Nursing NEA-BC Exam Overview:
| Certification Vendor: | ANCC |
| Exam Name: | Nurse Executive Advanced Certification |
| Exam Number: | NEA-BC |
| Real Exam Qty: | 175 (150 scored + 25 pretest questions) |
| Related Certifications: | RN NE-BC |
| Passing Score: | Scaled score (varies by psychometric analysis; approximately 70-75%) |
| Exam Duration: | 210 minutes |
| Certificate Validity Period: | 5 years |
| Exam Format: | Multiple Choice Questions (MCQ), Computer-Based Testing (CBT) |
| Available Languages: | English |
| Exam Price: | $395 (ANCC members) / $495 (non-members) USD |
| 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:
| Section | Weight | Objectives |
|---|---|---|
| Financial Management | 25% | - Financial Analysis and Reporting - Labor Relations and Staffing Models - Budget Development and Management - Cost-Effectiveness and Resource Allocation - Reimbursement Systems |
| Quality, Safety, and Risk Management | 20% | - Outcome Measurement and Analysis - Risk Management Strategies - Patient Safety Principles - Regulatory Compliance (Joint Commission, CMS) - Quality Improvement Models and Methodologies |
| Human Resource Management | 10% | - Employment Laws and Regulations - Labor Relations - Workforce Diversity and Inclusion - Employee Engagement and Satisfaction - Recruitment and Retention Strategies |
| Systems and Strategic Planning | 20% | - Change Management - Organizational Structure and Culture - Healthcare Policy and Advocacy - Strategic Planning Processes |
| Leadership and Leadership Development | 25% | - Emotional Intelligence - Leadership Theories and Styles - Leadership Competencies - Staff Development and Mentorship - Conflict Resolution and Negotiation - Performance Improvement |
Nursing ANCC - Nurse Executive Advanced Certification (NEA-BC) Sample Questions:
1. All but which of the following can contribute to feelings of powerlessness among nurses?
A) The fact that nursing care is a less important component of patient care than physician provided care.
B) Cultural perceptions that nursing is less prestigious than other healthcare professions.
C) The fact that nursing is still a profession dominated by women.
D) The private nature of most nursing tasks.
2. Obtaining informed consent from a patient requires all of the following EXCEPT
A) A discussion of the risks, benefits, and uncertainties related to each alternative
B) An explanation of reasonable alternatives to the proposed intervention
C) An assessment of patient understanding
D) Recognition that most patients cannot weigh risks and benefits
3. Which of the following is least likely to describe one of Leininger's assumptions on caring and nursing practice?
A) Therapeutic nursing care can only occur when cultural care values, expressions, or practices are known and used explicitly.
B) Care is essential for human growth and survival, and to face death.
C) Expressions of care are the same no matter what culture of the world.
D) There can be no curing without caring.
4. What is wrongful discharge?
A) When the wrong employee is discharged.
B) When an employer does not have the just cause for firing an employee.
C) When the employer is discharged.
D) None of the above
5. Chemical disinfection, incineration, and autoclaving are covered in which type of policy?
A) Dress code.
B) General maintenance.
C) Biohazardous waste.
D) Behavioral policy.
Solutions:
| Question # 1 Answer: A | Question # 2 Answer: D | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: C |

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