NURSE EXECUTIVE CERTIFICATION ACTUAL
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Core measure sets. Answer: Developed by the Core Quality
Measures Collaborative for Primary Care, intended for use in value-
based payment programs.
◉ Hours per patient day (HPPD). Answer: A staffing metric that
indicates the number of hours of care provided per patient per day.
◉ Pediatric critical care HPPD. Answer: Typically requires
approximately 19 hours per patient day.
◉ Adult critical care HPPD. Answer: Typically requires
approximately 16 hours per patient day.
◉ Neonatal care HPPD. Answer: Typically requires approximately 12
hours per patient day.
◉ Adult surgical HPPD. Answer: Typically requires approximately 6
hours per patient day.
,◉ National Labor Relations Act (1935). Answer: Provides the rights
of employees to organize and engage in collective bargaining.
◉ Skill-mix staffing. Answer: A method of reducing staffing costs by
engaging various levels of nursing in patient care.
◉ Redaction. Answer: A method of rendering unsecured protected
health information (PHI) unusable, unreadable, or indecipherable
that is specifically excluded under HIPAA provisions.
◉ Encryption. Answer: An acceptable method under HIPAA for
rendering unsecured PHI unusable, unreadable, or indecipherable.
◉ Shredding. Answer: An acceptable method under HIPAA for
destroying media on which unsecured PHI is stored.
◉ Destruction. Answer: An acceptable method under HIPAA for
rendering unsecured PHI unusable, unreadable, or indecipherable.
◉ Core Quality Measures Collaborative. Answer: Develops core
measure sets for Primary Care.
◉ Value-based payment programs. Answer: Programs intended to
improve patient care quality and reduce costs.
,◉ Medication reconciliation. Answer: A measure included for care
coordination/patient safety.
◉ Cervical cancer screening. Answer: A measure included for
prevention and wellness.
◉ Imaging for low back pain. Answer: A measure included for use
and cost/overuse.
◉ Surveys. Answer: A measure included for patient experience.
◉ 12-month depression response. Answer: A measure included for
behavioral health.
◉ Asthma medication ratio. Answer: A measure included for
pulmonary care.
◉ Plan all-cause readmission. Answer: A measure included for
readmissions.
◉ Team-nursing approach. Answer: Essential for maintaining
quality of care in skill-mix staffing.
, ◉ Unlicensed assistive personnel (UAP). Answer: Engaged in patient
care as part of skill-mix staffing.
◉ Acuity model of staffing. Answer: The acuity model of staffing is
based on the hours of care needed.
◉ Acuity rating. Answer: The acuity rating may be calculated using
different parameters, such as diagnoses and interventions needed.
◉ Referent power. Answer: Power that is gained by affiliating with
those in power.
◉ Legitimate power. Answer: Power received through licensure,
education, and credentialing.
◉ Coercive power. Answer: Power that comes from the ability to
apply punishment or discipline.
◉ Connection power. Answer: Power that comes from relationships
that enhance one's resources.
◉ ANA Code of Ethics Provision 2. Answer: The nurse's primary
commitment is to the patient, whether an individual, family, group,
community, or population.
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Core measure sets. Answer: Developed by the Core Quality
Measures Collaborative for Primary Care, intended for use in value-
based payment programs.
◉ Hours per patient day (HPPD). Answer: A staffing metric that
indicates the number of hours of care provided per patient per day.
◉ Pediatric critical care HPPD. Answer: Typically requires
approximately 19 hours per patient day.
◉ Adult critical care HPPD. Answer: Typically requires
approximately 16 hours per patient day.
◉ Neonatal care HPPD. Answer: Typically requires approximately 12
hours per patient day.
◉ Adult surgical HPPD. Answer: Typically requires approximately 6
hours per patient day.
,◉ National Labor Relations Act (1935). Answer: Provides the rights
of employees to organize and engage in collective bargaining.
◉ Skill-mix staffing. Answer: A method of reducing staffing costs by
engaging various levels of nursing in patient care.
◉ Redaction. Answer: A method of rendering unsecured protected
health information (PHI) unusable, unreadable, or indecipherable
that is specifically excluded under HIPAA provisions.
◉ Encryption. Answer: An acceptable method under HIPAA for
rendering unsecured PHI unusable, unreadable, or indecipherable.
◉ Shredding. Answer: An acceptable method under HIPAA for
destroying media on which unsecured PHI is stored.
◉ Destruction. Answer: An acceptable method under HIPAA for
rendering unsecured PHI unusable, unreadable, or indecipherable.
◉ Core Quality Measures Collaborative. Answer: Develops core
measure sets for Primary Care.
◉ Value-based payment programs. Answer: Programs intended to
improve patient care quality and reduce costs.
,◉ Medication reconciliation. Answer: A measure included for care
coordination/patient safety.
◉ Cervical cancer screening. Answer: A measure included for
prevention and wellness.
◉ Imaging for low back pain. Answer: A measure included for use
and cost/overuse.
◉ Surveys. Answer: A measure included for patient experience.
◉ 12-month depression response. Answer: A measure included for
behavioral health.
◉ Asthma medication ratio. Answer: A measure included for
pulmonary care.
◉ Plan all-cause readmission. Answer: A measure included for
readmissions.
◉ Team-nursing approach. Answer: Essential for maintaining
quality of care in skill-mix staffing.
, ◉ Unlicensed assistive personnel (UAP). Answer: Engaged in patient
care as part of skill-mix staffing.
◉ Acuity model of staffing. Answer: The acuity model of staffing is
based on the hours of care needed.
◉ Acuity rating. Answer: The acuity rating may be calculated using
different parameters, such as diagnoses and interventions needed.
◉ Referent power. Answer: Power that is gained by affiliating with
those in power.
◉ Legitimate power. Answer: Power received through licensure,
education, and credentialing.
◉ Coercive power. Answer: Power that comes from the ability to
apply punishment or discipline.
◉ Connection power. Answer: Power that comes from relationships
that enhance one's resources.
◉ ANA Code of Ethics Provision 2. Answer: The nurse's primary
commitment is to the patient, whether an individual, family, group,
community, or population.
