NACC PSW EXAM LATEST
250 High-Yield NACC PSW Exam-Style Practice
Questions & Correct Answers
NACC PSW EXAM REVIEW • BRAND NEW PRACTICE EDITION
IMPORTANT: These are original practice questions aligned to the published NACC PSW curriculum and Ontario PSW standard. They
are not leaked or reproduced NACC examination questions. Public NACC materials do not provide a verifiable public bank of
confidential 2025/2026 exam items. Correct answers are marked by a large green tick inside a box.
VISUAL CLINICAL REVIEW
Lung Anatomy — Study Diagram
Lung Lung
Trachea
Pressure Areas — Supine Position
Head
Shoulders
Sacrum
Heel Heel
Hand Hygiene — Key Sequence
1 2 3 4 5
Wet/apply Palms Fingers Thumbs Rinse/dry
NACC PSW 2025/2026 — 250-question practice review Page 1
, Professional Practice, Ethics & Scope
1. A client asks a PSW to perform a task that is outside the PSW's role and training. What is the best response?
• Do the task if the client insists
■ Explain the limitation and follow the care plan/escalation process
• Ask another PSW to do it without reporting it
• Search online and perform it yourself
2. Which principle best describes person-centred care?
• Doing what is fastest for the worker
• Making decisions for the client whenever possible
■ Respecting the client's preferences, values, choices and goals
•Using the same routine for every client
3. A PSW notices a significant change in a client's condition. What should the PSW do first?
• Ignore it until the next shift
■ Document and report the change according to workplace policy
• Diagnose the condition
• Tell the client's neighbour
4. Confidential client information should be shared with:
• Anyone who asks politely
■ Only people authorized and involved in the client's care, as appropriate
• Friends after the shift
• Social media followers
5. Which action best protects client dignity during personal care?
• Leaving the door open for convenience
• Exposing the client fully before gathering supplies
■ Providing privacy, explaining each step and covering the client appropriately
•Talking about the client with coworkers in the hallway
6. A PSW makes a documentation error. What is the safest practice?
• Erase the record completely
■ Follow the organization's correction procedure and make the correction traceable
• Ask a coworker to sign for it
• Leave the chart unchanged
7. Which behaviour demonstrates professional boundaries?
• Accepting an expensive personal gift
• Borrowing money from a client
■ Maintaining a respectful helping relationship without exploiting the client
• Sharing private family problems to gain sympathy
8. A client refuses a bath. The PSW should:
• Force the bath
■ Respect the refusal, explore the reason, and report/document as required
• Threaten to withhold meals
• Call the police immediately
9. Which is an example of advocacy?
■ Speaking up when a client's expressed care preference is being overlooked
• Making every decision for the client
• Hiding complaints
• Refusing to communicate with the care team
10. When a PSW is unsure about a procedure, the safest action is to:
• Guess
• Use an unverified social-media video
■ Seek guidance from the appropriate supervisor or authorized resource
• Ask the client to teach the procedure
Communication & Therapeutic Relationships
11. Which communication technique is most appropriate when a client has difficulty hearing?
NACC PSW 2025/2026 — 250-question practice review Page 2
, • Shout from another room
■ Face the client, reduce background noise and speak clearly
• Speak rapidly
• Cover your mouth while speaking
12. A client is angry about a delay. What is the best initial response?
• Argue about the schedule
■ Acknowledge the concern and listen calmly
• Walk away without explanation
• Tell the client to stop complaining
13. Which statement is an open-ended question?
• Did you sleep well?
• Are you in pain?
■ What concerns do you have about your care today?
• Is your meal cold?
14. For a client with expressive aphasia, the PSW should:
• Finish every sentence for the client
■ Allow extra time and use simple communication supports as appropriate
• Pretend to understand
• Speak only to the family
15. Which is an example of active listening?
• Planning your reply while the client talks
• Interrupting frequently
■ Using appropriate eye contact, attention and clarification
•Changing the subject
16. When communicating with a client with dementia, the PSW should generally:
• Use complex multi-step instructions
• Argue about inaccurate statements
■ Use calm, simple language and one idea at a time
• Test the client's memory repeatedly
17. A client's nonverbal behaviour is inconsistent with their words. The PSW should:
• Ignore nonverbal cues
■ Observe, clarify respectfully and report significant changes
• Assume the client is lying
• Document a diagnosis
18. Which approach can reduce anxiety during care?
■ Explain what will happen before beginning
• Rush without explanation
• Use medical jargon
• Discuss unrelated staff conflicts
19. When language is a barrier, the PSW should preferably use:
■ A qualified interpreter/resource according to workplace policy
• A young child from the family
• Gestures only for all information
• Online comments from strangers
20. A client shares a private worry. The PSW should:
• Promise absolute secrecy regardless of safety issues
■ Listen respectfully and maintain confidentiality within professional limits
• Tell other clients
• Post the story anonymously
Infection Prevention & Control
21. The most important routine practice for preventing transmission of infection is:
■ Hand hygiene
• Wearing a watch
• Opening windows
NACC PSW 2025/2026 — 250-question practice review Page 3
250 High-Yield NACC PSW Exam-Style Practice
Questions & Correct Answers
NACC PSW EXAM REVIEW • BRAND NEW PRACTICE EDITION
IMPORTANT: These are original practice questions aligned to the published NACC PSW curriculum and Ontario PSW standard. They
are not leaked or reproduced NACC examination questions. Public NACC materials do not provide a verifiable public bank of
confidential 2025/2026 exam items. Correct answers are marked by a large green tick inside a box.
