2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
2026 NACE (NURSING ACCELERATION CHALLENGE EXAM) EXAM
PREP LATEST 2025/2026 ACTUAL EXAM TEST BANK COMPLETE
170 QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
An elderly client fell and sustained head trauma. A nurse is monitoring this client
for signs of increased intracranial pressure. Which of these signs would provide
the earliest indication that the client's intracranial pressure has increased?
a. Change in the level of consciousness.
b. Drop in blood pressure.
c. Decrease in temperature.
d. Difficulty breathing.
a. Change in the level of consciousness.
One of the earliest signs of increased intracranial pressure following head trauma
is a change in the level of consciousness. Clients with increasing intracranial
pressure will experience an increase in blood pressure. A decrease in temperature
and difficulty breathing are not early signs of increased intracranial pressure.
A client who is suspected of having a hiatal hernia is admitted to the hospital. It is
important for a nurse to ask the client which of these questions?
a. "Do you experience heartburn after a large meal?"
b. "Do you experience loose stools after eating?"
c. "Do you have gastric pain before meals?"
d. "Do you have difficulty swallowing when eating?"
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, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
a. "Do you experience heartburn after a large meal?"
Clients with hiatal hernia often experience heartburn after large meals. They need
to eat small, frequent meals. Clients with hiatal hernia do not experience loose
stools after eating, gastric pain before meals, or difficulty swallowing.
A nurse is caring for a client who has right-sided congestive heart failure. Which of
these measures should be included in the plan of care?
a. Maintaining a semi-Fowler's position.
b. Forcing fluids.
c. Increasing physical activity.
d. Providing nutritional supplements.
a. Maintaining a semi-Fowler's position.
A client with congestive heart failure should be placed in semi-Fowler's position.
This position reduces cardiac workload and promotes the client's ability to
breathe. Fluids and physical activity should be restricted for a client with
congestive heart failure. There is no need for nutritional supplements.
A newly admitted client becomes restless and confused at night. Which of these
nursing measures would be most important to promote the client's safety?
a. Putting the client on a bedpan at regular intervals.
b. Attaching the call bell to the bed near the client's dominant hand.
c. Moving the client to a room with ambulatory patients.
d. Keeping a small light on in the client's room.
d. Keeping a small light on in the client's room.
Keeping a small light on in the patient's room is the most important nursing
2|Page
, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
measure to promote the patient's safety. This will help the patient see the room
(safety measure) and orient themselves as to where they are during the night.
Moving the patient to a room with ambulatory patients, attaching the call bell to
the bed near the patient's dominant hand, or putting the patient on a bedpan at
regular intervals would not be the most important nursing measures to promote
safety.
A nurse identifies all of these nursing diagnoses for a client. Which diagnosis
should the nurse give the highest priority?
a. Impaired skin integrity.
b. Altered nutrition: less than body requirements.
c. Impaired tissue perfusion.
d. Altered comfort: pain.
c. Impaired tissue perfusion.
A nurse gives priority to life-threatening conditions which need immediate
professional attention (those related to oxygenation, circulation, and breathing).
These include respiratory obstruction, severe hemorrhage, or arrest. Nursing
action is to remove or prevent the cause of the most immediate life-threatening
problem.
A nurse is instructing a client on how to limit saturated fat intake and increase
intake of foods high in polyunsaturated fat. Which of these fats is highest in
polyunsaturated fatty acids?
a. Vegetable shortening.
b. Corn oil.
c. Butter.
d. Olive oil.
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, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
b. Corn oil.
Among these choices, corn oil has the highest amount of polyunsaturated fatty
acid. Other oils high in polyunsaturated fats are flax seed oil, hemp oil, pumpkin
seed oil, safflower oil, sesame oil, soybean oil, and sunflower oil. Olive oil, butter,
and vegetable oil are not high in polyunsaturated fatty acids.
A client who has a possible fractured wrist goes to the Emergency Department.
For which of these rationales should a nurse apply a cold pack to the area?
a. Reduce blood flow to the wrist.
b. Increase tissue metabolism in the wrist.
c. Promote delivery of nutrients to the wrist.
d. Reduce blood viscosity in the wrist.
a. Reduce blood flow to the wrist.
Ice will assist vasoconstriction, and therefore decrease blood flow. Increased blood
flow will increase swelling and pain in the affected area.
A client who has weakness of the left arm and leg can walk short distances with a
cane and assistance. Which of these techniques should a nurse select to provide
the client with appropriate assistance?
a. The nurse stands by the client's right side, supporting the right arm, with the
cane on the left side.
b. The client places the cane on the left side, with the nurse supporting the left
side.
c. The nurse stands by the client's left side, supporting the right arm, with the
cane on the left side.
