NACC PSW Exam Evaluation 2026/2027 |
Verified Questions
National Association of Career Colleges | Verified Q&A | Personal Support
Workers
Introduction
This comprehensive Evaluation for the NACC PSW Exam Evaluation 2026/2027 contains exactly
100 original items aligned to the official NACC Personal Support Worker comprehensive final
examination blueprint for 2026/2027. Content is organized across four essential domains:
Personal Care and Activities of Daily Living (ADLs), Safety and Infection Control, Health
Promotion and Basic Clinical Skills, and Psychosocial Care and Professional Ethics. This
Evaluation offers original content designed to reinforce official NACC course objectives for exam
readiness and academic success, referencing provincial care standards and evidence-based
personal support guidelines for 2026/2027. Personal Care items address bathing, oral care,
perineal care, dressing, feeding, transferring with body mechanics, toileting, and preservation of
dignity and privacy. Safety and Infection Control items address hand hygiene four moments,
personal protective equipment donning and doffing, standard and additional precautions, waste
handling, body mechanics, falls prevention, choking response, and environmental safety. Health
Promotion items address vital signs measurement, observation and reporting, intake and output,
nutrition hydration, skin integrity pressure injury prevention, assistance with ambulation and
range of motion, and recognition of common health changes. Psychosocial Care items address
therapeutic communication, cultural sensitivity, dementia care, confidentiality per PHIPA,
resident rights, abuse recognition, palliative approach, documentation and teamwork, all
essential for personal support worker practice in 2026/2027.
Content Area Overview - 2026/2027 Blueprint
Content Area Questions Key Topics Weight
Personal Care and 30 (Q1-30) Bed bath, perineal, oral 30%
Activities of Daily Living denture, hair, shave, nail
(ADLs) foot, dressing undressing,
feeding, positioning,
transferring body
mechanics, ambulation,
toileting, incontinence,
privacy dignity, assistive
devices
Safety and Infection 25 (Q31-55) Hand hygiene four 25%
Control moments, PPE donning
doffing, routine practices,
additional precautions
contact droplet airborne,
cleaning disinfection, waste
sharps WHMIS, body
mechanics, falls
prevention, fire electrical
safety, choking Heimlich,
emergency response
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
,Health Promotion and 25 (Q56-80) Vital signs TPR BP pain 25%
Basic Clinical Skills pulse oximetry, observation
reporting, height weight,
intake output, elimination,
catheter and ostomy care
observation, skin integrity
pressure injury, wound
observation, blood glucose
observation, ROM,
nutrition hydration,
dehydration hypo
hyperglycemia signs,
medication assistance role
Psychosocial Care and 20 (Q81-100) Therapeutic 20%
Professional Ethics communication active
listening, cultural
sensitivity, family
dynamics, dementia
delirium depression
communication, resident
rights, abuse types
reporting, confidentiality
PHIPA, boundaries,
palliative approach death
dying grief, documentation,
teamwork, advocacy, self-
care
Actual Questions - 100 Items - 2026/2027 Evaluation
Domain: Personal Care and Activities of Daily Living - 30 Questions
1. A PSW is preparing to give a complete bed bath to an older adult client who can
assist partially. Which action best promotes safety and dignity according to NACC
2026/2027 standards?
A. Expose entire body for faster completion
B. Provide privacy with curtains, explain each step, wash and dry one area at a time keeping
client covered
C. Use cold water to complete quickly
D. Skip perineal care
Correct Answer: B
Rationale: Preserving privacy, maintaining warmth, explaining procedure, and washing in
sections respects dignity, prevents chilling, and follows personal care principles in NACC
curriculum for 2026/2027.
2. When providing perineal care for a female client after incontinence, which
direction and technique should the PSW use?
A. Wipe from back to front with same area of washcloth
B. Wipe from front to back, using clean area of cloth for each stroke, ensuring thorough
rinsing and drying
C. Scrub vigorously with same cloth
D. Apply powder heavily without cleaning
Correct Answer: B
Rationale: Front-to-back prevents transferring intestinal organisms to urethra reducing
infection risk, using clean sections prevents cross-contamination per infection control in
personal care for 2026/2027.
3. A client wears upper dentures. What is correct care before reinsertion?
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
, A. Scrub dentures with regular toothpaste on hard surface
B. Clean over basin half-filled with water using soft denture brush and denture cleanser,
rinse, store in water if not worn
C. Use hot water only and keep dry in tissue
D. Share brush with other clients
Correct Answer: B
Rationale: Dentures are fragile and slippery; using a basin with water protects from breakage,
mild cleanser prevents abrasion, and proper storage prevents warping per oral care guidelines
for 2026/2027.
