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Updated: Aug 17, 2026

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Nursing NEA-BC Exam Overview:

Certification Vendor:ANCC
Exam Name:Nurse Executive Advanced Certification
Exam Number:NEA-BC
Available Languages:English
Certificate Validity Period:5 years
Exam Format:Multiple Choice Questions (MCQ), Computer-Based Testing (CBT)
Passing Score:Scaled score (varies by psychometric analysis; approximately 70-75%)
Related Certifications:RN
NE-BC
Real Exam Qty:175 (150 scored + 25 pretest questions)
Exam Duration:210 minutes
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:

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

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

1. What act will increase morale and reduce conflicts within an organization?

A) Autonomy.
B) Communication guidelines.
C) Crisis Management.
D) Leveraging diversity.


2. Attributes of effective teams include all of the following, EXCEPT

A) Shared leadership.
B) Participation.
C) Formality.
D) Clarity of purpose.


3. Which of the following is the best brief definition of consensus?

A) Unanimous consent
B) Partial agreement
C) Majority rule
D) General agreement


4. What can a manager do to ensure the workplace is civil?

A) Make aggressive demands of employees.
B) Introduce strategic plans in meetings.
C) Make people aware of policies that govern behavior.
D) Avoid discussing problems with nurses.


5. A patient has delayed wound healing, poor cognitive function, and insulin is not as effective as it should be. What would the case manager assume?

A) Poor emotional status.
B) Poor social support.
C) Poor nutritional status.
D) All of the above.


Solutions:

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

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Test Engine: NEA-BC study test engine can be downloaded and run on your own devices. Practice the test on the interactive & simulated environment.
PDF (duplicate of the test engine): the contents are the same as the test engine, support printing.

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The free update offer is valid for one year after you've purchased the NEA-BC products. You will be informed if there is any update

What's the different of the three versions?

Online Test Engine can supports Windows / Mac / Android / iOS, etc., because it is the software based on WEB browser. You can use it on any electronic device and practice with self-paced.
Online Test Engine supports offline practice, while the precondition is that you should run it with the internet at the first time.
Self Test Engine is suitable for windows operating system, running on the Java environment, and can install on multiple computers.
PDF Version: can be read under the Adobe reader, or many other free readers, including OpenOffice, Foxit Reader and Google Docs.

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