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Updated: Aug 16, 2026
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| 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/ |
| Section | Weight | Objectives |
|---|---|---|
| Systems and Strategic Planning | 20% | - Change Management - Strategic Planning Processes - Organizational Structure and Culture - Healthcare Policy and Advocacy |
| Quality, Safety, and Risk Management | 20% | - Risk Management Strategies - Regulatory Compliance (Joint Commission, CMS) - Outcome Measurement and Analysis - Quality Improvement Models and Methodologies - Patient Safety Principles |
| Human Resource Management | 10% | - Labor Relations - Employee Engagement and Satisfaction - Employment Laws and Regulations - Workforce Diversity and Inclusion - Recruitment and Retention Strategies |
| Financial Management | 25% | - Financial Analysis and Reporting - Reimbursement Systems - Cost-Effectiveness and Resource Allocation - Labor Relations and Staffing Models - Budget Development and Management |
| Leadership and Leadership Development | 25% | - Leadership Theories and Styles - Conflict Resolution and Negotiation - Staff Development and Mentorship - Leadership Competencies - Performance Improvement - Emotional Intelligence |
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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