FREE NACE Foundations of Nursing 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. 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.

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.

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.

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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