NACC PSW EXAM LATEST 2025/2026
ACTUAL EXAMCOMPLETE 100 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS
EXAM OVERVIEW
The NACC Personal Support Worker (PSW) Certification Exam is a
comprehensive digital examination that is 2.5 hours in length. All
students must write and pass the NACC exam to satisfy
graduation requirements before receiving their PSW certificate. To
pass, students must achieve a minimum score of 65%. Students
have a maximum of three (3) attempts to pass the NACC Final
Exam.
The exam covers essential topics including PSW role and
responsibilities, ethics and professionalism, client care, safety and
infection control, communication skills, mobility assistance,
nutrition and hydration, cognitive and mental health issues,
palliative and end-of-life care, and medication assistance.
SECTION 1: PSW ROLE, ETHICS &
PROFESSIONALISM (Questions 1-25)
Q1. A client asks the PSW to perform a task that is outside the
PSW's scope of practice. What is the best response?
,A) Perform the task if the client insists
B) Refuse the task and explain that it is not within the PSW's scope
C) Ask another PSW to do it
D) Ignore the request
Answer: B) Refuse the task and explain that it is not within the
PSW's scope
Rationale: Performing a task outside the scope of practice is unsafe,
unprofessional, and may result in legal liability. The PSW must know
their role and limits; they should politely refuse, explain the reason,
and notify the supervisor so the task can be assigned appropriately.
Q2. Which of the following is an example of maintaining a client's
confidentiality?
A) Discussing the client's condition with a family member without
consent
B) Sharing information about the client with other health team
members involved in the client's care
C) Posting about the client on social media
D) Leaving the client's chart open on the nursing station counter
Answer: B) Sharing information about the client with other health
team members involved in the client's care
Rationale: Confidential information can be shared with members of
the healthcare team who are directly involved in the client's care on a
need-to-know basis. Sharing information with family without consent,
posting on social media, or leaving charts visible all constitute
breaches of confidentiality.
Q3. A client refuses to take a bath. The PSW should:
,A) Tell the client they must bathe because the doctor ordered it
B) Respect the client's right to refuse but educate about the
benefits of bathing and offer alternatives
C) Bathe the client while they are asleep
D) Document the refusal and do nothing else
Answer: B) Respect the client's right to refuse but educate about
the benefits of bathing and offer alternatives
Rationale: The PSW should respect the client's right to make choices,
provide information about hygiene, and offer alternatives (e.g., a bed
bath, a shower later). The refusal should be reported. Coercing a
client or bathing them without consent violates client rights and
could be considered assault.
Q4. The PSW finds a client lying on the floor next to the bed. What
is the first action?
A) Help the client back into bed immediately
B) Ask the client what happened, assess for injury, and call for help
C) Leave the client to find a nurse
D) Fill out an incident report
Answer: B) Ask the client what happened, assess for injury, and call
for help
Rationale: The first step is to assess the client's condition (ask about
pain, observe for deformity, check consciousness) and then call for
help without leaving the client alone. Moving before assessment is
dangerous and could cause further injury if the client has a fracture.
Q5. A PSW observes a co-worker verbally abusing a client. What
should the PSW do?
, A) Ignore it to avoid conflict
B) Confront the co-worker aggressively
C) Report the observation to the supervisor immediately
D) Tell the client to avoid that co-worker
Answer: C) Report the observation to the supervisor immediately
Rationale: Ignoring abuse is unethical and allows the abuse to
continue. The PSW has a duty to report observations of abuse to the
supervisor immediately. Confrontation should be handled by
management, not by the reporting PSW.
Q6. A PSW develops a close relationship with a client and is invited
to the client's family wedding. What is the most appropriate
professional response?
A) Accept the invitation to show the family that the PSW cares
B) Decline politely and maintain professional boundaries
C) Accept but only attend for a short time
D) Ask the supervisor for permission to attend
Answer: B) Decline politely and maintain professional boundaries
Rationale: Maintaining professional boundaries prevents dual
relationships that could compromise care quality and objectivity.
PSWs should avoid personal relationships with clients to ensure
professional, unbiased care.
Q7. During a home visit, a client confides in the PSW that they are
feeling hopeless and mentions thoughts of ending their life. What
is the PSW's priority action?
