
NACE Practice Test
Updated for October 2026What changed for the NACE I PN-RN (Foundations of Nursing) exam in 2026
- NACE I is still offered in 2026. The NLN Assessment Services pricing sheet effective March 1, 2026 lists "NACE โ Foundations of Nursing" (the NACE I PN-RN exam) alongside the four NACE II titles (Nursing Care of Adults, Children, Childbearing Family, Mental Health Client). (source)
- Current format: 100 items in 150 minutes (2.5 hours). NACE-FON version 1.2, introduced in 2023, cut the exam from 200 items / 240 minutes to 100 items / 150 minutes and limited content to the LPN/VN scope of practice. (source)
- Blueprint by nursing process: Assessment 24%, Planning 24%, Implementation 29%, Evaluation 23%, sampled across topics such as basic health needs, hygiene, safety, comfort, nutrition, elimination, fluids and electrolytes, medication principles, respiration and circulation, communication, documentation, loss and death, and moral/ethical/legal issues. (source)
- 2026 fee: US$75 school-administered on campus, or US$96 virtual through Proctor360 (pricing effective 03/01/2026). The optional NLN Foundations of Nursing practice exam is US$62. Proctor360 sessions must be booked 48 hours ahead; a US$30 fee applies for on-demand scheduling or rescheduling under 24 hours. The NLN has a no-refund policy. (source)
- Scoring: the NLN reports a percentage-correct score with four nursing-process subscores plus a percentile rank; it does not set a pass/fail score, each school does. In the 2023 operational group, 68% correct was the 50th percentile and 74% the 75th percentile. (source) (source)
- Results: scores appear on the student's My Dashboard immediately after the exam (reports to the school within 24 hours) and the score report stays available for three years. (source)
- Retakes: the NLN requires 30 days between attempts on the same exam unless a school sets a different frequency, and it reports every score attained; schools set their own limits (e.g., Piedmont Technical College: one attempt per year, minimum 65%; Hopkinsville CC: every 6 weeks, recommended 76% composite). (source) (source) (source)
Last verified: September 17, 2026 against the National League for Nursing (NLN) Assessment Services.
The NLN NACE Exam (Nursing Acceleration Challenge Exam) is the primary gateway for LPNs and LVNs to advance to Registered Nursing (RN) programs, validating prior learning to bypass introductory coursework. LPN-to-RN bridge students may also want to practice with our NCLEX practice test.
Understanding NACE Certification for PN-to-RN Advancement
NACE certification through the Nursing Acceleration Challenge Exam I validates that licensed practical nurses possess the foundational nursing knowledge required for registered nurse licensure. Unlike traditional bridge programs that require additional semesters of coursework, NACE certification allows experienced LPNs to demonstrate competency through a single standardized assessment. Candidates who pass earn academic credit that satisfies prerequisite requirements at participating nursing programs, significantly reducing the time and cost of earning an RN degree.

NACE Practice Test Questions
Prepare for the Nursing Acceleration Challenge Exam I PN-RN exam with our free practice test modules. Each quiz covers key topics to help you pass on your first try.
NACE: Foundations of Nursing
NACE Exam Questions covering NACE: Foundations of Nursing. Master NACE Test concepts for certification prep.
NACE Basic Care and Comfort
NACE Mock Exam on Basic Care and Comfort. NACE Study Guide questions to pass on your first try.
NACE Ethical and Legal Principles
NACE Test Prep for Ethical and Legal Principles. Practice NACE Quiz questions and boost your score.
NACE Fluid and Electrolyte Balance
NACE Questions and Answers on Fluid and Electrolyte Balance. Free NACE practice for exam readiness.
NACE Foundations of Nursing
NACE Mock Test covering Foundations of Nursing. Online NACE Test practice with instant feedback.
NACE Foundations of Nursing Practice
Free NACE Quiz on Foundations of Nursing Practice. NACE Exam prep questions with detailed explanations.
NACE General Practice
NACE Practice Questions for General Practice. Build confidence for your NACE certification exam.
NACE Management of Care
NACE Test Online for Management of Care. Free practice with instant results and feedback.
NACE Nursing Acceleration Challenge Exam I...
NACE Study Material on Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation. Prepare effectively with real exam-style questions.
NACE Nursing Acceleration Challenge Exam I...
Free NACE Test covering Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance. Practice and track your NACE exam readiness.
NACE Pharmacological and Parenteral Therapies
NACE Exam Questions covering Pharmacological and Parenteral Therapies. Master NACE Test concepts for certification prep.
NACE Physiological Adaptation
Free NACE Practice Test featuring Physiological Adaptation. Improve your NACE Exam score with mock test prep.
NACE Psychosocial Needs and Development
NACE Mock Exam on Psychosocial Needs and Development. NACE Study Guide questions to pass on your first try.
