NACC PSW Exam Practice Questions &
Study Guide 2025 – Verified 80+ Multiple-
Choice Questions with Answers and
Rationales
Personal Support Skills (20 Questions)
Question 1
What is the primary goal of client-centered care in the NACC PSW curriculum?
A. Standardizing care procedures
B. Respecting the client’s dignity, preferences, and needs
C. Reducing caregiving time
D. Prioritizing family preferences
Correct Answer: B
Rationale: Client-centered care, a core principle in the NACC curriculum, emphasizes
respecting the client’s dignity, preferences, and individual needs to provide personalized support.
Standardizing procedures (A), reducing time (C), or prioritizing family (D) are not the primary
focus.
Question 2
When assisting a client with bathing, what should a PSW do first?
A. Prepare the bathing area with supplies
B. Explain the procedure to the client
C. Begin washing the client’s face
D. Adjust the water temperature
Correct Answer: B
Rationale: Explaining the procedure first ensures the client understands and consents, promoting
dignity and reducing anxiety. Preparing supplies (A), washing (C), or adjusting temperature (D)
follows communication.
Question 3
How should a PSW assist a client with mobility issues to transfer from bed to a chair?
A. Lift the client without assistance
B. Use a transfer belt and ensure proper body mechanics
C. Encourage the client to transfer independently
D. Use a Hoyer lift without a second caregiver
Correct Answer: B
Rationale: A transfer belt ensures safety and proper body mechanics prevent injury to both client
,and PSW. Lifting alone (A) risks injury, independent transfer (C) may be unsafe, and Hoyer lifts
require two caregivers (D).
Question 4
What is a key step when assisting a client with oral hygiene?
A. Use a toothbrush without toothpaste
B. Check for signs of oral health issues
C. Brush only the front teeth
D. Avoid using water to rinse
Correct Answer: B
Rationale: Checking for signs like bleeding gums or sores is critical to identify health issues, as
per the NACC curriculum. Toothpaste is needed (A), all teeth should be brushed (C), and rinsing
is standard (D).
Question 5
When assisting with meal preparation, what should a PSW consider?
A. Prepare only soft foods for all clients
B. Follow the client’s dietary restrictions and preferences
C. Serve meals at room temperature
D. Avoid involving the client in choices
Correct Answer: B
Rationale: Respecting dietary restrictions and preferences ensures client-centered care and
safety. Soft foods (A) are not universal, room temperature (C) may not be suitable, and client
involvement (D) is encouraged.
Question 6
What is the correct technique for assisting a client with toileting?
A. Rush the client to finish quickly
B. Provide privacy while ensuring safety
C. Avoid using gloves during assistance
D. Leave the client unattended
Correct Answer: B
Rationale: Providing privacy while ensuring safety respects dignity and prevents falls. Rushing
(A), not using gloves (C), or leaving unattended (D) compromises safety and ethics.
Question 7
How should a PSW respond if a client refuses personal care?
A. Insist on completing the care
B. Respect the refusal and report to the supervisor
C. Skip the care without reporting
D. Convince the client to comply
Correct Answer: B
, Rationale: Respecting client autonomy is key; refusals should be reported to address underlying
issues. Insisting (A), skipping without reporting (C), or convincing (D) violates client rights.
Question 8
What is an appropriate action when assisting a client with dressing?
A. Choose clothing without client input
B. Allow the client to choose clothing when possible
C. Dress the client in bed to save time
D. Use only loose-fitting clothing
Correct Answer: B
Rationale: Allowing client choice promotes dignity and autonomy, as per the NACC curriculum.
Choosing without input (A), dressing in bed (C), or limiting to loose clothing (D) is not client-
centered.
Question 9
What should a PSW do when assisting a client with a walker?
A. Push the client forward quickly
B. Ensure the walker is stable and the path is clear
C. Hold the walker during movement
D. Encourage running to build strength
Correct Answer: B
Rationale: Ensuring stability and a clear path prevents falls, aligning with safety protocols.
Pushing (A), holding the walker (C), or encouraging running (D) increases risk.
Question 10
When providing personal hygiene care, what should a PSW prioritize?
A. Completing the task quickly
B. Maintaining client comfort and dignity
C. Using minimal water to save resources
D. Avoiding client communication
Correct Answer: B
Rationale: Client comfort and dignity are central to personal hygiene care in the NACC
curriculum. Speed (A), minimal water (C), or avoiding communication (D) compromises care
quality.
Question 11
What is a key consideration when assisting with feeding?
