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 discovers that a patient's advance directive conflicts with the family's wishes regarding end-of-life care. What is the nurse's primary role?

   • A. Follow the family's wishes since they are present
   • B. Advocate for the patient's documented wishes in the advance directive
   • C. Defer the decision to the attending physician
   • D. Request an ethics committee consultation as the first action

   Answer: B. Advocate for the patient's documented wishes in the advance directive

   The nurse's primary role as patient advocate is to ensure the patient's documented wishes in a valid advance directive are honored, even when family disagrees.

2. 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.

3. 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.

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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