NACE Reduction of Risk Potential
NACE Test Prep for Reduction of Risk Potential. Practice NACE Quiz questions and boost your score.
NACE Safety and Infection Control
NACE Questions and Answers on Safety and Infection Control. Free NACE practice for exam readiness.
NACE Nursing Acceleration Challenge
NACE Mock Test covering Nursing Acceleration Challenge. Online NACE Test practice with instant feedback.
NACE Nursing Acceleration Challenge Exam I...
Free NACE Quiz on Nursing Acceleration Challenge Exam I PN Communication and Documentation. NACE Exam prep questions with detailed explanations.
NACE Nursing Acceleration Challenge Exam I...
NACE Practice Questions for Nursing Acceleration Challenge Exam I PN Cultural and Spiritual Considerations in Nursing. Build confidence for your NACE certification exam.
NACE Nursing Acceleration Challenge Exam I...
NACE Test Online for Nursing Acceleration Challenge Exam I PN Hospice, Palliative Care, and End-of-Life Nursing. Free practice with instant results and feedback.
NACE Nursing Acceleration Challenge Exam I...
NACE Study Material on Nursing Acceleration Challenge Exam I PN Nutrition and Diet Therapy. Prepare effectively with real exam-style questions.
NACE Nursing Acceleration Challenge Exam I...
Free NACE Test covering Nursing Acceleration Challenge Exam I PN-RN Basic Care and Comfort Questions and Answers. Practice and track your NACE exam readiness.
NACE Nursing Acceleration Challenge Exam I...
NACE Exam Questions covering Nursing Acceleration Challenge Exam I PN-RN Ethical and Legal Principles Questions and Answers. Master NACE Test concepts for certification prep.
NACE Nursing Acceleration Challenge Exam I...
Free NACE Practice Test featuring Nursing Acceleration Challenge Exam I PN-RN Foundations of Nursing. Improve your NACE Exam score with mock test prep.
NACE Nursing Acceleration Challenge Exam I...
NACE Mock Exam on Nursing Acceleration Challenge Exam I PN-RN Foundations of Nursing Practice Questions and Answers. NACE Study Guide questions to pass on your first try.
NACE Nursing Acceleration Challenge Exam I...
NACE Test Prep for Nursing Acceleration Challenge Exam I PN-RN Management of Care Questions and Answers. Practice NACE Quiz questions and boost your score.
NACE Nursing Acceleration Challenge Exam I...
NACE Questions and Answers on Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation. Free NACE practice for exam readiness.
NACE Nursing Acceleration Challenge Exam I...
NACE Mock Test covering Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Health Promotion and Maintenance. Online NACE Test practice with instant feedback.
NACE Nursing Acceleration Challenge Exam I...
Free NACE Quiz on Nursing Acceleration Challenge Exam I PN-RN Pharmacological and Parenteral Therapies Questions and Answers. NACE Exam prep questions with detailed explanations.
NACE Nursing Acceleration Challenge Exam I...
NACE Practice Questions for Nursing Acceleration Challenge Exam I PN-RN Physiological Adaptation Questions and Answers. Build confidence for your NACE certification exam.
NACE Nursing Acceleration Challenge Exam I...
NACE Test Online for Nursing Acceleration Challenge Exam I PN-RN Psychosocial Needs and Development Questions and Answers. Free practice with instant results and feedback.
NACE Exam Flashcards
Quick review for NACE I and NACE II topics
๐ฉบWhat is the priority nursing intervention for a patient with acute pulmonary edema?
Administer oxygen and place the patient in high-Fowler's position to improve gas exchange and reduce venous return.
START NACE PRACTICE TEST๐What is a common side effect of ACE inhibitors that patients should report?
A persistent dry cough is a common side effect of ACE inhibitors like Lisinopril.
GET NACE EXAM PREP๐ถWhen does the anterior fontanelle typically close in an infant?
The anterior fontanelle typically closes between 12 and 18 months of age.
REVIEW NACE QUESTIONS๐ง What is the therapeutic range for Lithium levels?
The therapeutic maintenance range for Lithium is typically 0.6 to 1.2 mEq/L.
TRY NACE MOCK EXAM๐What is the proper angle for a subcutaneous injection?
Subcutaneous injections are typically given at a 45 to 90-degree angle depending on tissue amount.
ACCESS NACE STUDY GUIDE๐ฉธWhat is the universal donor blood type?
Type O Negative is considered the universal donor blood type for red blood cells.
PRACTICE NACE TEST NOWNACE Exam Study Guide
Our comprehensive NACE study guide covers everything you need to know about the exam. From the NACE 1 exam basics to registration and results, explore each tab to ensure you are fully prepared for your NACE test prep journey.
