NACC - PSW Exam Review (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2025]
1. A client refuses a morning bath. What should you do first?
Answer: Respect refusal and document it.
Rationale: Clients have autonomy; PSW must document and report refusal, not force care.
2. Before transferring a client, what is the FIRST action?
Answer: Assess the client’s ability to bear weight.
Rationale: Safe lifting requires assessment before action.
3. When should hand hygiene be performed?
Answer: Before and after each client contact.
Rationale: Prevents cross-infection.
4. A confused client wanders toward the exit. What is your best action?
Answer: Gently redirect them to a safe area.
Rationale: Maintain safety while supporting dignity.
5. A client shows new bruising. What must a PSW do?
Answer: Report and document immediately.
Rationale: Possible abuse/neglect — mandatory reporting.
6. Normal adult pulse range is:
Answer: 60–100 bpm.
Rationale: Standard vital-sign reference.
,7. Which task is outside PSW scope?
Answer: Administering medication without delegation.
Rationale: Medication administration requires licensed staff or formal delegation.
8. Best way to communicate with dementia clients?
Answer: Use short, simple sentences and calm tone.
Rationale: Reduces confusion and agitation.
9. Gloves should be changed:
Answer: Between clients and between dirty/clean tasks.
Rationale: Prevents contamination.
10. A client begins choking. First action?
Answer: Perform abdominal thrusts if trained (or call for help).
Rationale: Airway obstruction is an emergency.
11. Why is documentation important?
Answer: Ensures continuity of care.
Rationale: Other staff rely on accurate notes.
12. Client-centered care means:
Answer: Respecting preferences and involving the client in care decisions.
Rationale: Autonomy and dignity are core principles.
, 13. Which setting is NOT typical for PSWs?
Answer: ICU unsupervised.
Rationale: ICU requires regulated nursing staff.
14. A client needs toileting assistance. What is essential?
Answer: Provide privacy and follow infection control.
Rationale: Supports dignity and safety.
15. Redness over a bony area indicates:
Answer: Early pressure injury — reposition and report.
Rationale: Early intervention prevents worsening.
16. Signs of dehydration in seniors include:
Answer: Dry mouth and confusion.
Rationale: Older adults show subtle symptoms.
17. You notice a strong smell of alcohol on a client. You should:
Answer: Report to supervisor and ensure safety.
Rationale: May impair judgment or mobility.
18. A client expresses suicidal thoughts. What do you do?
Answer: Report immediately.
Rationale: Mental-health emergencies require licensed staff.
19. Culturally sensitive care involves:
Answer: Respecting client’s beliefs and cultural preferences.
Rationale: Supports dignity and trust.
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) |
GUARANTEED PASS A+ [2025]
1. A client refuses a morning bath. What should you do first?
Answer: Respect refusal and document it.
Rationale: Clients have autonomy; PSW must document and report refusal, not force care.
2. Before transferring a client, what is the FIRST action?
Answer: Assess the client’s ability to bear weight.
Rationale: Safe lifting requires assessment before action.
3. When should hand hygiene be performed?
Answer: Before and after each client contact.
Rationale: Prevents cross-infection.
4. A confused client wanders toward the exit. What is your best action?
Answer: Gently redirect them to a safe area.
Rationale: Maintain safety while supporting dignity.
5. A client shows new bruising. What must a PSW do?
Answer: Report and document immediately.
Rationale: Possible abuse/neglect — mandatory reporting.
6. Normal adult pulse range is:
Answer: 60–100 bpm.
Rationale: Standard vital-sign reference.
,7. Which task is outside PSW scope?
Answer: Administering medication without delegation.
Rationale: Medication administration requires licensed staff or formal delegation.
8. Best way to communicate with dementia clients?
Answer: Use short, simple sentences and calm tone.
Rationale: Reduces confusion and agitation.
9. Gloves should be changed:
Answer: Between clients and between dirty/clean tasks.
Rationale: Prevents contamination.
10. A client begins choking. First action?
Answer: Perform abdominal thrusts if trained (or call for help).
Rationale: Airway obstruction is an emergency.
11. Why is documentation important?
Answer: Ensures continuity of care.
Rationale: Other staff rely on accurate notes.
12. Client-centered care means:
Answer: Respecting preferences and involving the client in care decisions.
Rationale: Autonomy and dignity are core principles.
, 13. Which setting is NOT typical for PSWs?
Answer: ICU unsupervised.
Rationale: ICU requires regulated nursing staff.
14. A client needs toileting assistance. What is essential?
Answer: Provide privacy and follow infection control.
Rationale: Supports dignity and safety.
15. Redness over a bony area indicates:
Answer: Early pressure injury — reposition and report.
Rationale: Early intervention prevents worsening.
16. Signs of dehydration in seniors include:
Answer: Dry mouth and confusion.
Rationale: Older adults show subtle symptoms.
17. You notice a strong smell of alcohol on a client. You should:
Answer: Report to supervisor and ensure safety.
Rationale: May impair judgment or mobility.
18. A client expresses suicidal thoughts. What do you do?
Answer: Report immediately.
Rationale: Mental-health emergencies require licensed staff.
19. Culturally sensitive care involves:
Answer: Respecting client’s beliefs and cultural preferences.
Rationale: Supports dignity and trust.