A. Feed the client quickly to save time
B. Ensure the client is in an upright position
C. Use only pureed foods
D. Avoid checking for swallowing difficulties
Correct Answer: B
Study Guide 2025 – Verified 80+ Multiple-
Choice Questions with Answers and
Rationales
Personal Support Skills (20 Questions)
Question 1
What is the primary goal of client-centered care in the NACC PSW curriculum?
A. Standardizing care procedures
B. Respecting the client’s dignity, preferences, and needs
C. Reducing caregiving time
D. Prioritizing family preferences
Correct Answer: B
Rationale: Client-centered care, a core principle in the NACC curriculum, emphasizes
respecting the client’s dignity, preferences, and individual needs to provide personalized support.
Standardizing procedures (A), reducing time (C), or prioritizing family (D) are not the primary
focus.
Question 2
When assisting a client with bathing, what should a PSW do first?
A. Prepare the bathing area with supplies
B. Explain the procedure to the client
C. Begin washing the client’s face
D. Adjust the water temperature
Correct Answer: B
Rationale: Explaining the procedure first ensures the client understands and consents, promoting
dignity and reducing anxiety. Preparing supplies (A), washing (C), or adjusting temperature (D)
follows communication.
Question 3
How should a PSW assist a client with mobility issues to transfer from bed to a chair?
A. Lift the client without assistance
B. Use a transfer belt and ensure proper body mechanics
C. Encourage the client to transfer independently
D. Use a Hoyer lift without a second caregiver
Correct Answer: B
Rationale: A transfer belt ensures safety and proper body mechanics prevent injury to both client
,and PSW. Lifting alone (A) risks injury, independent transfer (C) may be unsafe, and Hoyer lifts
require two caregivers (D).
Question 4
What is a key step when assisting a client with oral hygiene?
A. Use a toothbrush without toothpaste
B. Check for signs of oral health issues
C. Brush only the front teeth
D. Avoid using water to rinse
Correct Answer: B
Rationale: Checking for signs like bleeding gums or sores is critical to identify health issues, as
per the NACC curriculum. Toothpaste is needed (A), all teeth should be brushed (C), and rinsing
is standard (D).
Question 5
When assisting with meal preparation, what should a PSW consider?
A. Prepare only soft foods for all clients
B. Follow the client’s dietary restrictions and preferences
C. Serve meals at room temperature
D. Avoid involving the client in choices
Correct Answer: B
Rationale: Respecting dietary restrictions and preferences ensures client-centered care and
safety. Soft foods (A) are not universal, room temperature (C) may not be suitable, and client
involvement (D) is encouraged.
Question 6
What is the correct technique for assisting a client with toileting?
A. Rush the client to finish quickly
B. Provide privacy while ensuring safety
C. Avoid using gloves during assistance
D. Leave the client unattended
Correct Answer: B
Rationale: Providing privacy while ensuring safety respects dignity and prevents falls. Rushing
(A), not using gloves (C), or leaving unattended (D) compromises safety and ethics.
Question 7
How should a PSW respond if a client refuses personal care?
A. Insist on completing the care
B. Respect the refusal and report to the supervisor
C. Skip the care without reporting
D. Convince the client to comply
Correct Answer: B
, Rationale: Respecting client autonomy is key; refusals should be reported to address underlying
issues. Insisting (A), skipping without reporting (C), or convincing (D) violates client rights.
Question 8
What is an appropriate action when assisting a client with dressing?
A. Choose clothing without client input
B. Allow the client to choose clothing when possible
C. Dress the client in bed to save time
D. Use only loose-fitting clothing
Correct Answer: B
Rationale: Allowing client choice promotes dignity and autonomy, as per the NACC curriculum.
Choosing without input (A), dressing in bed (C), or limiting to loose clothing (D) is not client-
centered.
Question 9
What should a PSW do when assisting a client with a walker?
A. Push the client forward quickly
B. Ensure the walker is stable and the path is clear
C. Hold the walker during movement
D. Encourage running to build strength
Correct Answer: B
Rationale: Ensuring stability and a clear path prevents falls, aligning with safety protocols.
Pushing (A), holding the walker (C), or encouraging running (D) increases risk.
Question 10
When providing personal hygiene care, what should a PSW prioritize?
A. Completing the task quickly
B. Maintaining client comfort and dignity
C. Using minimal water to save resources
D. Avoiding client communication
Correct Answer: B
Rationale: Client comfort and dignity are central to personal hygiene care in the NACC
curriculum. Speed (A), minimal water (C), or avoiding communication (D) compromises care
quality.
Question 11
What is a key consideration when assisting with feeding?
A. Feed the client quickly to save time
B. Ensure the client is in an upright position
C. Use only pureed foods
D. Avoid checking for swallowing difficulties
Correct Answer: B
