NEA-BC Certification Exam 2025 Questions
and Answers
A concentration on key aspects of the work environment, specifically the people, the physical
environment, and the job resources, can enhance healthcare working conditions. This is an
exam of:
a. Effective decision-making
b. Transactional leadership
c. Transformational leadership
d. Meaningful recognition - ANS c. Transformational leadership
This transforms through contextual and cultural changes that relate to the people, physical
environment and job resources. The leader is aware of all that is going on in the organization.
A key consideration in the process of group dynamics for the nurse manager to remember is
that the stage of group formation a where work is most effective is the:
a. Norming stage
b. Storming stage
c. Forming stage
d. Performing stage - ANS d. Performing stage
The performing stage is the final stage of group formation, where the energy of the group is
focused on achieving its goals in a collaborative atmosphere.
Forming: In the beginning, when a new team forms, individuals will be unsure of the team's
purpose, how they fit in, and whether they'll work well with one another. They may be anxious,
curious, or excited to get going. However they feel, they'll be looking to the team leader for
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,direction. This may take some time, as people get to know their new colleagues and one
another's ways of working.
Storming: people start to push against the established boundaries. Conflict or friction can also
arise between team members as their true characters - and their preferred ways of working -
surface and clash with other people's. At this stage team members may challenge your
authority or management style, or even the team's mission.
Norming: People start to resolve their differences, appreciate one another's strengths, and
respect your authority as a leader. Now that they know one another better, your team
members will feel more comfortable asking for help and offering constructive feedback.
A model that treats errors as system failures and encourages error identification and correction
without placing blame on individuals in an attempt to improve patient safety is called:
a. Just culture
b. Emotional intelligence
c. Transformational Leadership
d. Appreciative Inquiry - ANS a. Just culture
In a just culture, patient safety is enhanced by treating errors as system failures and
encouraging error identification and correction without placing blame on individuals.
A nurse leader feels there are issues on the unit preventing the staff from improving their
patient experience scores. Evidence-based practices have been identified, education provided,
and strategies implemented. However, results are not improving. What qualitative design could
be used to gain insight into future strategies?
a. Ethnographic
b. Predictive
c. Descriptive
d. Case Study - ANS a. Ethnographic
Helps describe the culture within which people live their daily lives and the impact of this
culture on their behavior.
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,A nurse leader must realize that in order for innovation to occur in staff nurses' practice, the
leader must also manage based on the principles of innovation. Which behavior is an
innovation principle?
a. create innovation skills, knowledge and attitudes
b. limit the allocation of resources to support innovation
c. change in difficult; staff and leaders will always embrace it
d. limit the interaction with staff along the journey from idea to implementation - ANS a.
create innovation skills, knowledge and attitudes
A staff nurse describes the CNO as a transformational leader. This CNO keeps an open door
policy and is eager and caring when the nurses stop by. In addition, the CNO motivates the
nursing staff to collaborate on initiatives for a healthy work environment. Which
transformational leadership characteristics are described?
a. providing inspiration and enthusiasm, creating harmony and fostering horizontal and vertical
communication.
b. providing protection, direction and clarity
c. focusing on short-term goals and initiatives
d. promoting responsibility, fairness, and honesty - ANS a. providing inspiration and
enthusiasm, creating harmony and fostering horizontal and vertical communication.
An important strategy for nurse executive succession planning is to:
a. Allow for job sharing of nursing leaders so they learn to work as a team
b. Include nurse leaders as part of the senior management team
c. Provide exposure to medical staff leadership committees
d. Provide flexible schedules for nurse leaders to attend educational training. - ANS b.
Include nurse leaders as part of the senior management team
As CNO, you have pulled together a group to work on a major modification to the Surgical
Intensive Care Unit (SICU). Informal leaders begin to emerge. This stage of group development
is known as:
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, a. Norming stage
b. Storming stage
c. Forming stage
d. Performing stage - ANS b. Storming stage
In this stage of group development, members of the group compete for position, power, and
status; informal leaders may emerge
As a leader of the crisis management team responding to a serious issue regarding
contaminated implants placed in patients during surgery, the nurse executive applies this
essential approach to maintain public trust:
a. Sunshine Act
b. Public Notice
c. Town hall meetings
d. Truthful disclosure - ANS d. Truthful disclosure
Because conflict is an essential component of human interaction, creating conditions in which
conflict is completely absent is pointless; however, preventing unnecessary conflict is possible.
Conditions that help prevent unnecessary conflict include:
a. open communication and congruence between organizational and professional work goals
b. Meeting with a mediator who has established credibility with all parties.
c. Quantifying the value of teamwork using clear management strategies
d. Privacy of information, confidentiality of conversations and workforce diversity - ANS a.
open communication and congruence between organizational and professional work goals
Characteristics of an effective preceptor program include:
a. Preceptors focusing on productivity, as activities involving socialization and role adjustment
are not cost-effective
b. Preceptors adhering to a defined schedule and treating every new hire the same
c. Preceptors receiving appropriate training and being given the time to accomplish the job of
precepting
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and Answers
A concentration on key aspects of the work environment, specifically the people, the physical
environment, and the job resources, can enhance healthcare working conditions. This is an
exam of:
a. Effective decision-making
b. Transactional leadership
c. Transformational leadership
d. Meaningful recognition - ANS c. Transformational leadership
This transforms through contextual and cultural changes that relate to the people, physical
environment and job resources. The leader is aware of all that is going on in the organization.
