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. When providing oral care to an unconscious client, which position is MOST appropriate?

   • A. Supine with head flat
   • B. Side-lying with head turned to the side
   • C. High Fowler's (90 degrees)
   • D. Prone with head to one side

   Answer: B. Side-lying with head turned to the side

   Side-lying with the head turned prevents aspiration of secretions during oral care in unconscious clients.

2. A patient from a collectivist cultural background is reluctant to make independent decisions about her treatment without consulting her family. The nurse should:

   • A. Insist the patient make her own decisions to protect her autonomy
   • B. Document that the patient lacks decision-making capacity
   • C. Respect the patient's cultural preference and involve the family in care discussions with the patient's permission
   • D. Transfer care to a nurse from the same cultural background

   Answer: C. Respect the patient's cultural preference and involve the family in care discussions with the patient's permission

   Culturally competent care means recognizing that Western bioethical principles (individual autonomy) may not reflect all patients' values. In collectivist cultures, family-based decision-making is normal and respected. The nurse should support the patient's preference to include family while ensuring the patient's own voice remains central.

3. An interprofessional care conference is scheduled for a patient with complex needs. What is the PN's primary role in this conference?

   • A. To lead the meeting and set the agenda
   • B. To provide bedside nursing observations and advocate for the patient's expressed needs
   • C. To make all final care decisions on behalf of the team
   • D. To defer entirely to the physician's plan without offering input

   Answer: B. To provide bedside nursing observations and advocate for the patient's expressed needs

   The PN contributes direct bedside observations and serves as a patient advocate within the interprofessional team, ensuring the patient's preferences are heard.

4. A nurse is reviewing a patient's advance directive, which designates a healthcare proxy. The patient is now unconscious and the family disagrees with the proxy's decision. The nurse should:

   • A. Follow the family's wishes because they know the patient best
   • B. Consult the ethics committee to resolve the family dispute
   • C. Honor the decisions of the designated healthcare proxy as per the advance directive
   • D. Defer all decisions to the attending physician

   Answer: C. Honor the decisions of the designated healthcare proxy as per the advance directive

   A legally designated healthcare proxy has decision-making authority for an incapacitated patient; the nurse must uphold this advance directive even if family members disagree.

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