NR 668 CEA EXAM AND PRACTICE EXAM – NEWEST
2026/2027 TEST BANK | COMPLETE 600 EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ | NR668 CEA FINAL
EXAM PREP (MOST RECENT!!)
1. A nurse executive is implementing a shared governance model. Which action
best supports this structure?
A) Assigning unit-based councils to make staffing decisions
B) Retaining final approval authority for all clinical protocols
C) Limiting council membership to charge nurses only
D) Requiring administrative review of every council decision
CORRECT ANSWER: A
RATIONALE: Shared governance empowers staff at the unit level. Unit-based
councils making staffing decisions is a core principle.
2. Which financial metric best measures the efficiency of nursing care delivery?
A) Cost per patient day
B) Total operating margin
C) Days in accounts receivable
D) Salary expense as a percentage of net revenue
CORRECT ANSWER: A
RATIONALE: Cost per patient day directly links nursing resources to patient
volume.
1|Page
,3. A CEA is leading a change to reduce hospital-acquired pressure injuries.
According to Kotter’s change model, what should the leader do first?
A) Empower broad-based action
B) Create a guiding coalition
C) Establish a sense of urgency
D) Generate short-term wins
CORRECT ANSWER: C
RATIONALE: Kotter’s first step is creating urgency – stakeholders must see the
need for change.
4. When analyzing nurse turnover data, which statistical measure would identify
the most typical turnover rate among units?
A) Mean
B) Range
C) Mode
D) Median
CORRECT ANSWER: D
RATIONALE: Median is best when outliers would skew the mean.
5. A nurse executive notices a pattern of medication errors during shift change.
Which human factors engineering principle should be applied?
A) Increase double-check requirements
B) Redesign the handoff process and workspace
C) Mandate additional training for all nurses
D) Implement a punitive reporting system
CORRECT ANSWER: B
2|Page
,RATIONALE: Human factors engineering focuses on system design, not individual
blame.
6. Under the ANA Code of Ethics, a nurse executive’s primary duty when staffing
ratios are unsafe is to:
A) Follow organizational policy to avoid insubordination
B) Notify the state board of nursing immediately
C) Advocate for adequate staffing and refuse to assign unsafe workloads
D) Document the shortage but assign nurses as directed
CORRECT ANSWER: C
RATIONALE: Provisions 6 and 7 require nurses to advocate for safe systems.
7. Which quality improvement tool is most effective for identifying the root cause
of a recurring central line infection cluster?
A) Pareto chart
B) Control chart
C) Fishbone (Ishikawa) diagram
D) Run chart
CORRECT ANSWER: C
RATIONALE: Fishbone diagrams systematically explore potential causes.
8. A hospital’s operating budget shows a 5% reduction in nursing hours per
patient day (HPPD) from last year. The CEA should first:
A) Approve the budget as fiscally responsible
B) Compare the HPPD to national benchmarks and patient acuity
C) Reduce nursing staff to match the budget
3|Page
, D) Ask the finance department to restore the HPPD
CORRECT ANSWER: B
RATIONALE: A reduction may be safe if acuity dropped or the unit was
overstaffed.
9. A nurse leader is preparing for a union organizing drive. Which action is legally
permissible?
A) Threaten to close the unit if unionization occurs
B) Promise a pay raise only if employees vote against the union
C) Share factual information about the costs of union dues
D) Question employees individually about their union sympathies
CORRECT ANSWER: C
RATIONALE: Employers may communicate factual information but cannot
threaten or interrogate.
10. Which leadership style is most effective during a sudden inpatient surge due
to a disaster?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Democratic
CORRECT ANSWER: C
RATIONALE: During crises requiring rapid, clear decisions, an autocratic (directive)
style provides necessary speed.
4|Page
2026/2027 TEST BANK | COMPLETE 600 EXAM
QUESTIONS WITH CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) GRADED A+ | NR668 CEA FINAL
EXAM PREP (MOST RECENT!!)
1. A nurse executive is implementing a shared governance model. Which action
best supports this structure?
A) Assigning unit-based councils to make staffing decisions
B) Retaining final approval authority for all clinical protocols
C) Limiting council membership to charge nurses only
D) Requiring administrative review of every council decision
CORRECT ANSWER: A
RATIONALE: Shared governance empowers staff at the unit level. Unit-based
councils making staffing decisions is a core principle.
2. Which financial metric best measures the efficiency of nursing care delivery?
A) Cost per patient day
B) Total operating margin
C) Days in accounts receivable
D) Salary expense as a percentage of net revenue
CORRECT ANSWER: A
RATIONALE: Cost per patient day directly links nursing resources to patient
volume.
1|Page
,3. A CEA is leading a change to reduce hospital-acquired pressure injuries.
According to Kotter’s change model, what should the leader do first?
A) Empower broad-based action
B) Create a guiding coalition
C) Establish a sense of urgency
D) Generate short-term wins
CORRECT ANSWER: C
RATIONALE: Kotter’s first step is creating urgency – stakeholders must see the
need for change.
4. When analyzing nurse turnover data, which statistical measure would identify
the most typical turnover rate among units?
A) Mean
B) Range
C) Mode
D) Median
CORRECT ANSWER: D
RATIONALE: Median is best when outliers would skew the mean.
5. A nurse executive notices a pattern of medication errors during shift change.
Which human factors engineering principle should be applied?
A) Increase double-check requirements
B) Redesign the handoff process and workspace
C) Mandate additional training for all nurses
D) Implement a punitive reporting system
CORRECT ANSWER: B
2|Page
,RATIONALE: Human factors engineering focuses on system design, not individual
blame.
6. Under the ANA Code of Ethics, a nurse executive’s primary duty when staffing
ratios are unsafe is to:
A) Follow organizational policy to avoid insubordination
B) Notify the state board of nursing immediately
C) Advocate for adequate staffing and refuse to assign unsafe workloads
D) Document the shortage but assign nurses as directed
CORRECT ANSWER: C
RATIONALE: Provisions 6 and 7 require nurses to advocate for safe systems.
7. Which quality improvement tool is most effective for identifying the root cause
of a recurring central line infection cluster?
A) Pareto chart
B) Control chart
C) Fishbone (Ishikawa) diagram
D) Run chart
CORRECT ANSWER: C
RATIONALE: Fishbone diagrams systematically explore potential causes.
8. A hospital’s operating budget shows a 5% reduction in nursing hours per
patient day (HPPD) from last year. The CEA should first:
A) Approve the budget as fiscally responsible
B) Compare the HPPD to national benchmarks and patient acuity
C) Reduce nursing staff to match the budget
3|Page
, D) Ask the finance department to restore the HPPD
CORRECT ANSWER: B
RATIONALE: A reduction may be safe if acuity dropped or the unit was
overstaffed.
9. A nurse leader is preparing for a union organizing drive. Which action is legally
permissible?
A) Threaten to close the unit if unionization occurs
B) Promise a pay raise only if employees vote against the union
C) Share factual information about the costs of union dues
D) Question employees individually about their union sympathies
CORRECT ANSWER: C
RATIONALE: Employers may communicate factual information but cannot
threaten or interrogate.
10. Which leadership style is most effective during a sudden inpatient surge due
to a disaster?
A) Laissez-faire
B) Transformational
C) Autocratic
D) Democratic
CORRECT ANSWER: C
RATIONALE: During crises requiring rapid, clear decisions, an autocratic (directive)
style provides necessary speed.
4|Page
