerlessness among nurses?

A) The private nature of most nursing tasks.
B) The fact that nursing is still a profession dominated by women.
C) Cultural perceptions that nursing is less prestigious than other healthcare professions.
D) The fact that nursing care is a less important component of patient care than physician provided care.


5. High-cost or high-volume conditions that are not present on a patient's admission to the hospital is which of the following?

A) POA
B) POS
C) HAC
D) DRG


Solutions:

Question # 1
Answer: B
Question # 2
Answer: A
Question # 3
Answer: D
Question # 4
Answer: D
Question # 5
Answer: C

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