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. Which documentation entry best reflects the principles of accurate nursing charting?

   • A. Patient seemed anxious and uncooperative during assessment.
   • B. Patient refused morning medications without stating a reason.
   • C. Patient stated 'I don't want to take those pills' and refused all 0800 medications; provider notified.
   • D. Patient is non-compliant with medication regimen.

   Answer: C. Patient stated 'I don't want to take those pills' and refused all 0800 medications; provider notified.

   Accurate charting uses objective, specific, and factual language including direct quotes, actions taken, and follow-up notifications.

2. A nurse is creating a plan of care for a client newly diagnosed with an acute deep vein thrombosis (DVT) in the left leg. Which of the following nursing interventions should be included in the plan?

   • A. Massaging the affected calf gently to reduce pain.
   • B. Applying sequential compression devices (SCDs) to both legs.
   • C. Encouraging active range-of-motion exercises for the affected leg.
   • D. Elevating the affected extremity while the client is in bed.

   Answer: D. Elevating the affected extremity while the client is in bed.

   For a client with an acute DVT, elevating the affected leg is recommended to promote venous return by gravity, which helps decrease edema and pain. Massaging the leg, applying SCDs to the affected limb, and performing active range-of-motion exercises are contraindicated as they can dislodge the thrombus, potentially leading to a life-threatening pulmonary embolism.

3. A PN is coordinating care for a patient being discharged to a skilled nursing facility. Which action is the PN's priority?

   • A. Calling the receiving facility to confirm bed availability
   • B. Ensuring transfer documentation and medication reconciliation are complete
   • C. Arranging transportation for the patient
   • D. Notifying the patient's family of the discharge date

   Answer: B. Ensuring transfer documentation and medication reconciliation are complete

   Complete and accurate transfer documentation and medication reconciliation are essential to ensure continuity and patient safety during transitions of care.

4. A nurse is caring for a client receiving Total Parenteral Nutrition (TPN) via a central venous catheter. Which of the following is a priority nursing intervention to prevent a metabolic complication?

   • A. Monitoring blood glucose levels every 4 to 6 hours.
   • B. Changing the central line dressing every 24 hours.
   • C. Using the TPN line to administer IV push antibiotics.
   • D. Infusing the TPN solution rapidly if it falls behind schedule.

   Answer: A. Monitoring blood glucose levels every 4 to 6 hours.

   TPN solutions have a high dextrose concentration, which places the client at high risk for hyperglycemia. Frequent blood glucose monitoring (typically every 4-6 hours) is essential to detect and manage this common and serious metabolic complication. Central line dressings are changed using sterile technique, but typically not every 24 hours (usually every 7 days or per protocol). The TPN line should be dedicated to the TPN infusion to prevent infection. TPN rates should never be increased to 'catch up' as this can cause severe metabolic disturbances like hyperglycemia and fluid overload.

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