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Free Practice Questions for NAADAC NCAC I

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Key Facts: NAADAC NCAC I Exam

$235

NAADAC Application Fee

NAADAC 2026

150

Multiple-Choice Questions

NCC AP exam form

3 hours

Time Limit

NAADAC testing information

6,000 hrs

Supervised Experience Required

NAADAC NCAC I eligibility

270 hrs

SUD-Specific Education

NAADAC NCAC I eligibility

25+ states

Accept NCC AP Exams

NAADAC states list

The NCAC I is the most accessible national addiction-counseling credential in the US: a 150-question, 3-hour exam weighted across orientation to the treatment process (14%), assessment (23%), ongoing treatment planning and implementation (25%), addiction counseling practices and skills (21%), and professional practices (17%), with 67% (100/150) needed to pass. The NCAC I application fee is $235 (renewal $200 every two years), and test fees are separate. Roughly 25+ states use NCC AP exams for licensure (CADC, LCDC, CSAC, CADAC).

Sample NAADAC NCAC I Practice Questions

Try these sample questions to review concepts for the NAADAC NCAC I exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 150+ question experience with AI tutoring.

1Which of the 12 Core Functions of addiction counseling involves administering a brief instrument such as the AUDIT or DAST-10 to determine whether further assessment is needed?
A.Intake
B.Screening
C.Orientation
D.Assessment
Explanation: Screening is the first of the 12 Core Functions and uses brief tools (AUDIT, AUDIT-C, DAST-10, CAGE, ASSIST) to identify whether a person likely has a substance-use problem warranting further evaluation. It is distinct from full assessment, which is a deeper biopsychosocial evaluation.
2A client has documented six DSM-5-TR criteria for alcohol use disorder over the past 12 months. What is the correct severity classification?
A.Mild AUD
B.Moderate AUD
C.Severe AUD
D.AUD in remission
Explanation: DSM-5-TR uses 11 criteria for substance use disorders. Severity is defined as: mild = 2-3 criteria, moderate = 4-5 criteria, severe = 6 or more criteria. Six criteria therefore meet the threshold for severe AUD.
3Which ASAM Criteria dimension addresses a client's living situation, family relationships, and social supports as they relate to recovery?
A.Dimension 2 - Biomedical
B.Dimension 4 - Readiness to Change
C.Dimension 6 - Recovery Environment
D.Dimension 3 - Emotional/Behavioral/Cognitive
Explanation: ASAM Criteria Dimension 6 evaluates the recovery environment, including living situation, family/social supports, work or school setting, legal situation, and any environmental threats to recovery. This dimension often drives level-of-care decisions about residential vs outpatient placement.
4A counselor receives a subpoena for a client's SUD treatment records. Under 42 CFR Part 2, which of the following is required before disclosure?
A.Verbal consent from the client documented in the record
B.A court order issued after a good-cause hearing
C.Written consent from the program director
D.Notification to the client only
Explanation: Under 42 CFR Part 2, a subpoena alone is NOT sufficient to compel disclosure of SUD records. A court order issued after a good-cause hearing (with notice to the client) is required. The court must find that the public interest in disclosure outweighs the harm to the client.
5Which medication is a partial opioid agonist used in medication-assisted treatment for opioid use disorder?
A.Methadone
B.Buprenorphine
C.Naltrexone
D.Acamprosate
Explanation: Buprenorphine is a partial mu-opioid receptor agonist with a ceiling effect that reduces overdose risk compared to full agonists. It is commonly formulated with naloxone (Suboxone, Zubsolv) to deter diversion. The 2023 MAT Act eliminated the X-waiver requirement.
6Which stage of the Transtheoretical Model is characterized by a client who acknowledges a problem but is ambivalent and not yet ready to take action?
A.Precontemplation
B.Contemplation
C.Preparation
D.Action
Explanation: Contemplation is the stage in which the client is aware of the problem and is considering change, but is ambivalent and has not yet committed to action. Motivational interviewing and decisional-balance work are particularly useful here.
7Which acronym describes the four core micro-skills of motivational interviewing?
A.SOAP
B.OARS
C.DARN
D.FRAMES
Explanation: OARS stands for Open-ended questions, Affirmations, Reflective listening, and Summaries. These are the foundational micro-skills used throughout the four MI processes (engaging, focusing, evoking, planning).
8A counselor learns that a client has been driving a vehicle while intoxicated and has minor children in the home. Under most state mandated-reporting laws, what is the counselor's primary obligation?
A.Maintain confidentiality under 42 CFR Part 2
B.Confront the client about the behavior in the next session
C.Make a child-protective-services report consistent with state law
D.Discharge the client from treatment
Explanation: Mandated reporting laws for child abuse or neglect override 42 CFR Part 2 confidentiality protections. Driving intoxicated with children in the home generally meets the threshold for neglect or endangerment in most states; the counselor must report to the appropriate child-protective agency.
9Which assessment tool is most appropriate for monitoring alcohol withdrawal severity in an inpatient setting?
A.AUDIT
B.CIWA-Ar
C.COWS
D.DAST-10
Explanation: The Clinical Institute Withdrawal Assessment for Alcohol - Revised (CIWA-Ar) is the standard instrument for monitoring alcohol withdrawal severity. It scores 10 symptoms; scores above 15 typically indicate need for pharmacologic management to prevent seizures and delirium tremens.
10Which medication blocks opioid receptors and is contraindicated for patients who have used opioids within the past 7-10 days?
A.Methadone
B.Buprenorphine
C.Extended-release naltrexone (Vivitrol)
D.Disulfiram
Explanation: Extended-release naltrexone (Vivitrol, monthly IM) is an opioid antagonist that blocks opioid receptors. Patients must be opioid-free for 7-10 days before initiation to prevent severe precipitated withdrawal.

