The Nurse Executive Test 2026 is a nursing exam designed for nurse leaders. It measures the knowledge, skills, and competency of nurse leaders. The exam covers the competencies of communication and relationship building; knowledge of the healthcare environment; professionalism, and business skills.
The exam consists of 150 scored questions and 25 unscored pretest questions. The exam is administered by the American Nurses Credentialing Center (ANCC).
The highest senior administrative position in a nursing organization is that of a nurse executive. Practice with the free Nurse Executive practice test on PracticeTestGeeks (7 questions with answer explanations).
Here are nine recent best nurse certifications you can take:
Get a Master of Business Administration, a Master of Health Administration, or a Master of Science in Nursing (2 years). Alternatively, obtain a Doctor of Nursing Practice (DNP), which can take 2–3 years to complete depending on your previous education. A Nurse Executive specialty is available in some MSN and DNP programs.
They oversee the management of patient care services, direct the nursing team, and make operational choices that advance the company’s objectives.
You will lead the nursing team at your healthcare company as chief nursing officer. A typical day can involve handling the department’s budget, implementing treatment plans, incorporating new medical technology, setting schedules, and onboarding new nurses.
Except when the organization has a distinct system-level CNE, a CNO/CNE typically reports to the organization’s president and chief executive officer. In that situation, a CNO normally answers to the CNE for the system. There are also several reporting structures, depending on the institution.
A nurse with a BSN, MSN, or dual MBA/MHA degree can pursue nurse executive certification. Certification is a sign of great proficiency in the industry and is sometimes necessary for executive positions. Once certified, a nurse is considered an “expert” because certification requires prior experience in nursing leadership or administration.
The average annual salary for a nurse executive in the United States as of May 19, 2026 is $89,067.
The average yearly salary for a Chief Nursing Executive in the United States as of May 17, 2026, is $149,581.
A Master of Health Administration (MHA) or Master of Business Administration (MBA) in healthcare management is the most common degree held by Executive Directors. An ED may also need at least five years of administrative experience as a state-licensed nursing home administrator.
Canadian practical nurse graduates can prepare for the CPNRE with our free Canadian Practical Nurse Registration Exam practice test — covering foundational nursing practice, nurse-client relationship, and ethical responsibilities.
Nursing school applicants can use our free HESI A2 practice test — covering anatomy and physiology, math, reading comprehension, vocabulary, and grammar required for nursing program admission.
Nursing graduates can benchmark their licensure readiness with our free NCLEX practice test questions — covering pharmacology, safe care, health promotion, psychosocial integrity, and physiological adaptation.
Cardiovascular OR nurses also strengthen their clinical knowledge with our nclex practice test covering critical care and perioperative nursing concepts.
Try our ANCC certification practice test to strengthen your nursing knowledge.Facts verified Oct 27, 2026 against American Nurses Credentialing Center. Dates that have passed are removed automatically.
Facts verified Oct 27, 2026 against American Nurses Credentialing Center. Dates that have passed are removed automatically.
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 150 questions (125 scored + 25 unscored pretest) | American Nurses Credentialing Center |
| Time limit | 3 hours | American Nurses Credentialing Center |
| Passing score | Scaled score of 350 (out of 500) | American Nurses Credentialing Center |
| Exam fee (Initial certification, ANA member) | $295 | American Nurses Credentialing Center |
| Exam fee (Initial certification, non-member) | $395 | American Nurses Credentialing Center |
| Exam fee (Renewal, ANA member) | $250 | American Nurses Credentialing Center |
| Exam fee (Renewal, non-member) | $350 | American Nurses Credentialing Center |
| Exam fee (Testing window re-assignment) | $100 | American Nurses Credentialing Center |
| Retake policy | 60-day wait period; maximum 3 attempts in 12 months | American Nurses Credentialing Center |
| Validity | 5 years | American Nurses Credentialing Center |
| Renewal | Every 5 years; apply up to 1 year prior to expiration | American Nurses Credentialing Center |
| Delivery | Computer-based test at Prometric test centers | prometric.com |
| Registration opens | Year-round | American Nurses Credentialing Center |
| Testing window | 120-day testing window | American Nurses Credentialing Center |
Facts verified Oct 27, 2026 against American Nurses Credentialing Center. Dates that have passed are removed automatically.
Interactive Nurse Executive Test resources on PracticeTestGeeks, free to start:
Prepare for the Nurse Executive Test exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
Try these questions from our free Nurse Executive Test practice tests. The correct answer and an explanation follow each question.
The nurse executive is developing criteria for the nurse executive role. According to AONL competencies, which educational preparation is RECOMMENDED for the nurse executive role?
Answer: A. Master's degree in nursing or health-related field
AONL recommends a master's degree in nursing or a related health field as the educational preparation for nurse executive roles, reflecting the complex leadership and administrative demands of the position.
A nurse executive discovers that a high-performing nurse manager consistently achieves excellent outcomes but uses an authoritarian leadership style that undermines staff morale. What should the nurse executive do?
Answer: B. Coach the manager on the long-term impact of leadership style on staff retention and team performance
Coaching helps the manager understand that leadership style affects retention and sustainability of outcomes, even when short-term results are strong.
A nurse executive discovers that a staff nurse has been accessing patient records of celebrities without a treatment relationship. Under HIPAA, what is the FIRST action the nurse executive should take?
Answer: B. Conduct a risk assessment to determine breach notification requirements
HIPAA's Breach Notification Rule requires a risk assessment to determine the probability that PHI was compromised before notification decisions are made.
The nurse executive is reviewing credentialing files and discovers several RNs have expired competency validations. What is the nurse executive's PRIMARY responsibility?
Answer: A. Ensure those nurses are removed from assignments requiring that competency until revalidation
Patient safety requires that nurses only perform tasks for which current competency has been validated; removing nurses from assignments requiring expired competencies protects patients while allowing for remediation.