NACC - PSW Exam Review (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2025-2026]
1. A resident with dementia becomes agitated during a bath. What should the PSW do first?
A. Continue quickly to finish the bath
B. Stop and reassure the resident
C. Call the nurse immediately
D. Restrain the resident safely
Answer: B
Rationale: Stopping, reassuring, and reducing stimuli helps prevent escalation and respects
dignity.
2. A client tells the PSW, “I don’t feel like living anymore.” What is the priority action?
A. Ask why
B. Ignore the comment
C. Report to the nurse immediately
D. Distract the client
Answer: C
Rationale: Any suicidal expression is an emergency and must be reported.
3. Which is the BEST way to communicate with a hearing-impaired resident?
A. Shout loudly
B. Speak clearly and face the resident
C. Speak from another room
D. Use long sentences
Answer: B
Rationale: Facing the resident allows lip-reading and improves clarity without shouting.
4. A resident with dysphagia (swallowing difficulty) is coughing during meals. What should the
PSW do?
A. Offer water
B. Report and stop feeding
,C. Continue feeding slowly
D. Give bread to help swallowing
Answer: B
Rationale: Coughing is a sign of aspiration risk; pause feeding and notify the nurse.
5. The PSW notices new bruises on an elderly resident’s arms. What should the PSW do?
A. Ask the family about it
B. Report to the nurse
C. Ignore them
D. Document without telling anyone
Answer: B
Rationale: Possible abuse or medical concern must always be reported immediately.
6. When using a mechanical lift, what must always be done?
A. Let the resident hold the straps
B. Use at least two workers
C. Keep the bed halfway up
D. Move the lift quickly
Answer: B
Rationale: All lifts require two staff for safety.
7. Standard precautions assume:
A. Only sick residents carry infection
B. All body fluids may be infectious
C. Gloves are needed only for blood
D. Masks are always required
Answer: B
Rationale: Universal/standard precautions apply to all body fluids.
,8. The PSW enters a room and finds a resident on the floor. What should be done first?
A. Move the resident to bed
B. Check for injury and stay with them
C. Get them up immediately
D. Clean the floor
Answer: B
Rationale: Ensure safety, assess for injury, and call for help.
9. A resident is on bedrest and needs repositioning. How often should this generally occur?
A. Every 30 minutes
B. Every 2 hours
C. Every 6 hours
D. Twice a day
Answer: B
Rationale: Prevents pressure injuries and promotes circulation.
10. Which statement BEST reflects PSW scope of practice?
A. PSWs make care plans
B. PSWs perform tasks assigned by the nurse
C. PSWs diagnose and treat
D. PSWs supervise nurses
Answer: B
Rationale: PSWs provide care assigned and delegated by regulated professionals.
11. What is the safest way to identify a resident?
A. Ask staff
B. Check name wristband
C. Ask the roommate
D. Ask family
Answer: B
Rationale: ID bands provide accurate verification.
, 12. The PSW is assisting a resident to walk and the resident starts to fall. What should the PSW
do?
A. Hold them upright forcefully
B. Guide them to the floor safely
C. Call for the nurse immediately
D. Step back
Answer: B
Rationale: Lowering to the floor minimizes injury.
13. A resident refuses morning care. What should the PSW do?
A. Force care
B. Report refusal and try again later
C. Lecture the resident
D. Continue without consent
Answer: B
Rationale: Respect autonomy; attempt later and report.
14. What is the FIRST step in handwashing?
A. Apply soap
B. Rinse hands
C. Wet hands
D. Dry hands
Answer: C
Rationale: Hands must be wet before applying soap for effective lather.
15. A PSW overhears coworkers gossiping about a resident. What is the correct action?
A. Join in
B. Ignore it
C. Report to supervisor
D. Tell the resident
Answer: C
Rationale: Gossip breaches confidentiality and must be reported.
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2025-2026]
1. A resident with dementia becomes agitated during a bath. What should the PSW do first?
A. Continue quickly to finish the bath
B. Stop and reassure the resident
C. Call the nurse immediately
D. Restrain the resident safely
Answer: B
Rationale: Stopping, reassuring, and reducing stimuli helps prevent escalation and respects
dignity.
2. A client tells the PSW, “I don’t feel like living anymore.” What is the priority action?
A. Ask why
B. Ignore the comment
C. Report to the nurse immediately
D. Distract the client
Answer: C
Rationale: Any suicidal expression is an emergency and must be reported.
3. Which is the BEST way to communicate with a hearing-impaired resident?
A. Shout loudly
B. Speak clearly and face the resident
C. Speak from another room
D. Use long sentences
Answer: B
Rationale: Facing the resident allows lip-reading and improves clarity without shouting.
4. A resident with dysphagia (swallowing difficulty) is coughing during meals. What should the
PSW do?
A. Offer water
B. Report and stop feeding
,C. Continue feeding slowly
D. Give bread to help swallowing
Answer: B
Rationale: Coughing is a sign of aspiration risk; pause feeding and notify the nurse.
5. The PSW notices new bruises on an elderly resident’s arms. What should the PSW do?
A. Ask the family about it
B. Report to the nurse
C. Ignore them
D. Document without telling anyone
Answer: B
Rationale: Possible abuse or medical concern must always be reported immediately.
6. When using a mechanical lift, what must always be done?
A. Let the resident hold the straps
B. Use at least two workers
C. Keep the bed halfway up
D. Move the lift quickly
Answer: B
Rationale: All lifts require two staff for safety.
7. Standard precautions assume:
A. Only sick residents carry infection
B. All body fluids may be infectious
C. Gloves are needed only for blood
D. Masks are always required
Answer: B
Rationale: Universal/standard precautions apply to all body fluids.
,8. The PSW enters a room and finds a resident on the floor. What should be done first?
A. Move the resident to bed
B. Check for injury and stay with them
C. Get them up immediately
D. Clean the floor
Answer: B
Rationale: Ensure safety, assess for injury, and call for help.
9. A resident is on bedrest and needs repositioning. How often should this generally occur?
A. Every 30 minutes
B. Every 2 hours
C. Every 6 hours
D. Twice a day
Answer: B
Rationale: Prevents pressure injuries and promotes circulation.
10. Which statement BEST reflects PSW scope of practice?
A. PSWs make care plans
B. PSWs perform tasks assigned by the nurse
C. PSWs diagnose and treat
D. PSWs supervise nurses
Answer: B
Rationale: PSWs provide care assigned and delegated by regulated professionals.
11. What is the safest way to identify a resident?
A. Ask staff
B. Check name wristband
C. Ask the roommate
D. Ask family
Answer: B
Rationale: ID bands provide accurate verification.
, 12. The PSW is assisting a resident to walk and the resident starts to fall. What should the PSW
do?
A. Hold them upright forcefully
B. Guide them to the floor safely
C. Call for the nurse immediately
D. Step back
Answer: B
Rationale: Lowering to the floor minimizes injury.
13. A resident refuses morning care. What should the PSW do?
A. Force care
B. Report refusal and try again later
C. Lecture the resident
D. Continue without consent
Answer: B
Rationale: Respect autonomy; attempt later and report.
14. What is the FIRST step in handwashing?
A. Apply soap
B. Rinse hands
C. Wet hands
D. Dry hands
Answer: C
Rationale: Hands must be wet before applying soap for effective lather.
15. A PSW overhears coworkers gossiping about a resident. What is the correct action?
A. Join in
B. Ignore it
C. Report to supervisor
D. Tell the resident
Answer: C
Rationale: Gossip breaches confidentiality and must be reported.