4. Oral care for an unconscious client requires which safety measure?
A. Place client supine and pour large amount of water
B. Position side-lying with head turned, use small amount of fluid, use swabs and suction if
available, never place fingers in mouth without bite block precaution
C. Skip oral care entirely
D. Use client’s personal toothbrush shared with others
Correct Answer: B
Rationale: Side-lying prevents aspiration, minimal fluid reduces choking, swabs clean without
excessive liquid, protecting airway per basic care standards for 2026/2027.
5. Assisting a client with partial dentures that have metal clasps, the PSW should?
A. Pull clasps forcefully
B. Gently apply equal pressure to release clasps, avoid bending metal, clean natural teeth
before reinsertion
C. Leave dentures out overnight without cleaning
D. Use alcohol to disinfect inside mouth
Correct Answer: B
Rationale: Metal clasps can bend or injure gums if forced; equal pressure preserves fit and
natural teeth need separate brushing per oral health promotion for 2026/2027.
6. Hair care for a client with very tangled long hair, the PSW should?
A. Cut tangles without consent
B. Use wide-tooth comb starting from ends working toward scalp, supporting hair sections,
being gentle especially for clients with scalp pain
C. Pull from roots quickly
D. Apply harsh chemicals
Correct Answer: B
Rationale: Starting at ends prevents pulling and pain, supporting hair reduces traction,
respecting comfort and cultural significance of hair per personal care dignity for 2026/2027.
7. Shaving a male client who is on anticoagulant therapy, which tool and precaution
is safest?
A. Straight razor with firm pressure
B. Electric razor, check skin for lesions, avoid shaving over irritated or broken skin, report
bleeding tendency
C. Share razor among clients
D. Dry shave without lather
Correct Answer: B
Rationale: Anticoagulants increase bleeding risk; electric razor reduces cuts, skin assessment
prevents injury, reporting aligns with safety observation for 2026/2027.
8. Nail care for a client with diabetes and thickened nails, the PSW should?
A. Cut nails short and file aggressively including cuticles
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
Verified Questions
National Association of Career Colleges | Verified Q&A | Personal Support
Workers
Introduction
This comprehensive Evaluation for the NACC PSW Exam Evaluation 2026/2027 contains exactly
100 original items aligned to the official NACC Personal Support Worker comprehensive final
examination blueprint for 2026/2027. Content is organized across four essential domains:
Personal Care and Activities of Daily Living (ADLs), Safety and Infection Control, Health
Promotion and Basic Clinical Skills, and Psychosocial Care and Professional Ethics. This
Evaluation offers original content designed to reinforce official NACC course objectives for exam
readiness and academic success, referencing provincial care standards and evidence-based
personal support guidelines for 2026/2027. Personal Care items address bathing, oral care,
perineal care, dressing, feeding, transferring with body mechanics, toileting, and preservation of
dignity and privacy. Safety and Infection Control items address hand hygiene four moments,
personal protective equipment donning and doffing, standard and additional precautions, waste
handling, body mechanics, falls prevention, choking response, and environmental safety. Health
Promotion items address vital signs measurement, observation and reporting, intake and output,
nutrition hydration, skin integrity pressure injury prevention, assistance with ambulation and
range of motion, and recognition of common health changes. Psychosocial Care items address
therapeutic communication, cultural sensitivity, dementia care, confidentiality per PHIPA,
resident rights, abuse recognition, palliative approach, documentation and teamwork, all
essential for personal support worker practice in 2026/2027.