VISUAL CLINICAL REVIEW
Lung Anatomy — Study Diagram
Lung Lung
Trachea
Pressure Areas — Supine Position
Head
Shoulders
Sacrum
Heel Heel
Hand Hygiene — Key Sequence
1 2 3 4 5
Wet/apply Palms Fingers Thumbs Rinse/dry
NACC PSW 2025/2026 — 250-question practice review Page 1
, Professional Practice, Ethics & Scope
1. A client asks a PSW to perform a task that is outside the PSW's role and training. What is the best response?
• Do the task if the client insists
■ Explain the limitation and follow the care plan/escalation process
• Ask another PSW to do it without reporting it
• Search online and perform it yourself
2. Which principle best describes person-centred care?
• Doing what is fastest for the worker
• Making decisions for the client whenever possible
■ Respecting the client's preferences, values, choices and goals
•Using the same routine for every client
3. A PSW notices a significant change in a client's condition. What should the PSW do first?
• Ignore it until the next shift
■ Document and report the change according to workplace policy
• Diagnose the condition
• Tell the client's neighbour
4. Confidential client information should be shared with:
• Anyone who asks politely
■ Only people authorized and involved in the client's care, as appropriate
• Friends after the shift
• Social media followers
5. Which action best protects client dignity during personal care?
• Leaving the door open for convenience
• Exposing the client fully before gathering supplies
■ Providing privacy, explaining each step and covering the client appropriately
•Talking about the client with coworkers in the hallway
6. A PSW makes a documentation error. What is the safest practice?
• Erase the record completely
■ Follow the organization's correction procedure and make the correction traceable
• Ask a coworker to sign for it
• Leave the chart unchanged
7. Which behaviour demonstrates professional boundaries?
• Accepting an expensive personal gift
• Borrowing money from a client
■ Maintaining a respectful helping relationship without exploiting the client
• Sharing private family problems to gain sympathy
8. A client refuses a bath. The PSW should:
• Force the bath
■ Respect the refusal, explore the reason, and report/document as required
• Threaten to withhold meals
• Call the police immediately
9. Which is an example of advocacy?
■ Speaking up when a client's expressed care preference is being overlooked
• Making every decision for the client
• Hiding complaints
• Refusing to communicate with the care team
10. When a PSW is unsure about a procedure, the safest action is to:
• Guess
• Use an unverified social-media video
■ Seek guidance from the appropriate supervisor or authorized resource
• Ask the client to teach the procedure
Communication & Therapeutic Relationships
11. Which communication technique is most appropriate when a client has difficulty hearing?
NACC PSW 2025/2026 — 250-question practice review Page 2
, • Shout from another room
■ Face the client, reduce background noise and speak clearly
• Speak rapidly
• Cover your mouth while speaking
12. A client is angry about a delay. What is the best initial response?
• Argue about the schedule
■ Acknowledge the concern and listen calmly
• Walk away without explanation
• Tell the client to stop complaining
13. Which statement is an open-ended question?
• Did you sleep well?
• Are you in pain?
■ What concerns do you have about your care today?
• Is your meal cold?
14. For a client with expressive aphasia, the PSW should:
• Finish every sentence for the client
■ Allow extra time and use simple communication supports as appropriate
• Pretend to understand
• Speak only to the family
15. Which is an example of active listening?
• Planning your reply while the client talks
• Interrupting frequently
■ Using appropriate eye contact, attention and clarification
•Changing the subject
16. When communicating with a client with dementia, the PSW should generally:
• Use complex multi-step instructions
• Argue about inaccurate statements
■ Use calm, simple language and one idea at a time
• Test the client's memory repeatedly
17. A client's nonverbal behaviour is inconsistent with their words. The PSW should:
• Ignore nonverbal cues
■ Observe, clarify respectfully and report significant changes
• Assume the client is lying
• Document a diagnosis
18. Which approach can reduce anxiety during care?
■ Explain what will happen before beginning
• Rush without explanation
• Use medical jargon
• Discuss unrelated staff conflicts
19. When language is a barrier, the PSW should preferably use:
■ A qualified interpreter/resource according to workplace policy
• A young child from the family
• Gestures only for all information
• Online comments from strangers
20. A client shares a private worry. The PSW should:
• Promise absolute secrecy regardless of safety issues
■ Listen respectfully and maintain confidentiality within professional limits
• Tell other clients
• Post the story anonymously
Infection Prevention & Control
21. The most important routine practice for preventing transmission of infection is:
■ Hand hygiene
• Wearing a watch
• Opening windows
NACC PSW 2025/2026 — 250-question practice review Page 3
