Certified Addiction Counselor Practice Test

America’s number one health problem is addiction. One in ten Americans struggles with a substance abuse disorder, and 90% of those who want treatment receive no professional care. The unmet need for addiction therapy is not due to a lack of beds, funding, or patients. The missing piece in the addiction treatment puzzle is the experienced counselor with the knowledge, integrity, and compassion to become a certified professional. A successful performance on the Addiction Counselor Exam (ACE), also known as the Alcohol and Drug Counselor Exam (ADCE) is the first milestone in a career with above-average employment prospects.


Addiction Counselor Study Guide

Addiction Counselor Flashcards

What is an Addiction Counselor?

Long-term dependency on alcohol, illegal drugs, or prescription medications has a devastating effect on individuals, families, and communities. Addiction counselors work in hospitals, prisons, detoxification centers, psychiatric facilities, and community programs to restore the mental and physical health of their clients. Substance abuse counselors combine psychological treatment methods with knowledge of how different drugs affect the body, why people become dependent on psychoactive substances, and how those with a history of substance abuse can avoid situations that could lead them to relapse. Entry level positions in substance abuse counseling may include record-keeping, report-writing, interviewing clients, educating family members, and collaborating with other professionals.

Who takes the ACE?

Both governmental and professional agencies regulate substance abuse treatment. The ACE is the first in a series of tests that counselors take to be certified at the state and national levels. Each state confers licenses for new addiction counselors, so the educational and work experience requirements to take the ACE vary. ACE candidates typically need a high school diploma or GED plus entry-level work experience in an addiction treatment program. States may expect test takers to have completed college courses or to have earned a two-year degree in a counseling-related field. Those aiming for ACE certification should check with their state licensing board for details on eligibility, exam dates, local testing sites, and costs.

What kind of test is the ACE?

The Addiction Counseling Exam assesses a candidate’s grasp of basic terminology, laws, and counseling theories related to substance abuse treatment, as well as the ethical standards and work responsibilities of beginning addiction counselors. In most states, the ACE includes at least 150 multiple choice questions. In some states, test takers may access the ACE from a home computer for a three-hour-long exam. A pencil-and-paper version of the ACE can be scheduled at local testing sites with a 3.5 hour period for testing. States may set the cost for taking the ACE at $150-$250 for each attempt. Those who fail the ACE may attempt a limited number of retests each year.

Check out Mometrix's Addiction Counselor Study Guide

Get practice questions, video tutorials, and detailed study lessons

Get Your Study Guide
 Study Guide

How should I prepare for the ACE?

The most frequent cause of failure on the ACE is lack of study. Workplace training, counseling experience, and even successful completion of college courses cannot substitute for focused study and practice testing on the topics emphasized on the ACE. Mometrix Test Preparation provides a comprehensive package of ACE study guides and practice tests in book-length, video, and flashcard formats. Each Mometrix product is built around the organization of the Addiction Counseling Exam to assess a candidate’s knowledge in four key areas:

  1. Understanding Addiction
  2. Treatment Knowledge
  3. Application to Practice
  4. Professional Readiness

What sorts of questions are on the ACE?

There are four testable domains on the Addiction Counseling Exam:

    • In Part I Understanding Addiction, a test taker must know how alcohol and drugs enter the body and affect the brain. Addiction is defined as a brain disease. What is a drug? What are the routes of administration for a drug? Which of the following—opium, aspirin, malathion, or birth control pills–is a psychoactive drug?
    • Part II Treatment Knowledge includes questions about the history and sociology of addiction and theories about the causes and treatment of substance abuse. According to the moral theory of addiction, what is the cause of chronic alcoholism or drug abuse: a genetic inclination, a fad or societal trend, a character weakness, or a psychological illness?
    • In Part III of the ACE, Application to Practice, test takers are expected to demonstrate their ability to apply theoretical models for therapy in addiction counseling. Given the case of a client who engages in drug use and other self-destructive behavior, what kind of approach should a counselor take according to the psychosocial, systems, social learning, and transpersonal approaches to addiction treatment? What sort of addiction treatment would be advisable for a client with more than one mental or physical health problem?
    • Part IV of the ACE is Professional Readiness. These questions concern the counselor’s conduct and relationships with clients. What are a counselor’s legal and ethical duties in maintaining confidentiality of patient information according to HIPAA? How do counselors demonstrate empathy for their clients? In which situations should a counselor seek the advice of a supervisor? Suppose a patient is not meeting treatment goals after three months in therapy. What should the counselor do?

How will Mometrix help me pass the ACE?

For success on a timed, multiple-choice test like the ACE, the best study methods are practice and repetition. Mometrix Academy is a free, online site with a video called Best Review for Counselors plus some sample ACE questions.

The Academy videos may convince you to invest in serious study for the ACE with the Mometrix ACE SECRETS Study Guide. This book of insider knowledge and practice tests includes clear explanations of how to size up exam questions and mark the right answers. To study on the go, use Mometrix ACE Study Flashcards to review addiction counseling terms and concepts.

Is study for the ACE worth the effort?

The ACE can be either a barrier or a passkey to unlimited opportunities. Those who prepare for the test have a far better chance to pass it. The exam is challenging, but it’s not impossible to ace it. With your effort and the assistance Mometrix provides, your study paves the path to your future.