NACE Score Calculator
Total Scored Questions
100
70 out of 100 correct
70%
Required to Pass: ~70% (Estimated)
NACE Registration Process
Follow these steps to register for and take the Nursing Acceleration Challenge Exam. LPN-to-RN bridge students may also want to practice with our NCLEX practice test.
- Verify Eligibility - Ensure you meet the LPN/LVN experience requirements of your target bridge program.
- Create NLN Account - Visit the National League for Nursing website and create a testing account.
- Select Exam - Choose the specific NACE exam (NACE I or NACE II) required by your school.
- Pay Fee - Pay the NACE test cost ($75 school-administered on campus or $96 virtual via Proctor360, NLN pricing effective March 2026) online.
- Schedule Test - Book a session your school administers on campus, or schedule a live remote-proctored session with Proctor360 at least 48 hours ahead.
- Review Materials - Use a NACE study guide and free NACE practice test resources to prepare.
- Take Exam - Bring valid ID and arrive early on your testing day.
What Is the NACE Exam and Why It Matters for PN-to-RN Advancement
The NACE (Nursing Acceleration Challenge Exam) is a standardized test developed by the National League for Nursing (NLN) that allows licensed practical nurses to demonstrate college-level nursing knowledge and accelerate their path to an RN degree. The NACE I specifically covers foundational nursing content areas including anatomy, physiology, and life sciences that LPNs are expected to have mastered through clinical experience and prior education. Passing the NACE can save months or even a full year of coursework by granting academic credit at participating nursing programs.
NACE Exam Structure and Scoring
The NACE I PN-RN exam consists of 100 multiple-choice questions with a time limit of 150 minutes (2.5 hours), and the NLN reports a percentage-correct score plus a percentile rank. Each nursing school sets its own minimum passing score, so candidates should confirm the required threshold with their specific program before testing.
NACE Certification Requirements for PN-RN Bridge Programs
NACE certification through the NLN serves as proof that a licensed practical nurse possesses the academic knowledge equivalent to foundational nursing coursework at the college level. Many PN-to-RN bridge programs require NACE certification as a prerequisite for admission or for granting advanced placement within their curriculum. Candidates must hold a current LPN or LVN license and typically need to register through the NLN's official testing portal to schedule their exam either on campus through their school or online with a live Proctor360 proctor.
How NACE Certification Differs from NCLEX
Unlike the NCLEX-RN, which is a licensure exam required to practice as a registered nurse, NACE certification is an academic credit-by-examination pathway that validates prior learning rather than granting a professional license. The NACE I focuses on foundational sciences and nursing concepts, while the NCLEX-RN emphasizes clinical judgment and safe patient care across all practice areas.
What Is the NACE Exam?
The NACE, or Nursing Acceleration Challenge Exam, is a standardized test developed by the National League for Nursing (NLN) that allows licensed practical nurses and licensed vocational nurses to earn credit for foundational nursing coursework. By passing the NACE I PN-RN exam, LPNs and LVNs can bypass redundant classroom hours and transition directly into an RN program at an advanced standing. The exam validates that a candidate already possesses the clinical knowledge and nursing fundamentals taught in early semesters of a registered nursing program, making it a practical gateway for experienced nurses seeking career advancement without repeating material they use daily in patient care.
NACE I PN-RN Exam Structure and Scoring
The NACE I PN-RN exam contains 100 multiple-choice questions covering foundations of nursing practice, including basic patient care, pharmacology principles, nutrition, mental health concepts, and the nursing process. Candidates are given 150 minutes to complete the test, which is administered on campus by the nursing school or online through the NLN's Proctor360 remote proctoring service. Scores are reported as a percentage correct with a percentile rank, and each nursing school sets its own minimum passing score (commonly in the 65-76% range). Because there is no universal passing threshold, applicants should confirm the required score with their target RN bridge program before sitting for the exam. Registration is handled through the NLN website, and the 2026 testing fee is $75 for a school-administered exam or $96 for the virtual version.
Free NACE Practice Exam Questions and Study Guide PDF
Looking for free NACE practice exam questions before you register for the real thing? The fastest way to gauge readiness is a NACE free practice exam that mirrors the official item style: single-best-answer, scenario-based questions drawn from the same nursing-process blueprint (Assessment, Planning, Implementation, Evaluation) the NLN uses to build the NACE I PN-RN exam. This page works as a full NACE practice test free resource — every quiz module above maps to a content area on the blueprint, so a NACE practice exam session here pinpoints weak spots in basic health needs, medication principles, or fluid and electrolyte balance before you pay the $75-$96 official fee. Candidates searching for more structured NACE exam practice questions should pair each quiz with our downloadable NACE study guide PDF, which summarizes the same topics in a print-friendly format for offline review. Combine short, frequent practice sessions (20-30 questions at a time) with the flashcards above for spaced repetition, and let your results guide how much additional NACE prep you schedule before test day. Most candidates who work through 300 or more questions across every content area report feeling confident walking in, so treat this page as your ongoing NACE prep hub rather than a one-time review.
