The Nursing Acceleration Challenge Exam

on working hard to put yourself in position to take the Nursing Acceleration
Challenge Exam (NACE) section that covers the Foundations of Nursing. To
support your efforts in preparing for a successful testing experience, we’ve
assembled a wide range of information that will help you prepare for and take
the exam, including details on registration, the cost of the exam, reminders of
what to bring and what not to bring on the day of the test, what to expect on
the exam itself and more.

Exam Purpose and Background

NACE Foundations of Nursing exam assesses your knowledge of basic physiological
and psychosocial needs of patients. The exam is put forth by the National
League for Nursing (NLN) to serve as another way to ensure standardized,
top-quality care across the industry. The exam
is one of the criteria that individual nursing programs use as they
review applications for entry into their programs and consider proper


You can find complete registration details online at, or by connecting with your
local nursing program.


The exam fee for the NACE Foundations of Nursing exam is $75.


You’ll receive more information about available testing times and
locations once you complete the online registration process.

Test Duration: The testing period for this exam is four

What to Bring:

  • Be sure to bring one form of
    government-issued identification with you on the day of your exam that shows
    your name, photo and signature. cceptable types of identification include
    driver’s license, state ID card with photo, passport, military ID card with

What Not to Bring:

  • Any electronic devices, including phones,
    calculators, tablets, etc.
  • Personal items of any kind
  • Pens or pencils
  • Paper, notes or books
  • Any kind of food or drink
  • Any weapons

What to Expect During Your Exam

Format/Number of Questions: You’ll take
this exam using a computer. It consists of 200 questions.  


NACE Foundations of Nursing test will assess your ability to apply the
principles of the nursing process, including:

Assessment — Reviewing and gathering a variety of cultural, emotional and physical data, along with recognizing behaviors, symptoms and other signs.

Analysis — Involves data interpretation, client need identification and nursing diagnosis.

Planning — Includes goal setting, care measurement selection and care technique identification.

Implementation — Covers items such as supplying client information that may be requested, along with possible teaching elements.

Evaluation — Involves acknowledging the types of treatments and measures that may be required during care, including both unintended and intended effects of the care. This stage also includes assessing whether the patient has followed the prescribed treatment plan along with reviewing the patient’s reaction to treatment and measures.

Assessed Conditions

You can expect the test to cover a wide range of
possible ailments, including stress, loss of consciousness, preoperative care,
incontinence, postoperative care, infectious disease, death and dying, fluid
and electrolyte imbalance, chronic illness and pain.

Content Areas

You can
expect six primary areas of content on the NACE Foundations of Nursing
assessment. Here’s an overview of those six areas:

Content Area 1: Basic Health Needs

Content Area 2: Physiologic Needs — Includes
elements such as comfort, hygiene, body alignment, safety, rest and sleep,
exercise and ambulation, elimination, nutrition, fluids and electrolyte
balance, respiration and circulation, and growth and development.

Content Area 3: Psychosocial — Looks at
areas such as security, growth and development, defense mechanisms,
self-actualization, stimulation, loss and death, self-esteem, belonging,
sexuality and spiritual preference.

Content Area 4: Communication — Reviews
knowledge of topics such as non-verbal communication, verbal communication and

Content Area 5: General Principles of
Medication Administration

Content Area 6: Moral/Ethical/Legal Issues

Exam Scoring: Exams are scored from 0 to 100 and are intended to add to faculty assessments. With that in mind, there is no single pass or fail determination or score that is established nationwide. Instead, this determination is made by individual nursing programs that each establish their own scores as part of entry into their respective programs. Once you complete the NACE Foundations of Nursing exam, you can expect to learn your score within 24 hours after taking the exam.

How Can I Prepare for the The Nursing Acceleration Challenge Exam?

That’s a great question.  We’ve broken down the answer into three parts.

  1. Do yourself a favor and study.  Do not walk in unprepared. We have recommended prep materials below, but that only helps if you actually try.  Plus, studying is actually proven to be the best antidote to test anxiety.
  2. Take care of yourself.  Make sure you’re eating well, exercising, and sleeping.  All of these things are scientifically linked to brain performance.  If you take care of your body, you’ll be helping your grades.
  3. Get a study guide or set of flashcards.  Some people study better a certain way. Find your study strengths and make the most of them.  We’ve tried to make it easy for you by tracking down the best study guide and flashcard set for your exam.  Below you’ll see links to both!

Study Guide



Last Updated: November 9, 2023