A) Promise to keep the information confidential to maintain trust
B) Report immediately to the supervisor or appropriate healthcare
ACTUAL EXAMCOMPLETE 100 REAL
EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS
EXAM OVERVIEW
The NACC Personal Support Worker (PSW) Certification Exam is a
comprehensive digital examination that is 2.5 hours in length. All
students must write and pass the NACC exam to satisfy
graduation requirements before receiving their PSW certificate. To
pass, students must achieve a minimum score of 65%. Students
have a maximum of three (3) attempts to pass the NACC Final
Exam.
The exam covers essential topics including PSW role and
responsibilities, ethics and professionalism, client care, safety and
infection control, communication skills, mobility assistance,
nutrition and hydration, cognitive and mental health issues,
palliative and end-of-life care, and medication assistance.
SECTION 1: PSW ROLE, ETHICS &
PROFESSIONALISM (Questions 1-25)
Q1. A client asks the PSW to perform a task that is outside the
PSW's scope of practice. What is the best response?
,A) Perform the task if the client insists
B) Refuse the task and explain that it is not within the PSW's scope
C) Ask another PSW to do it
D) Ignore the request
Answer: B) Refuse the task and explain that it is not within the
PSW's scope
Rationale: Performing a task outside the scope of practice is unsafe,
unprofessional, and may result in legal liability. The PSW must know
their role and limits; they should politely refuse, explain the reason,
and notify the supervisor so the task can be assigned appropriately.
Q2. Which of the following is an example of maintaining a client's
confidentiality?
A) Discussing the client's condition with a family member without
consent
B) Sharing information about the client with other health team
members involved in the client's care
C) Posting about the client on social media
D) Leaving the client's chart open on the nursing station counter
Answer: B) Sharing information about the client with other health
team members involved in the client's care
Rationale: Confidential information can be shared with members of
the healthcare team who are directly involved in the client's care on a
need-to-know basis. Sharing information with family without consent,
posting on social media, or leaving charts visible all constitute
breaches of confidentiality.
Q3. A client refuses to take a bath. The PSW should:
,A) Tell the client they must bathe because the doctor ordered it
B) Respect the client's right to refuse but educate about the
benefits of bathing and offer alternatives
C) Bathe the client while they are asleep
D) Document the refusal and do nothing else
Answer: B) Respect the client's right to refuse but educate about
the benefits of bathing and offer alternatives
Rationale: The PSW should respect the client's right to make choices,
provide information about hygiene, and offer alternatives (e.g., a bed
bath, a shower later). The refusal should be reported. Coercing a
client or bathing them without consent violates client rights and
could be considered assault.
Q4. The PSW finds a client lying on the floor next to the bed. What
is the first action?
A) Help the client back into bed immediately
B) Ask the client what happened, assess for injury, and call for help
C) Leave the client to find a nurse
D) Fill out an incident report
Answer: B) Ask the client what happened, assess for injury, and call
for help
Rationale: The first step is to assess the client's condition (ask about
pain, observe for deformity, check consciousness) and then call for
help without leaving the client alone. Moving before assessment is
dangerous and could cause further injury if the client has a fracture.
Q5. A PSW observes a co-worker verbally abusing a client. What
should the PSW do?
, A) Ignore it to avoid conflict
B) Confront the co-worker aggressively
C) Report the observation to the supervisor immediately
D) Tell the client to avoid that co-worker
Answer: C) Report the observation to the supervisor immediately
Rationale: Ignoring abuse is unethical and allows the abuse to
continue. The PSW has a duty to report observations of abuse to the
supervisor immediately. Confrontation should be handled by
management, not by the reporting PSW.
Q6. A PSW develops a close relationship with a client and is invited
to the client's family wedding. What is the most appropriate
professional response?
A) Accept the invitation to show the family that the PSW cares
B) Decline politely and maintain professional boundaries
C) Accept but only attend for a short time
D) Ask the supervisor for permission to attend
Answer: B) Decline politely and maintain professional boundaries
Rationale: Maintaining professional boundaries prevents dual
relationships that could compromise care quality and objectivity.
PSWs should avoid personal relationships with clients to ensure
professional, unbiased care.
Q7. During a home visit, a client confides in the PSW that they are
feeling hopeless and mentions thoughts of ending their life. What
is the PSW's priority action?
A) Promise to keep the information confidential to maintain trust
B) Report immediately to the supervisor or appropriate healthcare
