1. A client tells you, “I feel dizzy and my heart is racing.” This is an example of:
A) Objective data
B) Subjective data
C) A nursing diagnosis
D) A care plan goal
Rationale: Subjective data consists of symptoms reported verbally by the client that cannot be
observed or measured by the PSW.
2. You enter a room and find a client lying on the floor. What should you do first?
A) Help the client stand up immediately
B) Check for injury and call for help
C) Leave to get a lifting device
D) Ask the client what happened
Rationale: The priority is to assess for injury and activate the emergency response system before
moving the client.
3. A client suddenly grabs their chest and says it hurts. You should:
A) Give them water
B) Report immediately to the nurse
C) Help them walk to the bathroom
D) Ignore it if they have a history of anxiety
Rationale: Sudden chest pain is a critical sign that requires immediate reporting to a nurse or
supervisor.
4. Which law guarantees every Canadian citizen access to healthcare?
A) The Canada Health Act
B) Provincial Human Rights Code
,C) Canadian Charter of Rights and Freedoms
D) DIPPS Protocol
Rationale: The Canada Health Act ensures universal access to medically necessary hospital and
physician services without financial barriers.
5. A client refuses to take a bath. What is the correct action?
A) Force them to bathe for hygiene
B) Respect their decision and report it to the nurse
C) Ask family to convince them
D) Document that they were difficult
Rationale: Clients have the right to refuse care; the PSW must respect autonomy and notify the nurse
for reassessment.
6. A client is crying and says, “I want to go home.” What should you say?
A) “Stop crying, you’ll be fine.”
B) “You can’t go home ever again.”
C) “I’m here for you. How can I help?”
D) “Let’s not talk about feelings.”
Rationale: A professional and empathetic response validates emotions and offers support without
false promises.
7. Which action best builds trust with a client?
A) Giving advice without being asked
B) Listening actively and respectfully
C) Changing the subject often
D) Speaking loudly to be heard
Rationale: Active listening shows respect and genuine interest, which are foundational for a trusting
PSW-client relationship.
,8. Non-verbal communication is important because it:
A) Replaces all verbal communication
B) Supports and enhances verbal communication
C) Is always easy to interpret
D) Only works with confused clients
Rationale: Body language, eye contact, and tone reinforce or contradict spoken words, making non-
verbal cues essential to understanding.
9. A client who does not speak English points to the bathroom. You should:
A) Ignore the gesture
B) Use gestures, pictures, or translation support
C) Speak very loudly in English
D) Leave and find another client
Rationale: Alternative communication methods bridge language barriers and respect the client’s
need to express basic requests.
10. To communicate with a client who has hearing loss, you should:
A) Shout from across the room
B) Write everything in tiny print
C) Face them and speak clearly
D) Talk only to their family member
Rationale: Facing the client allows them to lip-read and see facial expressions, while clear speech
improves understanding.
11. What is the most effective way to prevent the spread of infection?
A) Wearing gloves for all tasks
B) Handwashing before and after each client contact
C) Cleaning floors daily
D) Opening windows
Rationale: Hand hygiene is the single most important measure to prevent cross-contamination and
healthcare-associated infections.
, 12. When should you wear gloves?
A) Only when a client asks
B) When in contact with blood or bodily fluids
C) During all conversations
D) While making a bed
Rationale: Gloves are a barrier against blood, body fluids, secretions, and excretions to reduce
pathogen transmission.
13. A client has redness, swelling, and warmth around a wound. These are signs of:
A) Healing
B) Infection
C) Allergic reaction to lotion
D) Normal aging
Rationale: Localized redness, swelling, heat, and often pain or pus indicate the body’s inflammatory
response to infection.
14. A client starts to fall while you are walking with them. What should you do?
A) Grab their arm and pull up hard
B) Step back and let them fall
C) Ease them to the floor, protecting the head
D) Call for help before doing anything
Rationale: Guided descent reduces injury risk; protecting the head is critical. Never try to stop a fall
by holding the client up.