Check out Mometrix's Addiction Counselor Flashcards

Get complex subjects broken down into easily understandable concepts

Get Your Flashcards

Addiction Counselor Study Guide

Mometrix Academy is a completely free CAADAC certification resource provided by Mometrix Test Preparation. If you find benefit from our efforts here, check out our premium quality Addiction Counselor study guide to take your studying to the next level. Your purchase also helps us make even more great, free content for test-takers.

Addiction Counselor Study Guide Customer Success Stories

Our customers love the tutorial videos from Mometrix Academy that we have incorporated into our Addiction Counselor test study guide. The Addiction Counselor study guide reviews below are examples of customer experiences.

I purchased your materials after talking to a few other co workers who have failed the CAADC exam on their first try. The exam is expensive and I did not want to be in the same boat. With your study Guide I was able to pass my exam on the first try, thus not costing me any more money and giving my supervisor a good impression of my abilities. Thank you!

Addiction Counselor Study Guide – Jessica

So far, I have found the material to be very helpful. The information is helping identify the areas/topics that I need to refresh on. The exam practice questions I am finding to be very helpful and comprehensive. I started with reading the Special Report section on Anxiety has helped reduce some of my anxiety about taking the exam. I have been quite pleased with this study guide and I have recommended it to some of my colleagues who are also working on being certified. Thanks so much.

Addiction Counselor Study Guide – Customer

I am so excited to have this book. It is clear, concise and easy to read. It flows in a way that's easy to follow and I have no doubt it will help me pass the exam. I feel extra confident with this guide.

Addiction Counselor Study Guide – Tricia

The book is easy to read and affordable. Very informative and has an easy flow. I gained much insight of what will be expected on the exam. Will definitely purchase study exams from Mometrix in the future.

Addiction Counselor Study Guide – Lynda

Studying for any test is hard especially when you don’t have the time. But this guide for the Addiction Counselor Exam makes it a whole lot easier. The reviews are easy to understand and are written in simple terms. It also includes very effective tips that help you focus and even help you hone your time management skills. It's totally worth it.

Addiction Counselor Study Guide – Cheryl

The study material is comprehensive and intuitive. It has been nice working through the question and discovering information I wasn't aware of.

Addiction Counselor Study Guide – Smitty

I received this book to help study for my CAADAC II. This is so easy to understand, it tells you exactly what you need to pass the test. It leaves out all of that extra stuff that is not needed to confuse you. It also includes a practice test, it tell you what to do before the test and what not to do in preparation of the test. After looking over the material I feel I'm better prepared than I have been with other material I have seen.

Addiction Counselor Study Guide – Kelly

Very organized and plenty of information on the most common topics that will be addressed in the Addiction Counseling Exam. Will order again in the future on my next big state certification/licensure exam!!

Addiction Counselor Study Guide – Cynthia

I have used your study materials for other certifications in the past, and have been successful. It's organized nicely and makes studying easy. I look forward to using this study guide, as well.

Addiction Counselor Study Guide – Debra

This was an in depth review for the NCAC I exam and was my primary study material. Although I am a LMSW and recently employed as an addictions counselor, I struggled with the pharmacology and addiction specific practices. Mometrix two part study guide offered detailed insight for the pharmacology of psychoactive substances, counseling practices, theoretical basis, and professional and ethical issues. The practice test was comprehensive and covered all subject matter. The icing on the cake was the answer key which provided answers as well as rationale and explanation for further understanding. Extra points given for the "secret key" steps of test success which reduced test anxiety and allowed me to be more confident going into my exam. I was able to pass the NCAC exam on my first try, using the Mometrix NCAC I & II exam two part study guide!!

Addiction Counselor Study Guide – Jacqui

I am so thankful I purchased this book to prepare for exam. The NCAC1 exam was harder than I anticipated, but due to my studying in advance before the exam and fully reading this book and using the practice test and answers in back of book to prepare I passed!

Addiction Counselor Study Guide – Customer

It has so much information and I've only started reading today! I feel that this guide will help me sharpen my knowledge of addiction counseling and better prepare me for the daunting NCAC 1 test. I am excited for both of these guides and want to thank Mometrix for making this possible for me to reach my goals of becoming a CAC II

Addiction Counselor Study Guide – Niko

I just started and I have to say that this is pretty much just what I wanted. I took psychopharmacology a few years ago and wanted to study before the NCAC 2. The info in these two books are detailed and a good over view. Perfect for my needs and worth the money!

Addiction Counselor Study Guide – Customer

This product was exactly what I needed to help me organize my studying and cover all the appropriate exam topics for my NCAC II. I feel more prepared since using this guide!

Addiction Counselor Study Guide – Customer

An excellent compilation of relevant facts for the addiction professional. Perfect for a quick review and text is organized just like flash cards but with more detail.

Addiction Counselor Study Guide – Sandeep

I purchased this product actually to benefit my staff members. I used it in the past when I had only 3 days to prepare for the test. Out of all the material out there this product was the most important in helping me to pass my test.

Addiction Counselor Study Guide – Customer

My item was delivered in a timely manner and the study material is well written and easy to understand. I feel that I am thoroughly prepared for my exam by reading the content in this guide.

Addiction Counselor Study Guide – Evelyn

I have been super pleased with my study books so far and expect them to really help me on my exam!

Addiction Counselor Study Guide – Tammy

Mometrix Academy – Home


by Mometrix Test Preparation | This Page Last Updated: October 11, 2022