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NACC Personal Support Worker Certification
Exam - Version 2 Actual Exam 2026/2027 |
Complete Real Questions with Verified Answers |
Already Graded A+ (Brand New!!)
NACC PERSONAL SUPPORT WORKER CERTIFICATION EXAM - VERSION 2
SECTION 1: ROLE & RESPONSIBILITIES OF THE PSW (12 Questions)
Q1: A client's family member asks the PSW for detailed information about the client's medical
diagnosis and treatment plan. What is the most appropriate response?
A. Provide the information since the family member asked
B. Explain that the PSW cannot share confidential information and suggest they speak with the
nurse or family doctor
C. Tell the family member to look at the client's chart
D. Ignore the request
Correct Answer: B. [CORRECT] Rationale: PSWs must maintain client confidentiality under
PHIPA (Personal Health Information Protection Act). Medical information should only be shared
with authorized individuals who have consent. The appropriate response is to respectfully
explain this boundary and refer them to the supervising nurse or physician.
Q2: A PSW notices that a client's care plan states they require assistance with bathing, but the
client insists they can bathe independently today. What should the PSW do?
A. Leave the client alone to bathe independently
B. Insist on helping despite the client's wishes
C. Report the client's refusal to the nurse and document appropriately
D. Ask a family member to supervise
Correct Answer: C. [CORRECT] Rationale: Clients have the right to refuse care. The PSW
must respect the client's autonomy while reporting the refusal to the supervising nurse and
documenting the incident accurately. This ensures continuity of care and proper risk assessment.
,2
Q3: Which action is within the PSW's scope of practice?
A. Administering oral medications
B. Changing sterile dressings
C. Assisting with activities of daily living (ADLs)
D. Diagnosing skin conditions
Correct Answer: C. [CORRECT] Rationale: PSWs are trained to assist with activities of daily
living including bathing, dressing, grooming, toileting, and mobility. Administering medications,
performing sterile procedures, and diagnosing conditions are outside the PSW scope of practice
and must be performed by regulated healthcare professionals.
Q4: A PSW observes a colleague sharing client information in the facility's public cafeteria.
What is the appropriate action?
A. Ignore it since it's not the PSW's client
B. Report the breach to the supervisor immediately
C. Confront the colleague publicly
D. Document it in the client's chart
Correct Answer: B. [CORRECT] Rationale: PSWs have a professional and ethical obligation
to protect client confidentiality. Observing a privacy breach requires immediate reporting to a
supervisor to prevent further violations and ensure appropriate follow-up actions are taken.
Q5: A client from a different cultural background refuses to eat the meal provided. What is the
most culturally competent response?
A. Insist the client eat what is served
B. Ask about food preferences and report to the dietary department
C. Tell the client there are no other options
D. Bring food from home without permission
Correct Answer: B. [CORRECT] Rationale: Cultural competence involves respecting
individual preferences and beliefs. The PSW should inquire about specific dietary needs or
preferences and communicate these to the appropriate department to ensure culturally
appropriate care while following facility protocols.
SATA Question - Reporting Requirements:
Q6: Which situations must a PSW report immediately to the supervising nurse? Select all that
apply.
, 3
A. Client reports new, severe chest pain
B. Sudden change in client's level of consciousness
C. Client refuses breakfast
D. Signs of suspected abuse or neglect
E. Client's preferred meal choice
F. Client falls in the bathroom
Correct Answers: A, B, D, F. [CORRECT] Rationale: PSWs must immediately report any
acute changes in client condition (new severe pain, altered consciousness), suspected abuse or
neglect, and any incidents such as falls. These situations require urgent nursing assessment and
intervention. Refusing a single meal or expressing meal preferences are routine matters that
should be documented but do not require immediate reporting unless part of a pattern of
concerning changes.
Q7: When documenting care, which principle is most important?
A. Use medical terminology exclusively
B. Document only what the PSW observed or did
C. Include opinions about client behavior
D. Document at the end of the shift from memory
Correct Answer: B. [CORRECT] Rationale: Documentation must be factual, objective, and
based on direct observation or actions taken. PSWs should record only what they personally
witnessed or performed, using clear and concise language. Subjective opinions, documentation
from memory, or exclusive use of medical terminology without clarity should be avoided.
Q8: A PSW is asked to perform a task that they have not been trained to do and feel
uncomfortable performing. What is the appropriate response?
A. Attempt the task anyway to be helpful
B. Refuse politely and explain the lack of training, then report to the supervisor
C. Ask another PSW to do it instead
D. Pretend to be sick to avoid the task
Correct Answer: B. [CORRECT] Rationale: PSWs have the right and obligation to refuse tasks
outside their competency level. Professional practice requires declining politely, explaining the
training limitation, and reporting to the appropriate supervisor to ensure the task is assigned to a
qualified individual.
Q9: Which statement best demonstrates effective teamwork in healthcare?
