ANCC Nurse Executive and Leadership Certification 2

Question 1

A nurse leader implementing shared governance is most focused on which goal?

Accepted Answer

Empowering bedside nurses to participate in decision-making

Answer

Shared governance distributes decision-making authority to frontline nurses, promoting autonomy and professional practice.

Question 2

Which ethical principle is most relevant when a nurse manager allocates scarce staffing resources during a surge?

Accepted Answer

Justice

Answer

Justice requires fair and equitable distribution of resources, which is the guiding ethical principle in resource allocation decisions.

Question 3

The Institute of Medicine (IOM) 'To Err is Human' report identified which major patient safety concern?

Accepted Answer

Medical errors cause tens of thousands of preventable deaths annually in US hospitals

Answer

The landmark 1999 IOM report estimated 44,000–98,000 deaths per year from preventable medical errors in US hospitals.

Question 4

Which leadership style is most appropriate when managing a highly experienced and motivated nursing team?

Accepted Answer

Delegative (laissez-faire) leadership

Answer

Delegative leadership is most effective with expert, self-motivated teams who require minimal direction but maximum autonomy.

Question 5

A root cause analysis (RCA) is primarily used after a sentinel event to:

Accepted Answer

Identify system-level factors contributing to the event and prevent recurrence

Answer

RCA is a systematic process for identifying underlying system causes of adverse events rather than blaming individuals.

ANCC - American Nurses Credentialing Center Practice Test