About the NAADAC NCAC I Exam

The NAADAC National Certified Addiction Counselor, Level I (NCAC I) is the entry-tier national credential for addiction professionals who hold a high school diploma or GED, a current state credential or license, 6,000 hours of supervised counseling experience and 270 contact hours of SUD-specific education. The 150-question, 3-hour exam covers orientation to the treatment process (14%), assessment (23%), ongoing treatment planning and implementation (25%), addiction counseling practices and skills (21%), and professional practices (17%); a score of 67% (100/150) passes. NCAC I is widely accepted as a license-pathway exam in 25+ US states and territories.

Exam sponsor: National Certification Commission for Addiction Professionals (NCC AP), a NAADAC affiliate. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Questions

150 questions

Time Limit

3 hours

Passing Score

67% (100/150)

Exam / Certification Fees

$235 non-refundable NCAC I application/certification review fee (renewal $200 every two years); test applications and fees are separate

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

14%

Orientation to the Treatment Process

Treatment admission: screening, intake and orientation

23%

Assessment

Clinical assessment of the client

25%

Ongoing Treatment Planning and Implementation

Ongoing treatment planning and carrying out the plan

21%

Addiction Counseling Practices and Skills

Counseling services: individual, group, family, crisis intervention and client education

17%

Professional Practices

Legal, ethical and professional growth issues

Preparing for the NAADAC NCAC I Exam

What You Need to Know

  • Passing score: 67% (100/150)
  • Exam length: 150 questions
  • Time limit: 3 hours
  • Exam / certification fees: $235 non-refundable NCAC I application/certification review fee (renewal $200 every two years); test applications and fees are separate Official sources

Using Our Practice Resources

  • Work through all 150 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

NAADAC NCAC I: Suggested Study Strategy

1Memorize all 12 Core Functions in order and what each one looks like in a typical workflow: screening (brief tool + decision to assess), intake (paperwork + rights), orientation (rules + grievance), assessment (biopsychosocial + ASAM dimensions), treatment planning (SMART goals), counseling, case management, crisis intervention, client education, referral, reports/recordkeeping, consultation.
2Master the 2025 NAADAC/NCC AP Code of Ethics (Principles I-XI, effective June 1, 2025), including its rules on the counseling relationship, confidentiality, e-therapy and social media, and its ban on any intimate relationship with a current or former client. Pair this with 42 CFR Part 2 disclosure rules: written consent must specify recipient, purpose, expiration, and right to revoke.
3Drill DSM-5-TR SUD criteria (11 items: severity mild 2-3, moderate 4-5, severe 6+) and ASAM Criteria six dimensions (acute intoxication/withdrawal, biomedical, emotional/cognitive, readiness, relapse/continued use potential, recovery environment) plus the five levels of care (0.5 early intervention, 1 outpatient, 2 IOP/PHP, 3 residential, 4 medically managed inpatient).
4For pharmacology, lock in MAT specifics: methadone (full agonist, daily OTP only, QTc monitoring), buprenorphine/naloxone (partial agonist, office-based, X-waiver eliminated 2023 MAT Act), naltrexone (antagonist, oral or Vivitrol monthly IM, requires 7-10 day opioid-free), acamprosate and disulfiram for AUD, varenicline and NRT for nicotine, and naloxone (Narcan, Kloxxado) rescue.
5Memorize stages of change (Prochaska/DiClemente) plus matching interventions: precontemplation (raise awareness), contemplation (decisional balance), preparation (commitment + plan), action (skills), maintenance (relapse prevention), and recurrence (re-engagement). Practice motivational interviewing OARS micro-skills and recognize MI consistent vs inconsistent counselor statements in scenarios.
6Schedule two timed full-length 150-question simulations in your final 10 days at the 3-hour pace (~72 seconds per item), and review every missed item against TAP 21 or the NAADAC Code. Most candidates pass after one focused pass through a competency-mapped bank plus a final timed simulation week.