NACC Personal Support Worker Certification
Exam - Version 2 Actual Exam 2026/2027 |
Complete Real Questions with Verified Answers |
Already Graded A+ (Brand New!!)
NACC PERSONAL SUPPORT WORKER CERTIFICATION EXAM - VERSION 2
SECTION 1: ROLE & RESPONSIBILITIES OF THE PSW (12 Questions)
Q1: A client's family member asks the PSW for detailed information about the client's medical
diagnosis and treatment plan. What is the most appropriate response?
A. Provide the information since the family member asked
B. Explain that the PSW cannot share confidential information and suggest they speak with the
nurse or family doctor
C. Tell the family member to look at the client's chart
D. Ignore the request
Correct Answer: B. [CORRECT] Rationale: PSWs must maintain client confidentiality under
PHIPA (Personal Health Information Protection Act). Medical information should only be shared
with authorized individuals who have consent. The appropriate response is to respectfully
explain this boundary and refer them to the supervising nurse or physician.
Q2: A PSW notices that a client's care plan states they require assistance with bathing, but the
client insists they can bathe independently today. What should the PSW do?
A. Leave the client alone to bathe independently
B. Insist on helping despite the client's wishes
C. Report the client's refusal to the nurse and document appropriately
D. Ask a family member to supervise
Correct Answer: C. [CORRECT] Rationale: Clients have the right to refuse care. The PSW
must respect the client's autonomy while reporting the refusal to the supervising nurse and
documenting the incident accurately. This ensures continuity of care and proper risk assessment.
,2
Q3: Which action is within the PSW's scope of practice?
A. Administering oral medications
B. Changing sterile dressings
C. Assisting with activities of daily living (ADLs)
D. Diagnosing skin conditions
Correct Answer: C. [CORRECT] Rationale: PSWs are trained to assist with activities of daily
living including bathing, dressing, grooming, toileting, and mobility. Administering medications,
performing sterile procedures, and diagnosing conditions are outside the PSW scope of practice
and must be performed by regulated healthcare professionals.
Q4: A PSW observes a colleague sharing client information in the facility's public cafeteria.
What is the appropriate action?
A. Ignore it since it's not the PSW's client
B. Report the breach to the supervisor immediately
C. Confront the colleague publicly
D. Document it in the client's chart
Correct Answer: B. [CORRECT] Rationale: PSWs have a professional and ethical obligation
to protect client confidentiality. Observing a privacy breach requires immediate reporting to a
supervisor to prevent further violations and ensure appropriate follow-up actions are taken.
Q5: A client from a different cultural background refuses to eat the meal provided. What is the
most culturally competent response?
A. Insist the client eat what is served
B. Ask about food preferences and report to the dietary department
C. Tell the client there are no other options
D. Bring food from home without permission
Correct Answer: B. [CORRECT] Rationale: Cultural competence involves respecting
individual preferences and beliefs. The PSW should inquire about specific dietary needs or
preferences and communicate these to the appropriate department to ensure culturally
appropriate care while following facility protocols.
SATA Question - Reporting Requirements:
Q6: Which situations must a PSW report immediately to the supervising nurse? Select all that
apply.
, 3
A. Client reports new, severe chest pain
B. Sudden change in client's level of consciousness
C. Client refuses breakfast
D. Signs of suspected abuse or neglect
E. Client's preferred meal choice
F. Client falls in the bathroom
Correct Answers: A, B, D, F. [CORRECT] Rationale: PSWs must immediately report any
acute changes in client condition (new severe pain, altered consciousness), suspected abuse or
neglect, and any incidents such as falls. These situations require urgent nursing assessment and
intervention. Refusing a single meal or expressing meal preferences are routine matters that
should be documented but do not require immediate reporting unless part of a pattern of
concerning changes.
Q7: When documenting care, which principle is most important?
A. Use medical terminology exclusively
B. Document only what the PSW observed or did
C. Include opinions about client behavior
D. Document at the end of the shift from memory
Correct Answer: B. [CORRECT] Rationale: Documentation must be factual, objective, and
based on direct observation or actions taken. PSWs should record only what they personally
witnessed or performed, using clear and concise language. Subjective opinions, documentation
from memory, or exclusive use of medical terminology without clarity should be avoided.
Q8: A PSW is asked to perform a task that they have not been trained to do and feel
uncomfortable performing. What is the appropriate response?
A. Attempt the task anyway to be helpful
B. Refuse politely and explain the lack of training, then report to the supervisor
C. Ask another PSW to do it instead
D. Pretend to be sick to avoid the task
Correct Answer: B. [CORRECT] Rationale: PSWs have the right and obligation to refuse tasks
outside their competency level. Professional practice requires declining politely, explaining the
training limitation, and reporting to the appropriate supervisor to ensure the task is assigned to a
qualified individual.
Q9: Which statement best demonstrates effective teamwork in healthcare?