Content Area Overview - 2026/2027 Blueprint
Content Area Questions Key Topics Weight
Personal Care and 30 (Q1-30) Bed bath, perineal, oral 30%
Activities of Daily Living denture, hair, shave, nail
(ADLs) foot, dressing undressing,
feeding, positioning,
transferring body
mechanics, ambulation,
toileting, incontinence,
privacy dignity, assistive
devices
Safety and Infection 25 (Q31-55) Hand hygiene four 25%
Control moments, PPE donning
doffing, routine practices,
additional precautions
contact droplet airborne,
cleaning disinfection, waste
sharps WHMIS, body
mechanics, falls
prevention, fire electrical
safety, choking Heimlich,
emergency response
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
,Health Promotion and 25 (Q56-80) Vital signs TPR BP pain 25%
Basic Clinical Skills pulse oximetry, observation
reporting, height weight,
intake output, elimination,
catheter and ostomy care
observation, skin integrity
pressure injury, wound
observation, blood glucose
observation, ROM,
nutrition hydration,
dehydration hypo
hyperglycemia signs,
medication assistance role
Psychosocial Care and 20 (Q81-100) Therapeutic 20%
Professional Ethics communication active
listening, cultural
sensitivity, family
dynamics, dementia
delirium depression
communication, resident
rights, abuse types
reporting, confidentiality
PHIPA, boundaries,
palliative approach death
dying grief, documentation,
teamwork, advocacy, self-
care
Actual Questions - 100 Items - 2026/2027 Evaluation
Domain: Personal Care and Activities of Daily Living - 30 Questions
1. A PSW is preparing to give a complete bed bath to an older adult client who can
assist partially. Which action best promotes safety and dignity according to NACC
2026/2027 standards?
A. Expose entire body for faster completion
B. Provide privacy with curtains, explain each step, wash and dry one area at a time keeping
client covered
C. Use cold water to complete quickly
D. Skip perineal care
Correct Answer: B
Rationale: Preserving privacy, maintaining warmth, explaining procedure, and washing in
sections respects dignity, prevents chilling, and follows personal care principles in NACC
curriculum for 2026/2027.
2. When providing perineal care for a female client after incontinence, which
direction and technique should the PSW use?
A. Wipe from back to front with same area of washcloth
B. Wipe from front to back, using clean area of cloth for each stroke, ensuring thorough
rinsing and drying
C. Scrub vigorously with same cloth
D. Apply powder heavily without cleaning
Correct Answer: B
Rationale: Front-to-back prevents transferring intestinal organisms to urethra reducing
infection risk, using clean sections prevents cross-contamination per infection control in
personal care for 2026/2027.
3. A client wears upper dentures. What is correct care before reinsertion?
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
, A. Scrub dentures with regular toothpaste on hard surface
B. Clean over basin half-filled with water using soft denture brush and denture cleanser,
rinse, store in water if not worn
C. Use hot water only and keep dry in tissue
D. Share brush with other clients
Correct Answer: B
Rationale: Dentures are fragile and slippery; using a basin with water protects from breakage,
mild cleanser prevents abrasion, and proper storage prevents warping per oral care guidelines
for 2026/2027.
4. Oral care for an unconscious client requires which safety measure?
A. Place client supine and pour large amount of water
B. Position side-lying with head turned, use small amount of fluid, use swabs and suction if
available, never place fingers in mouth without bite block precaution
C. Skip oral care entirely
D. Use client’s personal toothbrush shared with others
Correct Answer: B
Rationale: Side-lying prevents aspiration, minimal fluid reduces choking, swabs clean without
excessive liquid, protecting airway per basic care standards for 2026/2027.
5. Assisting a client with partial dentures that have metal clasps, the PSW should?
A. Pull clasps forcefully
B. Gently apply equal pressure to release clasps, avoid bending metal, clean natural teeth
before reinsertion
C. Leave dentures out overnight without cleaning
D. Use alcohol to disinfect inside mouth
Correct Answer: B
Rationale: Metal clasps can bend or injure gums if forced; equal pressure preserves fit and
natural teeth need separate brushing per oral health promotion for 2026/2027.
6. Hair care for a client with very tangled long hair, the PSW should?
A. Cut tangles without consent
B. Use wide-tooth comb starting from ends working toward scalp, supporting hair sections,
being gentle especially for clients with scalp pain
C. Pull from roots quickly
D. Apply harsh chemicals
Correct Answer: B
Rationale: Starting at ends prevents pulling and pain, supporting hair reduces traction,
respecting comfort and cultural significance of hair per personal care dignity for 2026/2027.
7. Shaving a male client who is on anticoagulant therapy, which tool and precaution
is safest?
A. Straight razor with firm pressure
B. Electric razor, check skin for lesions, avoid shaving over irritated or broken skin, report
bleeding tendency
C. Share razor among clients
D. Dry shave without lather
Correct Answer: B
Rationale: Anticoagulants increase bleeding risk; electric razor reduces cuts, skin assessment
prevents injury, reporting aligns with safety observation for 2026/2027.
8. Nail care for a client with diabetes and thickened nails, the PSW should?
A. Cut nails short and file aggressively including cuticles
NACC PSW Exam Evaluation 2026/2027 | Verified Questions
