ANCC Nurse Executive Practice Questions 2026 | Clinical
Leadership Review | Graded A+
1. Which of these steps must occur first with Havlock's model of change?
Building relationships
Diagnosing the problem
Acquiring resources
2. What is the term for a budget that is specifically designed for capital
expenditures, such as replacing broken equipment in a healthcare facility?
Capital budget
Program budget
Operating budget
Zero-based budget
3. Discuss the potential legal implications for nurses if a patient labeled as a
service abuser is discharged without adequate treatment and later requires
surgery.
Nurses may be praised for their decision to discharge the patient
quickly.
Nurses may face charges of malpractice only if the patient files a
lawsuit.
Nurses will not face any legal implications as the patient is responsible
for their own health.
Nurses may face legal charges such as negligence if the patient
requires surgery after being discharged with minimal treatment.
,4. On the journey to achieving Magnet Status, the hospital is providing the
highest quality of patient care in a health work environment that promotes:
A "nursing" initiative
Evidence-based practice
Leadership
Innovation
5. If a healthcare unit needs to replace outdated medical equipment, which
budgeting approach should the Nurse Executive advocate for to ensure
funds are available?
Capital budget
Flexible budget
Incremental budget
Operating budget
6. Describe the significance of the 'Loss' stage in Duck's Change Curve model
for Nurse Executives.
The 'Loss' stage is when individuals fully embrace the new changes.
The 'Loss' stage indicates acceptance of the change and readiness to
move forward.
The 'Loss' stage signifies the emotional response to change, where
individuals may feel a sense of loss regarding the current state.
The 'Loss' stage is irrelevant to the change process.
7. What is the term used to describe the efficiency of all inputs to a production
process?
, Multifactor productivity
Input-output ratio
Total output efficiency
Single factor productivity
8. The number of inpatients who are present at the census-taking-time
(generally midnight) is called:
Inpatient Census
Inpatient Service Days
Percentage of Occupancy
Daily Inpatient Census
9. If a Nurse Executive is faced with unexpected costs during a renovation, how
might the pro forma operating budget assist in addressing these challenges?
It helps in negotiating salaries for new staff during the renovation.
It provides a detailed list of all legal requirements for the renovation.
It outlines the mentorship programs available for nursing staff.
It allows for a comparison of actual expenses against projected
costs to identify areas for adjustment.
10. What decision-making model is commonly used by nurse executives for
evaluating nursing programs post-implementation?
The Plan-Do-Study-Act (PDSA) model
The SWOT analysis model
The Decision Matrix model
The Five Whys model
, 11. Describe the role of Medicare Advantage in the context of healthcare
coverage.
Medicare Advantage only covers services not included in Medicare
Part A.
Medicare Advantage provides an alternative to traditional Medicare
by offering private health insurance plans that cover hospital and
medical services.
Medicare Advantage is a government-run program that does not
involve private insurers.
Medicare Advantage is solely focused on prescription drug coverage.
12. What is a common challenge faced by Nurse Executives when implementing
patient-centered care?
Technology integration
Resource allocation
Patient satisfaction
Staff training
13. The HIPAA Privacy Rule:
Protects only medical information that is not already specifically
protected by state law
Sets a minimum (floor) of privacy requirements
Is federal common law
Supersedes all state laws that conflict with it
14. If a nurse executive is considering reclassifying certain staff from non-
exempt to exempt status, what key factor must they evaluate regarding
Leadership Review | Graded A+
1. Which of these steps must occur first with Havlock's model of change?
Building relationships
Diagnosing the problem
Acquiring resources
2. What is the term for a budget that is specifically designed for capital
expenditures, such as replacing broken equipment in a healthcare facility?
Capital budget
Program budget
Operating budget
Zero-based budget
3. Discuss the potential legal implications for nurses if a patient labeled as a
service abuser is discharged without adequate treatment and later requires
surgery.
Nurses may be praised for their decision to discharge the patient
quickly.
Nurses may face charges of malpractice only if the patient files a
lawsuit.
Nurses will not face any legal implications as the patient is responsible
for their own health.
Nurses may face legal charges such as negligence if the patient
requires surgery after being discharged with minimal treatment.
,4. On the journey to achieving Magnet Status, the hospital is providing the
highest quality of patient care in a health work environment that promotes:
A "nursing" initiative
Evidence-based practice
Leadership
Innovation
5. If a healthcare unit needs to replace outdated medical equipment, which
budgeting approach should the Nurse Executive advocate for to ensure
funds are available?
Capital budget
Flexible budget
Incremental budget
Operating budget
6. Describe the significance of the 'Loss' stage in Duck's Change Curve model
for Nurse Executives.
The 'Loss' stage is when individuals fully embrace the new changes.
The 'Loss' stage indicates acceptance of the change and readiness to
move forward.
The 'Loss' stage signifies the emotional response to change, where
individuals may feel a sense of loss regarding the current state.
The 'Loss' stage is irrelevant to the change process.
7. What is the term used to describe the efficiency of all inputs to a production
process?
, Multifactor productivity
Input-output ratio
Total output efficiency
Single factor productivity
8. The number of inpatients who are present at the census-taking-time
(generally midnight) is called:
Inpatient Census
Inpatient Service Days
Percentage of Occupancy
Daily Inpatient Census
9. If a Nurse Executive is faced with unexpected costs during a renovation, how
might the pro forma operating budget assist in addressing these challenges?
It helps in negotiating salaries for new staff during the renovation.
It provides a detailed list of all legal requirements for the renovation.
It outlines the mentorship programs available for nursing staff.
It allows for a comparison of actual expenses against projected
costs to identify areas for adjustment.
10. What decision-making model is commonly used by nurse executives for
evaluating nursing programs post-implementation?
The Plan-Do-Study-Act (PDSA) model
The SWOT analysis model
The Decision Matrix model
The Five Whys model
, 11. Describe the role of Medicare Advantage in the context of healthcare
coverage.
Medicare Advantage only covers services not included in Medicare
Part A.
Medicare Advantage provides an alternative to traditional Medicare
by offering private health insurance plans that cover hospital and
medical services.
Medicare Advantage is a government-run program that does not
involve private insurers.
Medicare Advantage is solely focused on prescription drug coverage.
12. What is a common challenge faced by Nurse Executives when implementing
patient-centered care?
Technology integration
Resource allocation
Patient satisfaction
Staff training
13. The HIPAA Privacy Rule:
Protects only medical information that is not already specifically
protected by state law
Sets a minimum (floor) of privacy requirements
Is federal common law
Supersedes all state laws that conflict with it
14. If a nurse executive is considering reclassifying certain staff from non-
exempt to exempt status, what key factor must they evaluate regarding
