NACE Exam at a Glance

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

Interactive Nursing Acceleration Challenge Exam (NACE) I PN-RN resources on PracticeTestGeeks, free to start:

• Nursing Acceleration Challenge — 7 questions with answer explanations
• Nursing Acceleration Challenge Exam (NACE) I PN-RN flashcards — review key terms and concepts card by card
• Nursing Acceleration Challenge Exam (NACE) I PN-RN study guide — topic-by-topic overview of what the exam covers
• Nursing Acceleration Challenge Exam (NACE) I PN-RN cheat sheet — one-page printable summary for last-minute review

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.

1. 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.

2. 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.

3. 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.

4. 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.

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