NACE I PN-RN Study Guide 2026–2027 | LPN to RN Prep & 200 Practice Questions

Prepare for the NACE I PN-RN: Foundations of Nursing exam, the NLN assessment LPNs and LVNs take to earn advanced placement in an RN program. This study guide follows the five areas of the NLN content outline and frames every topic the way the exam does: through assessment, planning, implementation, and evaluation.

This 148-page digital guide pairs a full content review with two full-length practice tests of scenario-based, exam-level questions, so you practice the priority-setting, therapeutic-communication, delegation, and dosage-calculation judgment the NACE I rewards.

What's Inside

• An overview of the current exam: 100 multiple-choice items in 150 minutes, the item split by nursing-process phase, delivery (school site or live remote proctoring), scoring, decision scores, and retakes
• Basic Physiologic Needs: hygiene and pressure injuries (Braden), pain assessment tools, fall prevention and restraints, chain of infection, hand hygiene, isolation precautions and PPE order, positioning and assistive devices, complications of immobility, sleep, nutrition and therapeutic diets, dysphagia and enteral feeding, elimination and ostomy care, CAUTI prevention, vital signs, oxygen delivery devices, fluid and electrolyte imbalances, IV complications, and growth and development
• Basic Psychosocial Needs: Maslow's hierarchy, self-concept and body image, anxiety levels, defense mechanisms, crisis intervention, Erikson and Piaget, spiritual and culturally congruent care, human sexuality, social support, advance directives, end-of-life ethics, grief, signs of approaching death, and barriers to self-care
• Communication: documentation standards and the Do Not Use list, SOAP, DAR, PIE, charting by exception, SBAR, aphasia and sensory barriers, therapeutic techniques, and non-therapeutic responses with better alternatives
• General Principles of Medication Administration: the rights of medication administration, injection technique and sites, insulin mixing, dosage calculation with worked examples, pharmacokinetics, pharmacodynamics, drug interactions, the Beers criteria, and heart failure medications
• Moral, Ethical, and Legal Issues: the current 10-provision ANA Code of Ethics, informed consent, HIPAA, ethical principles and theories, negligence and malpractice, intentional torts, delegation, mandatory reporting, and EMTALA
• Labeled diagrams (lower respiratory tract, injection angles, Maslow's hierarchy), 50+ quick-reference tables, flowcharts, and charts
• A 5-week study schedule, FAQs, test-taking strategies with priority-setting frameworks, and recommended resources
• 2 full-length practice tests (200 questions) with a quick answer grid and a detailed explanation for every answer

Format

• Instant digital download (PDF), 8.5 × 11 in
• Clickable table of contents
• Print it or study on a tablet, laptop, or phone

Please note: This is a digital product. No physical item will be shipped.

NLN® is a registered trademark of the National League for Nursing. Test Treasure Publication is not affiliated with or endorsed by the National League for Nursing or any testing organization; all exam and organization names referenced are trademarks of their respective owners.