ANCC Exam Content Board Certification Examination

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Test Content Outline

Effective Date: January 10, 2021

Nurse Executive, Advanced


Board Certification Examination

There are 150 questions on this examination. Of these, 125 are scored questions and 25 are pretest
questions that are not scored. Pretest questions are used to determine how well these questions will
perform before they are used on the scored portion of the examination. The pretest questions cannot
be distinguished from those that will be scored, so it is important for a candidate to answer all
questions. A candidate's score, however, is based solely on the 125 scored questions. Performance on
pretest questions does not affect a candidate's score.

This Test Content Outline identifies the areas that are included on the examination. The percentage and
number of questions in each of the major categories of the scored portion of the examination are also
shown. Note: The examples in parentheses are not all-inclusive and do not indicate importance.

Category Content Domain Number of Questions Percentage


I Leadership 43 34%
II Quality and Safety 30 24%
III Human Capital Management 18 14%
IV Health Care Delivery 34 27%
TOTAL 125 100%*

*Total does not come to 100 because of rounding.

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I Leadership
A. Knowledge
1. Leadership theories and styles
2. Principles of relationship building
3. Strategic planning methods
B. Skill
1. Change management
2. Coaching and mentoring
3. Communication techniques and strategies (e.g., conflict resolution, consensus building,
negotiation)
4. Fiscal management (e.g., forecasting, business planning, return on investment)

II Quality and Safety


A. Knowledge
1. Health care standards (e.g., regulatory and accrediting bodies)
2. Emergency preparedness
B. Skill
1. Risk assessment (e.g., root cause analysis [RCA], failure mode effects analysis [FMEA])
2. Performance benchmarking
3. Process improvement

III Human Capital Management


A. Knowledge
1. Employee protection and labor laws (e.g., Americans with Disabilities Act [ADA],
Occupational Safety and Health Administration [OSHA], Rehabilitation Act, Age
Discrimination in Employment Act [ADEA], Civil Rights Act)
2. Professional development (e.g., competency, education)
B. Skill
1. Workforce engagement strategies

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IV Health Care Delivery
A. Knowledge
1. Health care delivery models and strategies (e.g., patient-centered medical homes,
telehealth)
2. Health care ethics (e.g., principles, codes, organizational structures)
3. Information technology (e.g., cybersecurity, system integration, meaningful use)
4. Research methodology
B. Skill
1. Evidence-based practice evaluation and interpretation
2. Patient experience strategies

Last Updated: February 3, 2022

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