15. Why are bed rails used only when the care plan says so?
A) They are expensive to maintain
B) They can be a restraint and cause injury
C) They make bed making harder
D) Clients never want them
A) Objective data
B) Subjective data
C) A nursing diagnosis
D) A care plan goal
Rationale: Subjective data consists of symptoms reported verbally by the client that cannot be
observed or measured by the PSW.
2. You enter a room and find a client lying on the floor. What should you do first?
A) Help the client stand up immediately
B) Check for injury and call for help
C) Leave to get a lifting device
D) Ask the client what happened
Rationale: The priority is to assess for injury and activate the emergency response system before
moving the client.
3. A client suddenly grabs their chest and says it hurts. You should:
A) Give them water
B) Report immediately to the nurse
C) Help them walk to the bathroom
D) Ignore it if they have a history of anxiety
Rationale: Sudden chest pain is a critical sign that requires immediate reporting to a nurse or
supervisor.
4. Which law guarantees every Canadian citizen access to healthcare?
A) The Canada Health Act
B) Provincial Human Rights Code
,C) Canadian Charter of Rights and Freedoms
D) DIPPS Protocol
Rationale: The Canada Health Act ensures universal access to medically necessary hospital and
physician services without financial barriers.
5. A client refuses to take a bath. What is the correct action?
A) Force them to bathe for hygiene
B) Respect their decision and report it to the nurse
C) Ask family to convince them
D) Document that they were difficult
Rationale: Clients have the right to refuse care; the PSW must respect autonomy and notify the nurse
for reassessment.
6. A client is crying and says, “I want to go home.” What should you say?
A) “Stop crying, you’ll be fine.”
B) “You can’t go home ever again.”
C) “I’m here for you. How can I help?”
D) “Let’s not talk about feelings.”
Rationale: A professional and empathetic response validates emotions and offers support without
false promises.
7. Which action best builds trust with a client?
A) Giving advice without being asked
B) Listening actively and respectfully
C) Changing the subject often
D) Speaking loudly to be heard
Rationale: Active listening shows respect and genuine interest, which are foundational for a trusting
PSW-client relationship.
,8. Non-verbal communication is important because it:
A) Replaces all verbal communication
B) Supports and enhances verbal communication
C) Is always easy to interpret
D) Only works with confused clients
Rationale: Body language, eye contact, and tone reinforce or contradict spoken words, making non-
verbal cues essential to understanding.
9. A client who does not speak English points to the bathroom. You should:
A) Ignore the gesture
B) Use gestures, pictures, or translation support
C) Speak very loudly in English
D) Leave and find another client
Rationale: Alternative communication methods bridge language barriers and respect the client’s
need to express basic requests.
10. To communicate with a client who has hearing loss, you should:
A) Shout from across the room
B) Write everything in tiny print
C) Face them and speak clearly
D) Talk only to their family member
Rationale: Facing the client allows them to lip-read and see facial expressions, while clear speech
improves understanding.
11. What is the most effective way to prevent the spread of infection?
A) Wearing gloves for all tasks
B) Handwashing before and after each client contact
C) Cleaning floors daily
D) Opening windows
Rationale: Hand hygiene is the single most important measure to prevent cross-contamination and
healthcare-associated infections.
, 12. When should you wear gloves?
A) Only when a client asks
B) When in contact with blood or bodily fluids
C) During all conversations
D) While making a bed
Rationale: Gloves are a barrier against blood, body fluids, secretions, and excretions to reduce
pathogen transmission.
13. A client has redness, swelling, and warmth around a wound. These are signs of:
A) Healing
B) Infection
C) Allergic reaction to lotion
D) Normal aging
Rationale: Localized redness, swelling, heat, and often pain or pus indicate the body’s inflammatory
response to infection.
14. A client starts to fall while you are walking with them. What should you do?
A) Grab their arm and pull up hard
B) Step back and let them fall
C) Ease them to the floor, protecting the head
D) Call for help before doing anything
Rationale: Guided descent reduces injury risk; protecting the head is critical. Never try to stop a fall
by holding the client up.
15. Why are bed rails used only when the care plan says so?
A) They are expensive to maintain
B) They can be a restraint and cause injury
C) They make bed making harder
D) Clients never want them
