ANCC NEA-BC Certification 2026 |EXAM (MULTIPLE
CHOICES) AND (RATIONALES) QUESTION AND ANSWERS
100% CORRECT 2026
1. In a scenario where a nursing team is facing resistance to a new policy, which
component of political skill would be most effective for a nurse leader to
utilize in addressing the team's concerns?
social astuteness
network ability
apparent sincerity
interpersonal influence
2. Describe the significance of 'exemplary professional practice' in the context
of the Magnet Model for nursing.
Exemplary professional practice is a concept that applies only to
nursing students.
Exemplary professional practice is unrelated to patient care and
focuses on research only.
Exemplary professional practice emphasizes the role of nurses as
educators and leaders in providing high-quality patient care.
Exemplary professional practice focuses solely on administrative tasks
within healthcare.
3. Burns, when discussing leadership in the context of what is now termed
transformational leadership, _ _.
Found leaders to be interested mainly in the bottom line
Found motivation in followers rarely existed
Tried to link the roles of in-group members to leadership outcomes
, Tried to link the roles of leadership and followership
4. Describe how social astuteness contributes to effective political skill in
nursing leadership.
Social astuteness involves creating policies that ensure equity in
healthcare.
Social astuteness focuses on the financial aspects of healthcare
management.
Social astuteness allows a leader to accurately perceive social
dynamics and respond appropriately to influence others.
Social astuteness is primarily about building a large network of
contacts.
5. If a healthcare organization is revising its mission statement to better reflect
its commitment to patient care, which element should it prioritize including?
the organization's statement of business goals, operational objectives,
and hours of operation
the organizational values and benefits to employees and stakeholders
the organization's objective or goal, primary stakeholders, how the
organization provides value to the stakeholder, and declaration of
the organization's sole purpose
the organizational purpose and employee conduct expectations
6. What is the primary strategy for a leader to manage organizational structures
effectively?
Tell people what to do and why they should do it
React early to an issue
Avoid attending to the internal and external environments
, Spend time in activities where it can be most effective
7. If a Magnet hospital implements self-scheduling, what potential impact could
this have on nurse retention rates?
It would have no effect on nurse retention rates.
It could lead to increased turnover due to scheduling conflicts.
It could decrease nurse retention rates.
It could improve nurse retention rates.
8. For most leaders, negotiation is a daily event and a way of life. The general
steps of successful negotiating include:
Establishing purpose, identifying customer needs, developing a
solution, testing the solution, identifying barriers, overcoming
barriers and taking action together
Holding fluids positions, having an accurate understanding of context,
and verbalizing the root issues.
Challenging people to see the changes that are coming, cutting
attachments to the past, identifying the characteristics of change and
engaging in the "noise" of change
Ensuring that interaction is friendly, using effective techniques for
communication and ensuring that all parties receive all of the
information.
9. What are the four dimensions of leadership effectiveness in nursing?
being attentive, maintaining managerial goals, supporting
individuals and facilitating followers
guiding, leading, supporting, and disciplining
hiring, firing, maintaining, and supporting
, mentoring, leading, disciplining, and evaluating
10. If a hospital is experiencing high turnover rates among nurses, what strategy
should management prioritize based on nurse executive insights?
Enhancing the supportive work environment
Implementing stricter policies
Limiting professional development opportunities
Increasing salaries across the board
11. What is the term used for the competency evaluation that emphasizes critical
thinking in nursing?
Knowledge retention
Clinical judgment
Skill acquisition
Theoretical understanding
12. What type of leadership focuses on enhancing healthcare working
conditions through attention to the work environment and job resources?
Transformational leadership
Autocratic leadership
Transactional leadership
Servant leadership
13. The new nurse manager wants to utilize a transformational leadership style.
Which statement BEST describes this leadership style?
Expect employees to perform by set guidelines
CHOICES) AND (RATIONALES) QUESTION AND ANSWERS
100% CORRECT 2026
1. In a scenario where a nursing team is facing resistance to a new policy, which
component of political skill would be most effective for a nurse leader to
utilize in addressing the team's concerns?
social astuteness
network ability
apparent sincerity
interpersonal influence
2. Describe the significance of 'exemplary professional practice' in the context
of the Magnet Model for nursing.
Exemplary professional practice is a concept that applies only to
nursing students.
Exemplary professional practice is unrelated to patient care and
focuses on research only.
Exemplary professional practice emphasizes the role of nurses as
educators and leaders in providing high-quality patient care.
Exemplary professional practice focuses solely on administrative tasks
within healthcare.
3. Burns, when discussing leadership in the context of what is now termed
transformational leadership, _ _.
Found leaders to be interested mainly in the bottom line
Found motivation in followers rarely existed
Tried to link the roles of in-group members to leadership outcomes
, Tried to link the roles of leadership and followership
4. Describe how social astuteness contributes to effective political skill in
nursing leadership.
Social astuteness involves creating policies that ensure equity in
healthcare.
Social astuteness focuses on the financial aspects of healthcare
management.
Social astuteness allows a leader to accurately perceive social
dynamics and respond appropriately to influence others.
Social astuteness is primarily about building a large network of
contacts.
5. If a healthcare organization is revising its mission statement to better reflect
its commitment to patient care, which element should it prioritize including?
the organization's statement of business goals, operational objectives,
and hours of operation
the organizational values and benefits to employees and stakeholders
the organization's objective or goal, primary stakeholders, how the
organization provides value to the stakeholder, and declaration of
the organization's sole purpose
the organizational purpose and employee conduct expectations
6. What is the primary strategy for a leader to manage organizational structures
effectively?
Tell people what to do and why they should do it
React early to an issue
Avoid attending to the internal and external environments
, Spend time in activities where it can be most effective
7. If a Magnet hospital implements self-scheduling, what potential impact could
this have on nurse retention rates?
It would have no effect on nurse retention rates.
It could lead to increased turnover due to scheduling conflicts.
It could decrease nurse retention rates.
It could improve nurse retention rates.
8. For most leaders, negotiation is a daily event and a way of life. The general
steps of successful negotiating include:
Establishing purpose, identifying customer needs, developing a
solution, testing the solution, identifying barriers, overcoming
barriers and taking action together
Holding fluids positions, having an accurate understanding of context,
and verbalizing the root issues.
Challenging people to see the changes that are coming, cutting
attachments to the past, identifying the characteristics of change and
engaging in the "noise" of change
Ensuring that interaction is friendly, using effective techniques for
communication and ensuring that all parties receive all of the
information.
9. What are the four dimensions of leadership effectiveness in nursing?
being attentive, maintaining managerial goals, supporting
individuals and facilitating followers
guiding, leading, supporting, and disciplining
hiring, firing, maintaining, and supporting
, mentoring, leading, disciplining, and evaluating
10. If a hospital is experiencing high turnover rates among nurses, what strategy
should management prioritize based on nurse executive insights?
Enhancing the supportive work environment
Implementing stricter policies
Limiting professional development opportunities
Increasing salaries across the board
11. What is the term used for the competency evaluation that emphasizes critical
thinking in nursing?
Knowledge retention
Clinical judgment
Skill acquisition
Theoretical understanding
12. What type of leadership focuses on enhancing healthcare working
conditions through attention to the work environment and job resources?
Transformational leadership
Autocratic leadership
Transactional leadership
Servant leadership
13. The new nurse manager wants to utilize a transformational leadership style.
Which statement BEST describes this leadership style?
Expect employees to perform by set guidelines
