Free Practice Questions for NEA-BC
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Key Facts: NEA-BC Exam
150
Total Questions
125 scored
3 hrs
Exam Time
ANCC
4
Content Domains
ANCC
34%
Leadership Domain
Largest section
The NEA-BC exam is a competency-based assessment for nurse executives. It consists of 150 multiple-choice questions (125 scored plus 25 unscored pretest items) and ANCC allows 3 hours to answer them. Content follows the Test Content Outline effective November 11, 2025: Leadership (34%), Quality and Safety (26%), Human Capital Management (21%), and Health Care Delivery (20%). Passing requires a scaled score of 350 on a 0-500 scale.
Sample NEA-BC Practice Questions
Try these sample questions to review concepts for the NEA-BC exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 102+ question experience with AI tutoring.
1A nurse executive is leading a strategic planning initiative. Which of the following actions best demonstrates transformational leadership?
2When developing a new organizational policy, which of the following is the most critical first step for the nurse executive?
3A nurse executive is tasked with leading a major change initiative. Which change management model is most effective for ensuring staff buy-in?
4Which of the following best describes the role of a nurse executive in financial management?
5A nurse executive is working to create a culture of innovation. Which strategy is most likely to be successful?
6Which of the following is a key component of effective communication for a nurse executive?
7A nurse executive is mentoring a group of new nurse managers. What is the most important skill to emphasize for their development?
8What is the primary purpose of conducting a SWOT analysis in strategic planning?
9A nurse executive is preparing a business case for a new technology investment. What should be the central focus of the proposal?
10Which of the following is a core principle of systems thinking in healthcare leadership?
About the NEA-BC Exam
The NEA-BC (Nurse Executive, Advanced) certification is for experienced nurse leaders who are responsible for the complex challenges of executive-level roles. This exam validates the skills required to lead nursing practice and patient care across an entire organization.
Exam sponsor: ANCC. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
150 questions
Time Limit
3 hours
Passing Score
Scaled score 350 (0-500 scale)
Reported exam pass rate: Not specified. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Leadership
Leadership theories, strategic planning, and financial management
Quality and Safety
Quality improvement, patient safety, and risk management
Human Capital Management
Workforce planning, talent management, and labor relations
Health Care Delivery
Healthcare systems, health informatics, and evidence-based practice
Preparing for the NEA-BC Exam
What You Need to Know
- Passing score: Scaled score 350 (0-500 scale)
- Exam length: 150 questions
- Time limit: 3 hours
- Exam / certification fees: $395 non-member / $295 ANA member Official sources
Using Our Practice Resources
- Work through all 102 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
NEA-BC: Suggested Study Strategy
Frequently Asked Questions
How many questions are on the NEA-BC exam?
The NEA-BC exam has 150 questions, of which 125 are scored and 25 are unscored pretest questions used for future exam development. Pretest items are indistinguishable from scored items, so answer every question.
How long do I have to complete the NEA-BC exam?
ANCC allows 3 hours to answer the 150 questions. That is an average of about 1.2 minutes (72 seconds) per item, so a rehearsed pacing plan matters.
What is the passing score for the NEA-BC exam?
ANCC reports scores on a scale with a maximum of 500, and an examinee must achieve a scaled score of 350 or higher to pass. Scoring is criterion-referenced, with the minimum passing score set by a panel of subject matter experts using the Modified Angoff method, so you are measured against a fixed standard rather than against other candidates.
What does the NEA-BC exam cost?
Initial certification is $395 for non-members and $295 for American Nurses Association members, and both prices include a $140 non-refundable administrative fee. ANCC does not publish the five-year renewal fee on its certification or renewal pages; the Certification Renewal Handbook lists only "pay the renewal fee," so confirm the current amount in your ANCC account at renewal time.
Who is eligible to take the NEA-BC exam?
ANCC publishes four criteria: hold a current active RN license or the legally recognized equivalent; hold a graduate degree with either the baccalaureate or the graduate degree in nursing; complete at least 2,000 hours in a leadership, management, or administration position with primary responsibility for organization-wide or system-wide operations within the last 3 years; and complete 30 hours of continuing education in leadership, management, or administration within the last 3 years.
What is on the NEA-BC exam blueprint?
The Test Content Outline effective November 11, 2025 divides the 125 scored questions into four domains: Leadership (42 questions, 34%), Quality and Safety (32 questions, 26%), Human Capital Management (26 questions, 21%), and Health Care Delivery (25 questions, 20%).
Can I retake the NEA-BC exam if I fail?
Yes. You may apply to retest 60 days after the date you last tested, and you may not test more than three times in any 12-month period. Each retest requires a new application and meeting the eligibility requirements in effect at that time.