NACC Personal Support Worker PSW Exam Actual
Exam 2026/2027 | Questions with Verified Answers |
100% Correct | Pass Guaranteed
SECTION 1: Professionalism, Ethics, & Communication
Q1: During a home visit, a client’s daughter asks you to tell her exactly what her father
said about his finances. Your best response is:
A. Repeat the conversation verbatim so the family can help.
B. Explain that you must respect client confidentiality and suggest she speak directly
with her father.
C. Promise to relay the request to the nurse and leave immediately.
D. Tell her you will write the details in the daily log for her to read.
Correct Answer: B
Rationale: The PSW is legally and ethically bound to protect client confidentiality unless
the client has given consent to share information. Option B upholds this standard while
encouraging family communication. A violates privacy, C avoids the issue
unprofessionally, and D breaches confidentiality by inviting unauthorized access to the
chart.
,Q2: You notice a co-worker posting a client’s photo on social media with the caption
“Great day with Mr. K!” You should:
A. Ignore it because the face is not fully visible.
B. Report the incident immediately to your supervisor per the agency social-media
policy.
C. Comment on the post asking the co-worker to delete it.
D. Only report if the client complains.
Correct Answer: B
Rationale: Posting any client image or information without written consent is a serious
breach of privacy legislation (PHIPA/PIPEDA). PSWs must promptly report breaches to
protect the client and agency. A and D condone the breach, and C bypasses proper
reporting channels.
Q3: Which action is outside the PSW scope of practice?
A. Reminding a client to take a prescribed pill.
B. Measuring a client’s blood sugar with a glucometer.
C. Adjusting the dosage of a client’s pain medication.
D. Assisting with range-of-motion exercises taught by the physiotherapist.
,Correct Answer: C
Rationale: Medication dosage adjustment is a controlled act reserved for regulated
health professionals. PSWs may cue, remind, or assist with opening pill organizers but
never change prescriptions. A, B, and D are appropriate within delegation and training.
Q4: A client refuses a bath for the third consecutive day. The PSW should:
A. Insist that refusing is unsanitary and proceed anyway.
B. Document the refusal and inform the nurse or care coordinator.
C. Tell the client they will lose their home-care services.
D. Leave without bathing and omit documentation to avoid trouble.
Correct Answer: B
Rationale: Clients have the right to refuse care. The PSW must respect autonomy,
ensure safety, and follow agency policy by documenting and reporting so a revised care
plan can be negotiated. A and C violate dignity and client rights; D creates an inaccurate
health record.
Q5: When communicating with a client who has expressive aphasia, the most
appropriate strategy is:
A. Finish the client’s sentences to speed up conversation.
, B. Ask closed yes-or-no questions and allow extra response time.
C. Speak loudly and use elder-speak terms like “honey.”
D. Ignore unsuccessful attempts and talk to the family instead.
Correct Answer: B
Rationale: Closed questions reduce linguistic demand and support client participation.
Allowing time respects processing delays. A removes the client’s voice, C can feel
patronizing, and D disregards the client’s presence and dignity.
Q6: A client gives you a $50 gift card at Christmas. You should:
A. Accept it graciously to avoid offending the client.
B. Politely decline and explain agency policy prohibits accepting monetary gifts.
C. Accept it but report it only if its value exceeds $100.
D. Share it with the team so no single person benefits.
Correct Answer: B
Rationale: Accepting gifts can compromise professional boundaries and create
perceived favoritism. Agencies typically prohibit any monetary or high-value gifts.
Declining respectfully maintains trust while upholding ethical standards. A, C, and D
breach policy.
Exam 2026/2027 | Questions with Verified Answers |
100% Correct | Pass Guaranteed
SECTION 1: Professionalism, Ethics, & Communication
Q1: During a home visit, a client’s daughter asks you to tell her exactly what her father
said about his finances. Your best response is:
A. Repeat the conversation verbatim so the family can help.
B. Explain that you must respect client confidentiality and suggest she speak directly
with her father.
C. Promise to relay the request to the nurse and leave immediately.
D. Tell her you will write the details in the daily log for her to read.
Correct Answer: B
Rationale: The PSW is legally and ethically bound to protect client confidentiality unless
the client has given consent to share information. Option B upholds this standard while
encouraging family communication. A violates privacy, C avoids the issue
unprofessionally, and D breaches confidentiality by inviting unauthorized access to the
chart.
,Q2: You notice a co-worker posting a client’s photo on social media with the caption
“Great day with Mr. K!” You should:
A. Ignore it because the face is not fully visible.
B. Report the incident immediately to your supervisor per the agency social-media
policy.
C. Comment on the post asking the co-worker to delete it.
D. Only report if the client complains.
Correct Answer: B
Rationale: Posting any client image or information without written consent is a serious
breach of privacy legislation (PHIPA/PIPEDA). PSWs must promptly report breaches to
protect the client and agency. A and D condone the breach, and C bypasses proper
reporting channels.
Q3: Which action is outside the PSW scope of practice?
A. Reminding a client to take a prescribed pill.
B. Measuring a client’s blood sugar with a glucometer.
C. Adjusting the dosage of a client’s pain medication.
D. Assisting with range-of-motion exercises taught by the physiotherapist.
,Correct Answer: C
Rationale: Medication dosage adjustment is a controlled act reserved for regulated
health professionals. PSWs may cue, remind, or assist with opening pill organizers but
never change prescriptions. A, B, and D are appropriate within delegation and training.
Q4: A client refuses a bath for the third consecutive day. The PSW should:
A. Insist that refusing is unsanitary and proceed anyway.
B. Document the refusal and inform the nurse or care coordinator.
C. Tell the client they will lose their home-care services.
D. Leave without bathing and omit documentation to avoid trouble.
Correct Answer: B
Rationale: Clients have the right to refuse care. The PSW must respect autonomy,
ensure safety, and follow agency policy by documenting and reporting so a revised care
plan can be negotiated. A and C violate dignity and client rights; D creates an inaccurate
health record.
Q5: When communicating with a client who has expressive aphasia, the most
appropriate strategy is:
A. Finish the client’s sentences to speed up conversation.
, B. Ask closed yes-or-no questions and allow extra response time.
C. Speak loudly and use elder-speak terms like “honey.”
D. Ignore unsuccessful attempts and talk to the family instead.
Correct Answer: B
Rationale: Closed questions reduce linguistic demand and support client participation.
Allowing time respects processing delays. A removes the client’s voice, C can feel
patronizing, and D disregards the client’s presence and dignity.
Q6: A client gives you a $50 gift card at Christmas. You should:
A. Accept it graciously to avoid offending the client.
B. Politely decline and explain agency policy prohibits accepting monetary gifts.
C. Accept it but report it only if its value exceeds $100.
D. Share it with the team so no single person benefits.
Correct Answer: B
Rationale: Accepting gifts can compromise professional boundaries and create
perceived favoritism. Agencies typically prohibit any monetary or high-value gifts.
Declining respectfully maintains trust while upholding ethical standards. A, C, and D
breach policy.