4|Page
2026 NACE (NURSING ACCELERATION CHALLENGE EXAM) EXAM
PREP LATEST 2025/2026 ACTUAL EXAM TEST BANK COMPLETE
170 QUESTIONS AND CORRECT ANSWERS GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
An elderly client fell and sustained head trauma. A nurse is monitoring this client
for signs of increased intracranial pressure. Which of these signs would provide
the earliest indication that the client's intracranial pressure has increased?
a. Change in the level of consciousness.
b. Drop in blood pressure.
c. Decrease in temperature.
d. Difficulty breathing.
a. Change in the level of consciousness.
One of the earliest signs of increased intracranial pressure following head trauma
is a change in the level of consciousness. Clients with increasing intracranial
pressure will experience an increase in blood pressure. A decrease in temperature
and difficulty breathing are not early signs of increased intracranial pressure.
A client who is suspected of having a hiatal hernia is admitted to the hospital. It is
important for a nurse to ask the client which of these questions?
a. "Do you experience heartburn after a large meal?"
b. "Do you experience loose stools after eating?"
c. "Do you have gastric pain before meals?"
d. "Do you have difficulty swallowing when eating?"
1|Page
, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
a. "Do you experience heartburn after a large meal?"
Clients with hiatal hernia often experience heartburn after large meals. They need
to eat small, frequent meals. Clients with hiatal hernia do not experience loose
stools after eating, gastric pain before meals, or difficulty swallowing.
A nurse is caring for a client who has right-sided congestive heart failure. Which of
these measures should be included in the plan of care?
a. Maintaining a semi-Fowler's position.
b. Forcing fluids.
c. Increasing physical activity.
d. Providing nutritional supplements.
a. Maintaining a semi-Fowler's position.
A client with congestive heart failure should be placed in semi-Fowler's position.
This position reduces cardiac workload and promotes the client's ability to
breathe. Fluids and physical activity should be restricted for a client with
congestive heart failure. There is no need for nutritional supplements.
A newly admitted client becomes restless and confused at night. Which of these
nursing measures would be most important to promote the client's safety?
a. Putting the client on a bedpan at regular intervals.
b. Attaching the call bell to the bed near the client's dominant hand.
c. Moving the client to a room with ambulatory patients.
d. Keeping a small light on in the client's room.
d. Keeping a small light on in the client's room.
Keeping a small light on in the patient's room is the most important nursing
2|Page
, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
measure to promote the patient's safety. This will help the patient see the room
(safety measure) and orient themselves as to where they are during the night.
Moving the patient to a room with ambulatory patients, attaching the call bell to
the bed near the patient's dominant hand, or putting the patient on a bedpan at
regular intervals would not be the most important nursing measures to promote
safety.
A nurse identifies all of these nursing diagnoses for a client. Which diagnosis
should the nurse give the highest priority?
a. Impaired skin integrity.
b. Altered nutrition: less than body requirements.
c. Impaired tissue perfusion.
d. Altered comfort: pain.
c. Impaired tissue perfusion.
A nurse gives priority to life-threatening conditions which need immediate
professional attention (those related to oxygenation, circulation, and breathing).
These include respiratory obstruction, severe hemorrhage, or arrest. Nursing
action is to remove or prevent the cause of the most immediate life-threatening
problem.
A nurse is instructing a client on how to limit saturated fat intake and increase
intake of foods high in polyunsaturated fat. Which of these fats is highest in
polyunsaturated fatty acids?
a. Vegetable shortening.
b. Corn oil.
c. Butter.
d. Olive oil.
3|Page
, 2026 NACE (Nursing Acceleration Challenge Exam) EXAM PREP
b. Corn oil.
Among these choices, corn oil has the highest amount of polyunsaturated fatty
acid. Other oils high in polyunsaturated fats are flax seed oil, hemp oil, pumpkin
seed oil, safflower oil, sesame oil, soybean oil, and sunflower oil. Olive oil, butter,
and vegetable oil are not high in polyunsaturated fatty acids.
A client who has a possible fractured wrist goes to the Emergency Department.
For which of these rationales should a nurse apply a cold pack to the area?
a. Reduce blood flow to the wrist.
b. Increase tissue metabolism in the wrist.
c. Promote delivery of nutrients to the wrist.
d. Reduce blood viscosity in the wrist.
a. Reduce blood flow to the wrist.
Ice will assist vasoconstriction, and therefore decrease blood flow. Increased blood
flow will increase swelling and pain in the affected area.
A client who has weakness of the left arm and leg can walk short distances with a
cane and assistance. Which of these techniques should a nurse select to provide
the client with appropriate assistance?
a. The nurse stands by the client's right side, supporting the right arm, with the
cane on the left side.
b. The client places the cane on the left side, with the nurse supporting the left
side.
c. The nurse stands by the client's left side, supporting the right arm, with the
cane on the left side.
4|Page