Budget approximately $100 to $150 for your NACE test prep and exam fees per test required.


NACE Test Day Checklist
- โValid Government ID
- โNLN Account Login
- โAppointment Confirmation
- โArrive 30 Mins Early
- โNo Personal Items
- โReview NACE Notes
- โRelaxation Techniques
- โWater/Snack (Locker)
Ready to Pass the NACE Exam?
Join thousands of nursing students who passed their NLN NACE exam with our free practice resources. Start your journey to becoming an RN today!
- +Validates your knowledge and skills objectively
- +Increases job market competitiveness
- +Provides structured learning goals
- +Networking opportunities with other certified professionals
- โStudy materials can be expensive
- โExam anxiety can affect performance
- โRequires dedicated preparation time
- โRetake fees apply if you don't pass
Pros and Cons at a Glance
| Pros | Cons |
|---|---|
| Validates your knowledge and skills objectively | Study materials can be expensive |
| Increases job market competitiveness | Exam anxiety can affect performance |
| Provides structured learning goals | Requires dedicated preparation time |
| Networking opportunities with other certified professionals | Retake fees apply if you don't pass |
Official Resources
- NLN Assessment Services - the National League for Nursing's official hub for NACE exam information, including current pricing and exam descriptions for both NACE I and NACE II.
- NLN Student Resources - official guidance from the NLN on registering for NLN assessments, testing policies, and what to expect on exam day.
- How to Access Your NACE Results - the NLN's official instructions for viewing your score report on your My Dashboard after testing.
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.
The NACE I PN-RN exam is designed for which population of nursing students?
- A. New nursing students entering an LPN program
- B. Licensed practical nurses seeking registered nurse licensure through an accelerated program
- C. Registered nurses pursuing a master's degree
- D. Nursing students entering a doctoral program
Answer: B. Licensed practical nurses seeking registered nurse licensure through an accelerated program
The NACE I (Nursing Acceleration Challenge Exam) is designed for LPNs/LVNs who wish to transition to RN status by demonstrating competency in nursing knowledge.
A competent 80-year-old client with end-stage chronic obstructive pulmonary disease (COPD) has a living will that explicitly states they do not want mechanical ventilation. The client develops acute respiratory failure and becomes lethargic. The client's family insists that 'everything be done' to save them. Which action by the nurse demonstrates proper legal and ethical practice?
- A. Ask the provider to request an ethics committee consultation to mediate the conflict.
- B. Follow the family's wishes, as the client is no longer able to clearly communicate.
- C. Honor the client's advance directive and advocate for comfort care measures.
- D. Initiate mechanical ventilation as requested by the family until the client is stable.
Answer: C. Honor the client's advance directive and advocate for comfort care measures.
A living will is a legal advance directive that outlines a competent client's wishes for medical treatment at the end of life. The nurse has an ethical and legal obligation to honor these documented wishes. The principle of autonomy dictates that the client's right to self-determination be respected. The nurse's primary role is to advocate for the client's wishes, which in this case involves providing comfort care rather than initiating unwanted life-sustaining treatment.
A charge nurse observes a licensed practical nurse (LPN) performing a task outside their scope of practice. What is the charge nurse's immediate priority?
- A. File a formal incident report before speaking to the LPN
- B. Immediately stop the task and ensure client safety
- C. Allow the LPN to complete the task and address it later
- D. Ask the client if they consent to the LPN performing the task
Answer: B. Immediately stop the task and ensure client safety
Client safety is the immediate priority; the charge nurse must stop the out-of-scope activity at once, then follow up with documentation and education.
A nurse is administering potassium chloride 40 mEq IV. Which practice is safest?
- A. Administer as an IV push over 5 minutes
- B. Dilute in at least 100 mL and infuse no faster than 10 mEq/hour
- C. Mix with normal saline in a 1 mEq/mL concentration and push slowly
- D. Add to a 50 mL minibag and infuse over 15 minutes
Answer: B. Dilute in at least 100 mL and infuse no faster than 10 mEq/hour
IV potassium must be diluted and infused slowly (โค10 mEq/hr peripherally) to prevent cardiac dysrhythmias; IV push is never acceptable.
Take the full Nursing Acceleration Challenge Exam (NACE) I PN-RN practice test
Nursing Acceleration Challenge Exam I PN-RN Questions and Answers
About the Author

Registered Nurse & Healthcare Educator
Johns Hopkins University School of NursingDr. Sarah Mitchell is a board-certified registered nurse with over 15 years of clinical and academic experience. She completed her PhD in Nursing Science at Johns Hopkins University and has taught NCLEX preparation and clinical skills courses for nursing students across the United States. Her research focuses on evidence-based exam preparation strategies for healthcare certification candidates.
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