FREE NACE Care of an Adult Questions and Answers 2026
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- Version 1.2 of the NLN NACE Foundations of Nursing exam has 100 items, down from 200 in version 1. (National League for Nursing (NLN) Assessment Services Division)
- Version 1.2 of the NLN NACE Foundations of Nursing exam allows 150 minutes, down from 240 minutes in version 1. (National League for Nursing (NLN) Assessment Services Division)
- The NLN does not set a national passing score for the NACE Foundations of Nursing exam, so each nursing program sets its own standard. (National League for Nursing (NLN) Assessment Services Division)
- Proctor360 charges a $30 on-demand scheduling fee to take the virtual NLN NACE Foundations of Nursing exam within 48 hours of booking. (National League for Nursing (NLN) Assessment Services Division)
- Rescheduling a virtual NLN NACE Foundations of Nursing exam less than 24 hours before testing costs $30, charged by Proctor360. (National League for Nursing (NLN) Assessment Services Division)
- The NLN requires 30 days between attempts on the NACE Foundations of Nursing exam unless the school has set a different testing frequency. (National League for Nursing (NLN) Assessment Services Division)
- Nursing schools give the NLN NACE Foundations of Nursing exam on campus, and the NLN also allows one-on-one remote proctoring through its contracted vendor, Proctor360. (National League for Nursing (NLN) Assessment Services Division)
- The NLN NACE Foundations of Nursing exam is for Licensed PN/VNs who are applying to or already admitted into an accredited professional nursing program. (National League for Nursing (NLN) Assessment Services Division)
- NLN NACE Foundations of Nursing score reports appear electronically in the school and student accounts within 24 hours of testing. (National League for Nursing (NLN) Assessment Services Division)
Facts verified Oct 15, 2026 against National League for Nursing (NLN) Assessment Services Division. Dates that have passed are removed automatically.
NACE Exam at a Glance
| Item | Detail | Official source |
|---|---|---|
| Number of questions | 100 items (version 1.2) | National League for Nursing (NLN) Assessment Services Division |
| Time limit | 150 minutes (version 1.2) | National League for Nursing (NLN) Assessment Services Division |
| Passing score | No national pass mark; each program sets its own | National League for Nursing (NLN) Assessment Services Division |
| Exam fee (Proctor360 on-demand scheduling) | $30 to test within 48 hours | National League for Nursing (NLN) Assessment Services Division |
| Exam fee (Proctor360 reschedule (<24h)) | $30 to reschedule less than 24 hours before | National League for Nursing (NLN) Assessment Services Division |
| Retake policy | 30 days between attempts unless the school sets otherwise | National League for Nursing (NLN) Assessment Services Division |
| Delivery | At the school, or online with remote proctoring | National League for Nursing (NLN) Assessment Services Division |
| Eligibility | Licensed PN/VNs seeking entry to or enrolled in an RN program | National League for Nursing (NLN) Assessment Services Division |
| Score release | Within 24 hours in school and student accounts | National League for Nursing (NLN) Assessment Services Division |
| Registration deadline (Virtual (Proctor360)) | Book at least 48 hours ahead | National League for Nursing (NLN) Assessment Services Division |
Facts verified Oct 15, 2026 against National League for Nursing (NLN) Assessment Services Division. Dates that have passed are removed automatically. Practice with the free Nursing Acceleration Challenge Exam (NACE) I PN-RN practice test on PracticeTestGeeks (7 questions with answer explanations).
Free Nursing Acceleration Challenge Exam (NACE) I PN-RN Study Tools
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NACE Practice Test Questions
Prepare for the Nursing Acceleration Challenge Exam I PN-RN exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
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Sample Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Questions
Try these questions from our free Nursing Acceleration Challenge Exam (NACE) I PN-RN practice tests. The correct answer and an explanation follow each question.
A nurse is developing a plan of care for an older adult client at risk for pressure injuries. Which of the following interventions should be included?
- A. Massaging bony prominences to increase circulation.
- B. Repositioning the client every 4 hours.
- C. Using donut-shaped cushions for seating.
- D. Keeping the skin clean and dry and using a moisturizer.
Answer: D. Keeping the skin clean and dry and using a moisturizer.
Maintaining skin integrity by keeping it clean, dry, and well-moisturized is a fundamental aspect of pressure injury prevention. Massaging bony prominences is contraindicated as it can cause tissue damage. At-risk clients should be repositioned more frequently, typically every 2 hours. Donut-shaped cushions are avoided because they can impair blood flow.
An older adult patient with mild dementia is being discharged. When obtaining consent for a home health referral, the nurse should:
- A. Obtain consent only from the next of kin
- B. Assess the patient's decision-making capacity for this specific decision
- C. Skip consent because the patient has a dementia diagnosis
- D. Refer the matter to the hospital attorney
Answer: B. Assess the patient's decision-making capacity for this specific decision
A dementia diagnosis does not automatically negate decision-making capacity; the nurse must assess capacity for each specific decision.
A nurse is teaching an adult client about colorectal cancer screening. At what age should average-risk individuals begin screening colonoscopy?
- A. 45 years
- B. 50 years
- C. 40 years
- D. 55 years
Answer: A. 45 years
The American Cancer Society updated its guideline to recommend colorectal cancer screening beginning at age 45 for average-risk adults.
Which action by the PN BEST demonstrates effective coordination of care during a patient's hospitalization?
- A. Completing all tasks independently without involving other disciplines
- B. Communicating relevant patient updates to all members of the care team at each shift change
- C. Documenting only abnormal findings to save time
- D. Limiting patient family involvement to protect privacy
Answer: B. Communicating relevant patient updates to all members of the care team at each shift change
Consistent and thorough communication across all disciplines at each transition ensures continuity and prevents errors in coordinated care.
Take the full Nursing Acceleration Challenge Exam (NACE) I PN-RN practice test
How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy
Sources & references
Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy
- nln.org β Fees, registration deadline, retake fee, retake policy, eligibility, exam format, passing score, score release, time limit, score validity Β· verified Oct 2026