The ANCC Nurse Executive Advanced Board Certification (NEA-BC) validates executive-level nursing leadership for professionals with organization-wide or system-wide influence. The computer-based exam contains 150 questions (125 scored and 25 unscored pretest items), allows 3 hours of testing time, and requires a minimum scaled score of 350 out of 500 to pass. This guide covers everything senior nurse leaders need to know about eligibility, exam content, study strategies, costs, and renewal for 2026.