A key consideration in the process of group dynamics for the nurse manager to remember is
that the stage of group formation a where work is most effective is the:
a. Norming stage
b. Storming stage
c. Forming stage
d. Performing stage - ANS d. Performing stage
The performing stage is the final stage of group formation, where the energy of the group is
focused on achieving its goals in a collaborative atmosphere.
Forming: In the beginning, when a new team forms, individuals will be unsure of the team's
purpose, how they fit in, and whether they'll work well with one another. They may be anxious,
curious, or excited to get going. However they feel, they'll be looking to the team leader for
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,direction. This may take some time, as people get to know their new colleagues and one
another's ways of working.
Storming: people start to push against the established boundaries. Conflict or friction can also
arise between team members as their true characters - and their preferred ways of working -
surface and clash with other people's. At this stage team members may challenge your
authority or management style, or even the team's mission.
Norming: People start to resolve their differences, appreciate one another's strengths, and
respect your authority as a leader. Now that they know one another better, your team
members will feel more comfortable asking for help and offering constructive feedback.
A model that treats errors as system failures and encourages error identification and correction
without placing blame on individuals in an attempt to improve patient safety is called:
a. Just culture
b. Emotional intelligence
c. Transformational Leadership
d. Appreciative Inquiry - ANS a. Just culture
In a just culture, patient safety is enhanced by treating errors as system failures and
encouraging error identification and correction without placing blame on individuals.
A nurse leader feels there are issues on the unit preventing the staff from improving their
patient experience scores. Evidence-based practices have been identified, education provided,
and strategies implemented. However, results are not improving. What qualitative design could
be used to gain insight into future strategies?
a. Ethnographic
b. Predictive
c. Descriptive
d. Case Study - ANS a. Ethnographic
Helps describe the culture within which people live their daily lives and the impact of this
culture on their behavior.
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
,A nurse leader must realize that in order for innovation to occur in staff nurses' practice, the
leader must also manage based on the principles of innovation. Which behavior is an
innovation principle?
a. create innovation skills, knowledge and attitudes
b. limit the allocation of resources to support innovation
c. change in difficult; staff and leaders will always embrace it
d. limit the interaction with staff along the journey from idea to implementation - ANS a.
create innovation skills, knowledge and attitudes
A staff nurse describes the CNO as a transformational leader. This CNO keeps an open door
policy and is eager and caring when the nurses stop by. In addition, the CNO motivates the
nursing staff to collaborate on initiatives for a healthy work environment. Which
transformational leadership characteristics are described?
a. providing inspiration and enthusiasm, creating harmony and fostering horizontal and vertical
communication.
b. providing protection, direction and clarity
c. focusing on short-term goals and initiatives
d. promoting responsibility, fairness, and honesty - ANS a. providing inspiration and
enthusiasm, creating harmony and fostering horizontal and vertical communication.
An important strategy for nurse executive succession planning is to:
a. Allow for job sharing of nursing leaders so they learn to work as a team
b. Include nurse leaders as part of the senior management team
c. Provide exposure to medical staff leadership committees
d. Provide flexible schedules for nurse leaders to attend educational training. - ANS b.
Include nurse leaders as part of the senior management team
As CNO, you have pulled together a group to work on a major modification to the Surgical
Intensive Care Unit (SICU). Informal leaders begin to emerge. This stage of group development
is known as:
Pg. 3 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, a. Norming stage
b. Storming stage
c. Forming stage
d. Performing stage - ANS b. Storming stage
In this stage of group development, members of the group compete for position, power, and
status; informal leaders may emerge
As a leader of the crisis management team responding to a serious issue regarding
contaminated implants placed in patients during surgery, the nurse executive applies this
essential approach to maintain public trust:
a. Sunshine Act
b. Public Notice
c. Town hall meetings
d. Truthful disclosure - ANS d. Truthful disclosure
Because conflict is an essential component of human interaction, creating conditions in which
conflict is completely absent is pointless; however, preventing unnecessary conflict is possible.
Conditions that help prevent unnecessary conflict include:
a. open communication and congruence between organizational and professional work goals
b. Meeting with a mediator who has established credibility with all parties.
c. Quantifying the value of teamwork using clear management strategies
d. Privacy of information, confidentiality of conversations and workforce diversity - ANS a.
open communication and congruence between organizational and professional work goals
Characteristics of an effective preceptor program include:
a. Preceptors focusing on productivity, as activities involving socialization and role adjustment
are not cost-effective
b. Preceptors adhering to a defined schedule and treating every new hire the same
c. Preceptors receiving appropriate training and being given the time to accomplish the job of
precepting
Pg. 4 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
