NE-BC : ANCC Nurse Executive Certification 2025 Exam

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NE-BC
ANCC Nurse Executive Certification 2025
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Question: 614
A nurse executive is conducting a SWOT analysis and identifies a potential opportunity in the growing demand for telehealth services. How should the organization best capitalize on this opportunity?
1. Relying on traditional in-person visits only
2. Ignoring telehealth as a passing trend
3. Developing a comprehensive telehealth strategy that includes training for nursing staff
nation: Developing a comprehensive telehealth strategy that includes training for nursing staff the organization to effectively capitalize on the growing demand, improving patient access a elivery.
ion: 615
cent performance evaluation, a nurse manager identified that 30% of their team consistently exceeds performance expectations. If the team consists of 20 nurses, how many nurses are recogni
nding performance based on this percentage?
er: A
nation: 30% of 20 nurses equals 20 × 0.30 = 6 nurses who exceed performance expectations.
ion: 616
a strategic planning session, you are tasked with leading your team through the ADKAR M ew patient safety initiative. What is the primary focus of the "Knowledge" stage in this mod
veloping skills to implement change
Reducing staffing levels to cut costs Answer: C
Expla
allows nd
care d
Quest
In a re outsta
1. 6
2. 4
3. 8
4. 10
Answ Expla Quest
zed for
During odel
for a n el?
1. De
2. Understanding the need for change
3. Reinforcing the change
4. Creating awareness of the benefits of change Answer: B
Explanation: The "Knowledge" stage in the ADKAR Model focuses on providing information about how to change, which is essential for ensuring staff understand the need for change and what it entails.
A nurse leader is tasked with evaluating the effectiveness of a new patient care initiative. What financial analysis would best determine whether the initiative is cost-effective?
1. Variance analysis
2. Capital budgeting
3. Cost-benefit analysis
4. Historical performance metrics Answer: C
nation: A cost-benefit analysis will assess the financial returns generated by the initiative aga ncurred, providing a clear picture of its cost-effectiveness.
ion: 618
ing director is analyzing performance improvement plans for underperforming staff. What is mportant aspect to include in these plans to foster a culture of continuous improvement?
ar expectations and measurable goals cumentation of past performance issues ndatory participation in additional training imeline for achieving performance milestones
er: A
nation: Clear expectations and measurable goals are essential for fostering a culture of contin vement, as they provide staff with specific targets to strive for and a framework for accounta
ion: 619
ect manager is assessing risks for a new patient care initiative. If there are 5 identified risks bility of occurrence of 20%, what is the combined probability that at least one risk will occur
Expla inst the
costs i
Quest
A nurs the
most i
1. Cle
2. Do
3. Ma
4. A t
Answ
Expla uous
impro bility.
Quest
A proj with a
proba ?
1. 72%
2. 64%
3. 80%
4. 84%
Answer: B
Explanation: The probability that none occur is (0.80)^5 = 0.32768, so the probability that at least one occurs is 1 - 0.32768 = 0.67232 or approximately 64%.
Question: 620
In a recent analysis, a healthcare organization found that its average cost per patient for a specific procedure was $15,000. If the organization aims to reduce this cost by 10% while maintaining quality, what is the target cost per patient?
A. $14,000 B. $13,500 C. $15,500 D. $12,000
Answer: B
nation: A 10% reduction from $15,000 is calculated as $15,000 - ($15,000 * 0.10) = $13,500
ion: 621
nurse executive is leading an initiative to improve community health literacy. Which strategy w ffective in engaging community partners to support this initiative?
laborate with community partners to co-create educational materials that address local healt velop a plan in isolation and present it to partners for approval
us solely on online resources without community input
Rely on existing materials without tailoring them to the community’s needs er: A
nation: Collaborating with community partners to co-create materials ensures that the initiati nt and addresses specific health issues, fostering stronger engagement and support.
ion: 622
nurse manager faces a situation where her team is resistant to adopting a new nursing care mode this, she decides to actively involve team members in the planning and implementation ph eadership style is she utilizing?
vant Leadership
Expla .
Quest
A ould be
most e
1. Col h
issues
2. De
3. Foc D.
Answ
Expla ve is
releva
Quest
A l. To
address ases.
What l
1. Ser
2. Transactional Leadership
3. Situational Leadership
4. Transformational Leadership Answer: D
Explanation: By involving team members in planning and implementation, the nurse manager is practicing transformational leadership, which focuses on collaboration and shared vision.
A nurse executive is evaluating the organization's approach to patient safety after several near misses. Which of the following actions should be prioritized to foster a culture of safety?
1. Punishing staff for errors to deter future incidents
2. Ignoring minor incidents as they do not impact patient care
3. Encouraging open communication and reporting of near misses without fear of retribution
4. Conducting safety training only during annual evaluations Answer: C
nation: Fostering open communication and encouraging reporting of near misses creates a cul here staff feel empowered to address issues proactively, reducing the likelihood of future e
ion: 624
thcare organization is preparing for an accreditation survey by The Joint Commission. Whic lowing actions should the nurse executive prioritize to ensure compliance with standards rel safety and quality of care?
ablishing a patient safety reporting system
nducting regular training sessions on new technology reasing marketing efforts to promote services
ducing staff meetings to focus on patient care er: A
nation: Establishing a patient safety reporting system is crucial for compliance with The Join ission standards, as it helps identify, report, and address safety issues effectively.
ion: 625
ing executive is faced with a situation where a high-performing nurse is considering leaving zation for a competitor. What should the executive do to retain this valuable employee?
er a counter-offer without understanding their concerns
Expla ture of
safety w rrors.
Quest
A heal h of
the fol ated to
patient
1. Est
2. Co
3. Inc
4. Re
Answ
Expla t
Comm
Quest
A nurs the
organi
1. Off
2. Initiate a conversation to understand the nurse's motivations and explore potential solutions
3. Ignore the situation and hope the nurse stays
4. Implement stricter policies to prevent staff from leaving Answer: B
Explanation: Engaging in a conversation to understand the nurse's motivations allows for tailored solutions that address their needs, increasing the likelihood of retention.
A nurse executive is concerned about the implications of recent policy changes on staff morale and patient care. What is the most effective way for her to advocate for her staff during this time of transition?
1. Communicating transparently about the changes and soliciting feedback
2. Focusing on the negative aspects of the changes
3. Implementing changes without discussion to avoid confusion
nation: Communicating transparently about the changes and soliciting feedback fosters a sens ement and support among staff, which can enhance morale during transitions.
ion: 627
pital is investigating the causes of high patient readmission rates for heart failure. Which dat would provide the most relevant information to inform quality improvement efforts?
ient satisfaction surveys
Staff feedback on discharge processes
nical outcome data related to heart failure management ancial reports related to readmission costs
er: C
nation: Clinical outcome data related to heart failure management provides relevant insights into contributing to readmissions, enabling targeted quality improvement efforts.
ion: 628
pital's budget includes an allocation of $2 million for capital expenses. If the actual capital e
2.5 million, what is the variance in percentage terms?
unfavorable
Limiting staff involvement in decision-making processes Answer: A
Expla e of
involv
Quest
A hos a
source
A. Pat B.
1. Cli
2. Fin Answ
Expla the
factors
Quest
A hos xpenses
total $
1. 20%
2. 30% unfavorable
3. 25% unfavorable
4. 35% unfavorable Answer: C
Explanation: The variance percentage is calculated as ($2.5 million - $2 million) / $2 million * 100 = 25% unfavorable.

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