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 providing well-child teaching to parents of a 12-month-old. Which food should the nurse instruct parents to avoid until the child is at least 12 months old?

   • A. Pureed vegetables
   • B. Whole cow's milk
   • C. Mashed bananas
   • D. Soft cooked pasta

   Answer: B. Whole cow's milk

   Whole cow's milk should not be introduced until 12 months of age because it can cause intestinal bleeding and does not provide adequate nutrition for infants.

2. Which nursing theorist developed the Self-Care Deficit Theory that emphasizes patients' ability to perform self-care activities?

   • A. Florence Nightingale
   • B. Dorothea Orem
   • C. Virginia Henderson
   • D. Jean Watson

   Answer: B. Dorothea Orem

   Dorothea Orem developed the Self-Care Deficit Theory, which focuses on the patient's ability to perform self-care and identifies when nursing intervention is needed.

3. A nurse is developing a plan of care for a client who has recently lost their spouse. According to the principles of psychosocial care, which action should the nurse take first?

   • A. Refer the client to a bereavement support group.
   • B. Encourage the client to focus on positive memories.
   • C. Assess the client's personal coping mechanisms and support systems.
   • D. Provide education on the normal stages of grief and loss.

   Answer: C. Assess the client's personal coping mechanisms and support systems.

   The nursing process always begins with assessment. Before implementing any interventions, the nurse must first assess the client's individual coping style, the strength of their existing support system (family, friends), and their cultural or spiritual beliefs related to loss. This information is essential for creating a personalized and effective plan of care.

4. A nurse is documenting the care provided to a client. Which of the following documentation entries is most appropriate and legally sound?

   • A. "Client seems to be in a better mood today."
   • B. "Performed wound care as ordered. Dressing changed."
   • C. "Client ambulated 50 feet down the hallway with steady gait, denies shortness of breath."
   • D. "Administered pain medication for complaint of abdominal pain."

   Answer: C. "Client ambulated 50 feet down the hallway with steady gait, denies shortness of breath."

   Legally sound documentation must be objective, specific, and factual. This option provides specific, measurable information about the client's activity ('ambulated 50 feet'), an objective observation of their stability ('steady gait'), and includes the client's subjective report ('denies shortness of breath'). The other options are either too vague, subjective, or incomplete.

Take the full Nursing Acceleration Challenge Exam (NACE) I PN-RN practice test