Test Content Outline Effective Date: January 10, 2021
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
I
II
III
IV
Leadership
Quality and Safety
Human Capital Management
Health Care Delivery
TOTAL
Number of Questions
Percentage
43
30
18
34
125
34%
24%
14%
27%
100%*
*Total does not come to 100 because of rounding.
Page 1
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
Page 2
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
Page 3
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