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NLN NACE I Exam Content Outline

Students applying for the LPN to RN Completion Option are required to complete the National League for Nursing (NLN) Nursing Acceleration Challenge Exam—Book I: Foundations of Nursing exam (NACE I). This exam will be computer-based and administered in a 3.5 (three and one half) hour session.

Students will need to obtain a minimum decision score of 74 or higher to be considered for admission to the program. Test scores will be valid for one application year only. The exam can be retaken in six (6) weeks.

The NACE I includes content related to nursing care to meet basic physiological and psychosocial needs. NACE I questions are written in the framework of the nursing process. This reflects the current approach for providing care to clients. For purposes of the NACE I, the steps of the nursing process are defined as follows:

  1. Assessing– includes collecting physical, emotional and cultural data; and recognizing signs, symptoms and behaviors.
  2. Analyzing– includes interpreting data, identifying clients’ needs and making nursing diagnoses.
  3. Planning- includes setting goals, selecting measures for care and identifying correct techniques for giving care.
  4. Implementing– includes responding appropriately to clients’ needs for nursing care and using effective communication when giving information and/or teaching.
  5. Evaluating– includes recognizing intended and unintended effects of measures and treatments, determining evidence of clients’ compliance with treatment plans and determining evidence of clients’ response to measure and treatment.

How to prepare for the exam:

The NLN does not publish a review guide for this exam; however, the Nursing Department recommends that students utilize their LPN course books and NCLEX-PN study guides to prepare for taking the exam. In addition, the NLN has supplied the following outline of exam content for examinee’s reference.

The NACE I has individual questions involving clients who have common health problems. The nursing process – assessing, analyzing, planning, implementing and evaluating – is applied in items throughout the test. Questions include a sample of situations involving clients in health care settings with one or more of the following conditions:

  • Pain Chronic illness
  • Death and dying
  • Fluid and electrolyte imbalance
  • Incontinence
  • Preoperative care
  • Postoperative care
  • Loss of consciousness
  • Stress

The Content areas are divided into the following general headings:

  1. Basic Health Needs
    1. Physiologic Needs
      1. Hygiene
      2. Comfort
      3. Safety
      4. Body Alignment
      5. Exercise/Ambulation
      6. Rest and Sleep
      7. Nutrition
      8. Elimination
      9. Respiration/Circulation
      10. Fluids/Electrolyte Balance
      11. Growth/Development
    2. Psychosocial
      1. Sexuality
      2. Spiritual preference, Cultural
      3. Self-esteem
      4. Belonging
      5. Stimulation
      6. Loss and Death
      7. Self-actualization
      8. Security
      9. Defense Mechanisms
      10. Growth and Development
  2. Communication
    1. Documentation
    2. Verbal Communication
    3. Non-Verbal Communication
  3. General Principles of Medication Administration
  4. Moral/Ethical/Legal Issues