FREE NACE Care of an Adult Questions and Answers 2026 October

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 developing a plan of care for an older adult client at risk for pressure injuries. Which of the following interventions should be included?

   • A. Massaging bony prominences to increase circulation.
   • B. Repositioning the client every 4 hours.
   • C. Using donut-shaped cushions for seating.
   • D. Keeping the skin clean and dry and using a moisturizer.

Answer: D. Keeping the skin clean and dry and using a moisturizer.

Maintaining skin integrity by keeping it clean, dry, and well-moisturized is a fundamental aspect of pressure injury prevention. Massaging bony prominences is contraindicated as it can cause tissue damage. At-risk clients should be repositioned more frequently, typically every 2 hours. Donut-shaped cushions are avoided because they can impair blood flow.

Answer: B. Assess the patient's decision-making capacity for this specific decision

A dementia diagnosis does not automatically negate decision-making capacity; the nurse must assess capacity for each specific decision.

Answer: A. 45 years

The American Cancer Society updated its guideline to recommend colorectal cancer screening beginning at age 45 for average-risk adults.

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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