Frequently Asked Questions

Who is eligible for the NAADAC NCAC I exam?

Candidates need a GED, high school diploma or higher; a current credential or license as an addiction counselor or professional counselor issued by a state or credentialing authority (associate, provisional, intern or trainee credentials are not accepted); at least three years full-time or 6,000 hours of supervised experience as an addiction counselor; and at least 270 contact hours of education and training, including six hours of ethics and six hours of HIV/other pathogens training within the last six years. They also need a passing score on the NCAC Level One exam or the IC&RC ADC exam, written verification of competency from a supervisor, and a signed statement of adherence to the NAADAC/NCC AP Code of Ethics.

How is the NCAC I exam structured?

The NCAC I written examination has 150 multiple-choice questions with a total testing time of three hours. Registration is online through NCC AP's testing partner, Kryterion, after NCC AP (or your state board) approves you and sends a code; testing is on demand at a testing center or by distance proctoring. NAADAC lists nine skill groups the exam evaluates, from treatment admission and clinical assessment to documentation, case management, discharge and continuing care, and physiology and psychopharmacology.

What does the NCAC I cost in 2026?

The NCC AP application/certification review fee for NCAC I is $235 (non-refundable), and renewal every two years is $200. Test applications and fees are separate from the credential application, and candidates testing for a state credential arrange the exam through their state board. NAADAC publishes the current schedule at naadac.org/Applications-fees and notes that fees are subject to change with notice.

What is the passing score for the NCAC I exam?

NAADAC states that a score of 67% (100 of 150 questions) is passing on the NCAC I written examination.

What are the 12 Core Functions and why do they matter?

The 12 Core Functions of addiction counseling (screening, intake, orientation, assessment, treatment planning, counseling, case management, crisis intervention, client education, referral, reports and recordkeeping, consultation) describe the counselor's workflow. NAADAC's NCAC I page lists nine related skill groups, such as treatment admission (screening, intake and orientation), clinical assessment, counseling services, documentation and case management, and weights the exam across five areas rather than by core function.

How long should I study for the NCAC I?

Most working counselors report 80-120 hours (OEP estimate) of focused review over 6-10 weeks, including a large MCQ bank, a re-read of SAMHSA TAP 21, a focused review of the NAADAC Code of Ethics, and DSM-5-TR SUD chapter review. Candidates who have been in active practice for 3+ years often need less time on the 12 Core Functions and more on pharmacology, ethics, and 42 CFR Part 2.

Does the NCAC I qualify me for state licensure?

More than 25 US states and territories accept NCC AP exams (NCAC I, NCAC II, MAC) as the testing requirement for state-level credentials such as CADC, LCDC, CSAC, CADAC, and equivalent titles. The exam alone does not confer state licensure - you must still apply to your state board and meet its experience, education, and supervision requirements. The NAADAC States and Boards page lists current jurisdictions accepting NCC AP exams.

What is the difference between NCAC I and NCAC II?

NCAC I requires a high school diploma or GED and 270 contact hours of SUD education; NCAC II requires a bachelor's degree and 450 contact hours plus 10,000 hours (5 years) of supervised experience. Both exams are 150 questions in 3 hours and cover the same domains, but NCAC II questions emphasize advanced clinical judgment, treatment planning complexity, supervision, and program-level decision-making. Many counselors take NCAC I first and progress to NCAC II after earning a bachelor's degree.