ANCC Nurse Executive Certification Exam (NE-
BC Exam) New 2025 Version with All Questions
150 from Actual Exam with 100% Correct
Answers and Rationale
(MOST TESTED & MOST DIFFICULT)
1. A nurse executive is developing a long-term organizational plan. Which leadership activity is MOST
appropriate?
A. Daily staffing assignments
B. Strategic planning
C. Conflict mediation
D. Performance counseling
✅ Correct Answer: B
Explanation:
Nurse executives focus on strategic, system-level planning, not daily operations.
2. Which metric BEST reflects quality of nursing care?
A. Number of admissions
B. Nurse turnover rate
C. Hospital-acquired pressure injury rate
D. Length of stay
✅ Correct Answer: C
, 3. A unit’s budget is consistently over target due to overtime use. What is the FIRST action?
A. Discipline staff
B. Eliminate overtime
C. Analyze staffing patterns and acuity
D. Reduce patient census
✅ Correct Answer: C
4. Which leadership style is MOST effective during a crisis situation?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
✅ Correct Answer: D
5. Which federal regulation MOST directly impacts patient safety and quality outcomes?
A. HIPAA
B. EMTALA
C. CMS Conditions of Participation
D. OSHA
✅ Correct Answer: C
6. A nurse executive wants to improve staff engagement. Which strategy is MOST effective?
A. Increase policy enforcement
B. Shared governance councils
C. Strict chain of command
D. Increased audits
✅ Correct Answer: B
7. What is the PRIMARY purpose of Magnet designation?
A. Increase reimbursement
B. Improve nurse satisfaction and patient outcomes
C. Reduce staffing costs
D. Ensure regulatory compliance
✅ Correct Answer: B
BC Exam) New 2025 Version with All Questions
150 from Actual Exam with 100% Correct
Answers and Rationale
(MOST TESTED & MOST DIFFICULT)
1. A nurse executive is developing a long-term organizational plan. Which leadership activity is MOST
appropriate?
A. Daily staffing assignments
B. Strategic planning
C. Conflict mediation
D. Performance counseling
✅ Correct Answer: B
Explanation:
Nurse executives focus on strategic, system-level planning, not daily operations.
2. Which metric BEST reflects quality of nursing care?
A. Number of admissions
B. Nurse turnover rate
C. Hospital-acquired pressure injury rate
D. Length of stay
✅ Correct Answer: C
, 3. A unit’s budget is consistently over target due to overtime use. What is the FIRST action?
A. Discipline staff
B. Eliminate overtime
C. Analyze staffing patterns and acuity
D. Reduce patient census
✅ Correct Answer: C
4. Which leadership style is MOST effective during a crisis situation?
A. Democratic
B. Transformational
C. Laissez-faire
D. Autocratic
✅ Correct Answer: D
5. Which federal regulation MOST directly impacts patient safety and quality outcomes?
A. HIPAA
B. EMTALA
C. CMS Conditions of Participation
D. OSHA
✅ Correct Answer: C
6. A nurse executive wants to improve staff engagement. Which strategy is MOST effective?
A. Increase policy enforcement
B. Shared governance councils
C. Strict chain of command
D. Increased audits
✅ Correct Answer: B
7. What is the PRIMARY purpose of Magnet designation?
A. Increase reimbursement
B. Improve nurse satisfaction and patient outcomes
C. Reduce staffing costs
D. Ensure regulatory compliance
✅ Correct Answer: B
