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Updated: Oct 03, 2026

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Nursing NEA-BC Exam Overview:

Certification Vendor:American Nurses Credentialing Center (ANCC)
Exam Name:Nurse Executive, Advanced-Board Certified
Exam Number:NEA-BC
Exam Format:Multiple-choice questions, Computer-based
Passing Score:350 (scaled score 0–500)
Exam Duration:180 minutes
Available Languages:English
Certificate Validity Period:5 years
Real Exam Qty:150 (125 scored, 25 pretest)
Related Certifications:Nurse Executive Certification (NE-BC)
Exam Price:$295 (ANA members), $395 (non-members)
Recommended Training:ANCC Official Resources
Exam Registration:ANCC Official Application
Prometric Scheduling
Sample Questions:Nursing NEA-BC Sample Questions
Exam Way:Computer-based testing at Prometric centers; no remote proctoring
Pre Condition:1. Current active RN license; 2. Graduate degree (master's or doctoral) in nursing, or BSN plus graduate degree in related field; 3. Minimum 2,000 hours of executive-level leadership experience within last 3 years; 4. 30 hours of continuing education in leadership/management within last 3 years
Official Syllabus URL:https://www.nursingworld.org/our-certifications/nurse-executive-advanced/

Nursing NEA-BC Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Health Care Delivery27%- Health care systems and policy
  • 1. Continuum of care models
  • 2. Regulatory and legal frameworks
  • 3. Health policy and advocacy
- Information management and technology
  • 1. Information governance and privacy
  • 2. Technology implementation
  • 3. Health informatics and data use
- Care coordination and integration
  • 1. Patient-centered care design
  • 2. Care transition management
  • 3. Population health management
Topic 2: Quality and Safety24%- Outcomes management
  • 1. Clinical and operational outcomes
  • 2. Benchmarking and best practices
- Patient safety and risk management
  • 1. Risk assessment and mitigation
  • 2. Safety culture and reporting systems
  • 3. Regulatory compliance and accreditation
- Quality improvement science and methods
  • 1. Process improvement models
  • 2. Performance measurement and metrics
  • 3. Evidence-based practice integration
Topic 3: Leadership34%- Organizational leadership and governance
  • 1. Strategic planning and alignment
  • 2. Ethics and professional standards
  • 3. Change management and innovation
- Fiscal and resource management
  • 1. Resource allocation and optimization
  • 2. Business principles and economics
  • 3. Budgeting and financial planning
- Communication and relationship management
  • 1. Cultural competence and inclusivity
  • 2. Interprofessional collaboration
  • 3. Conflict resolution and negotiation
Topic 4: Human Capital Management14%- Employment and labor relations
  • 1. Performance management systems
  • 2. Labor laws and regulations
  • 3. Workforce engagement and retention
- Workforce planning and development
  • 1. Competency management
  • 2. Staffing and workforce models
  • 3. Professional development and succession planning
- Work environment and well-being
  • 1. Health and safety standards
  • 2. Organizational culture

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

Question #1

The internship program for graduate nurses can last anywhere from a month to a year, according to the organization. All of the following would be benefits that an internship program could provide for the organization, except?

  • A. A higher turnover rate.
  • B. An improved nursing outcome.
  • C. Lower turnover rates.
  • D. Increased nursing satisfaction
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #2

The cardio-vascular ICU has had no medication errors in 12 months. This is an example of a department that has a consistently excellent track record and identifies a/an:

  • A. internal benchmark
  • B. report card
  • C. clinical ladder
  • D. critical path
Reveal Solution  Discussion  0

Correct Answer: A  🗳️

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Question #3

Root Cause Analysis would be best defined as which of the following statements?

  • A. None of the above
  • B. RPC is defined as Root Cause Analysis.
  • C. Root Cause Analysis is not often used in the healthcare field.
  • D. A structured method that is used in order to analyze a serious adverse event.
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Correct Answer: D  🗳️

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Question #4

Those leaders who rely on organizational policies and rules to influence the behavior of their subordinates are which of the following?

  • A. authoritative leaders
  • B. democratic leaders
  • C. participative leaders
  • D. bureaucratic leaders
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Correct Answer: D  🗳️

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Question #5

Recognition of nurses who meet special requirements, usually for a particular field or clinical specialty is which of the following?

  • A. continuing education
  • B. certification
  • C. registration
  • D. licensure
Reveal Solution  Discussion  0

Correct Answer: B  🗳️

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