LCAS Study Guide 2026

Everything you need to pass the LCAS exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.

LCAS exam key facts

The IC&RC AADC exam required for the North Carolina LCAS has 150 multiple-choice questions: 125 scored and 25 unscored pretest questions. Source
Candidates have 3 hours to complete the IC&RC AADC exam for the North Carolina LCAS. Source
The IC&RC AADC exam for the North Carolina LCAS is scored on a 200–800 scale, and candidates need a scaled score of at least 500 to pass. Source
The IC&RC AADC exam for the North Carolina LCAS costs $150, on top of a $25 application fee, a $38 background check fee and a $200 registration fee for Criteria A, B and C applicants. Source
Candidates who fail the IC&RC AADC exam for the North Carolina LCAS must wait at least 90 days before retaking it, and this wait cannot be waived. Source

Start the Timed LCAS Mock Exam →

📋 LCAS Exam Format at a Glance

150

Questions

180 min

Time Limit

70%

Passing Score

Take a Full LCAS Exam Simulation →

📚 LCAS Topics to Study (14)

Pharmacology of Addictive Substances · 7 cards Pharmacology of Addictive Substances · 7 cards Documentation Standards · 6 cards Ethics and Confidentiality · 6 cards Health Promotion · 6 cards Infection Prevention · 6 cards Interdisciplinary Care · 6 cards Patient Assessment · 6 cards Quality Improvement · 6 cards Treatment Protocols · 6 cards Co-occurring Disorders · 5 cards Crisis Intervention · 5 cards Treatment Modalities · 5 cards Treatment Planning · 5 cards

✍️ Sample LCAS Questions & Answers

1. Which of the following is a characteristic of the 12-Step Program?

✓ An emphasis on self-help and peer support

The 12-Step Program, exemplified by Alcoholics Anonymous (AA) and Narcotics Anonymous (NA), is fundamentally a peer-led, self-help recovery program. It emphasizes mutual support, shared experiences, and spiritual principles to achieve and maintain sobriety. This model relies on the power of community and personal responsibility rather than professional medical intervention.

2. How should errors be handled in health promotion?

✓ Report errors through proper channels, take corrective action, and communicate with affected patients

A culture of safety requires honest error reporting, corrective action, and transparent communication with affected patients.

3. How should patient consent be obtained for patient assessment procedures?

✓ Informed consent including risks, benefits, alternatives, and right to refuse

Informed consent requires a thorough discussion of risks, benefits, alternatives, and the patient's right to refuse treatment.

4. Which intervention is most appropriate for a client in acute withdrawal during a crisis?

✓ Immediate referral to medical detoxification

Acute withdrawal can be medically dangerous and even life-threatening, especially with certain substances. Therefore, the most appropriate intervention for a client in acute withdrawal during a crisis is an immediate referral to medical detoxification. In a medical setting, they can receive supervised care and medication to manage symptoms safely and prevent severe complications.

5. What privacy protection applies to interdisciplinary care records?

✓ HIPAA and applicable state laws protect all patient health information

HIPAA and applicable state privacy laws protect all patient health information regardless of format or procedure type.

6. What privacy protection applies to documentation standards records?

✓ HIPAA and applicable state laws protect all patient health information

HIPAA and applicable state privacy laws protect all patient health information regardless of format or procedure type.

🎯 Free LCAS Practice Tests

Pharmacology of Addictive Substances · 7 questions Pharmacology of Addictive Substances · 7 questions Health Promotion · 6 questions Ethics and Confidentiality · 6 questions Infection Prevention · 6 questions Quality Improvement · 6 questions Interdisciplinary Care · 6 questions Patient Assessment · 6 questions Treatment Protocols · 6 questions Documentation Standards · 6 questions

📖 LCAS Guides & Articles

Your LCAS Study Path

1. Learn with Flashcards → 2. Drill Practice Tests → 3. Take the Full Exam Simulation

🃏 LCAS Flashcards (82)🏆 LCAS Exam Simulation

What Practice Test Geeks adds beyond an AI chat for LCAS

An AI chatbot can quiz you, but it can't reproduce the exam conditions or keep your record. Here you get:

A timed, full-length LCAS mock exam — 150 questions in 180 minutes with a 70% pass mark, modeled on the official exam's question count and time limit, followed by a score report broken down by exam domain.
A fixed LCAS question bank: the same test every attempt, so your score is comparable from one try to the next instead of changing with every regenerated quiz.
Progress saved on your device: completed tests, scores and missed questions stay in My Progress, so you can retake only what you got wrong.
A printable LCAS cheat sheet you can print or save as a PDF.
LCAS flashcards built from the same question bank.
Free LCAS practice tests with the correct answer shown after each question.

Start the Timed LCAS Mock Exam →

Was this helpful?

How this page was made: written with AI tools and published by Nathan Beja, founder of Practice Test Geeks, who is responsible for its content. Exam facts are checked against the official sources listed below. Not reviewed by a subject-matter expert. Editorial policy

Sources & references

Exam facts on this page (fees, format, dates, passing scores) are checked against these official sources; the date is our last check. Editorial policy

internationalcredentialing.org — Passing score, retake policy, score release, exam format, time limit, exam information · verified Oct 2026
ncsappb.org — Test delivery, retake fee, test dates, fees, renewal · verified Oct 2026