LATEST 2025/ 2026 NACC PSW EXAM
ACTUAL EXAM WITH COMPLETE 160
REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| (BRAND
NEW!!)
Module 1: Role of the PSW
1. What is the primary role of a Personal Support Worker
(PSW)?
A) To diagnose medical conditions
B) To prescribe medication
C) To assist clients with activities of daily living (ADLs)
D) To perform surgical procedures
Answer: C – The primary role of a PSW is to assist clients with
activities of daily living (ADLs) such as bathing, dressing,
grooming, and mobility. Diagnosing, prescribing, and performing
surgery are outside the PSW scope of practice.
2. Which of the following is an example of a task that is
outside the PSW scope of practice?
A) Assisting with feeding
B) Changing a sterile dressing
C) Providing oral hygiene care
, D) Assisting with ambulation
Answer: B – Changing a sterile dressing is typically a nursing task
that requires specific clinical training and is outside the PSW
scope of practice. PSWs assist with personal care, not sterile
wound care.
3. A PSW notices a client is becoming increasingly withdrawn
and sad. What should the PSW do first?
A) Ignore it and continue with care tasks
B) Tell the client to "cheer up"
C) Report the observation to the supervisor or nurse
D) Prescribe an antidepressant
Answer: C – The PSW should report any significant changes in a
client's emotional or physical condition to the supervisor or nurse.
PSWs do not diagnose or prescribe treatment.
4. What does "person-directed care" mean in the context of
PSW practice?
A) The PSW makes all decisions for the client
B) Care is tailored to the client's individual preferences,
needs, and values
C) The client must follow a strict daily schedule
D) Family members make all care decisions
Answer: B – Person-directed care means care is centered on the
client's unique preferences, needs, and values. It respects the
client's autonomy and choices.
,5. A PSW is asked by a family member to share confidential
information about a client. What should the PSW do?
A) Share the information since the family member asked
B) Refuse and explain that client information is confidential
C) Share only if the family member promises not to tell
anyone
D) Write the information on a public bulletin board
Answer: B – PSWs must maintain client confidentiality and
privacy. Information should only be shared with authorized care
team members on a need-to-know basis.
Module 2: Interpersonal Communication
6. Which communication technique is most effective when a
client is rambling?
A) Ignoring the client
B) Using focusing questions
C) Changing the subject abruptly
D) Speaking louder
Answer: B – Focusing helps bring the conversation back to the
main point when a client is rambling. It is a therapeutic
communication technique.
7. A client who is visually impaired is being admitted. What
should the PSW do to communicate effectively?
, A) Speak very loudly
B) Identify themselves and explain what they are doing
C) Avoid speaking to the client
D) Use only written notes
Answer: B – For clients with visual impairments, the PSW should
identify themselves and explain each action before performing it.
This promotes safety and dignity.
8. What is the best way to respond to a client who is
expressing anger?
A) Tell them to calm down
B) Walk away and ignore them
C) Listen actively and acknowledge their feelings
D) Argue back
Answer: C – Active listening and acknowledging the client's
feelings are effective de-escalation techniques. Validating
emotions helps build trust.
9. Which of the following is an example of a closed-ended
question?
A) "How are you feeling today?"
B) "What would you like for breakfast?"
C) "Did you sleep well last night?"
D) "Can you tell me more about that?"
Answer: C – Closed-ended questions can be answered with "yes"
or "no". They are useful for obtaining specific information but do
not encourage detailed responses.
ACTUAL EXAM WITH COMPLETE 160
REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+| (BRAND
NEW!!)
Module 1: Role of the PSW
1. What is the primary role of a Personal Support Worker
(PSW)?
A) To diagnose medical conditions
B) To prescribe medication
C) To assist clients with activities of daily living (ADLs)
D) To perform surgical procedures
Answer: C – The primary role of a PSW is to assist clients with
activities of daily living (ADLs) such as bathing, dressing,
grooming, and mobility. Diagnosing, prescribing, and performing
surgery are outside the PSW scope of practice.
2. Which of the following is an example of a task that is
outside the PSW scope of practice?
A) Assisting with feeding
B) Changing a sterile dressing
C) Providing oral hygiene care
, D) Assisting with ambulation
Answer: B – Changing a sterile dressing is typically a nursing task
that requires specific clinical training and is outside the PSW
scope of practice. PSWs assist with personal care, not sterile
wound care.
3. A PSW notices a client is becoming increasingly withdrawn
and sad. What should the PSW do first?
A) Ignore it and continue with care tasks
B) Tell the client to "cheer up"
C) Report the observation to the supervisor or nurse
D) Prescribe an antidepressant
Answer: C – The PSW should report any significant changes in a
client's emotional or physical condition to the supervisor or nurse.
PSWs do not diagnose or prescribe treatment.
4. What does "person-directed care" mean in the context of
PSW practice?
A) The PSW makes all decisions for the client
B) Care is tailored to the client's individual preferences,
needs, and values
C) The client must follow a strict daily schedule
D) Family members make all care decisions
Answer: B – Person-directed care means care is centered on the
client's unique preferences, needs, and values. It respects the
client's autonomy and choices.
,5. A PSW is asked by a family member to share confidential
information about a client. What should the PSW do?
A) Share the information since the family member asked
B) Refuse and explain that client information is confidential
C) Share only if the family member promises not to tell
anyone
D) Write the information on a public bulletin board
Answer: B – PSWs must maintain client confidentiality and
privacy. Information should only be shared with authorized care
team members on a need-to-know basis.
Module 2: Interpersonal Communication
6. Which communication technique is most effective when a
client is rambling?
A) Ignoring the client
B) Using focusing questions
C) Changing the subject abruptly
D) Speaking louder
Answer: B – Focusing helps bring the conversation back to the
main point when a client is rambling. It is a therapeutic
communication technique.
7. A client who is visually impaired is being admitted. What
should the PSW do to communicate effectively?
, A) Speak very loudly
B) Identify themselves and explain what they are doing
C) Avoid speaking to the client
D) Use only written notes
Answer: B – For clients with visual impairments, the PSW should
identify themselves and explain each action before performing it.
This promotes safety and dignity.
8. What is the best way to respond to a client who is
expressing anger?
A) Tell them to calm down
B) Walk away and ignore them
C) Listen actively and acknowledge their feelings
D) Argue back
Answer: C – Active listening and acknowledging the client's
feelings are effective de-escalation techniques. Validating
emotions helps build trust.
9. Which of the following is an example of a closed-ended
question?
A) "How are you feeling today?"
B) "What would you like for breakfast?"
C) "Did you sleep well last night?"
D) "Can you tell me more about that?"
Answer: C – Closed-ended questions can be answered with "yes"
or "no". They are useful for obtaining specific information but do
not encourage detailed responses.
