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 breakfast, a client tells you their daughter is visiting later and asks you to
keep it a secret from the care team. You should:
A. Promise to keep the secret to avoid upsetting the client
B. Explain that you must share relevant information with the care team and reassure the
client
C. Agree but document the request in the communication book only
D. Ignore the request and tell the nurse the client is being difficult
Correct Answer: B
Rationale: PSWs must maintain open communication with the care team to ensure safe,
coordinated care. Promising secrecy (A) could compromise safety. Documenting only
(C) is insufficient. Ignoring and labeling the client (D) is disrespectful and
unprofessional.
Q2: A client’s son asks to see his mother’s full medical chart while you are reviewing it.
Your most appropriate response is:
A. Hand him the chart since he is family
,B. Direct him to speak with the nurse or supervisor and follow facility policy on record
access
C. Show him the medication section only
D. Refuse abruptly and walk away
Correct Answer: B
Rationale: Access to medical records is governed by privacy legislation and facility
policy; PSWs must defer to the nurse/supervisor. Providing records without
authorization (A, C) breaches confidentiality. Abrupt refusal (D) is disrespectful.
Q3: You overhear two staff members joking about a client’s appearance in the hallway.
Your immediate action should be:
A. Ignore the conversation to avoid conflict
B. Politely remind them that such discussions are unprofessional and report the
incident if it continues
C. Laugh along to maintain team harmony
D. Record the incident in the client’s chart
Correct Answer: B
Rationale: PSWs must uphold professional standards and client dignity. Ignoring (A) or
joining (C) condones unprofessional behavior. Documenting in the chart (D) is
inappropriate; incident reports follow facility protocol.
Q4: A client refuses a bed bath, stating, “I’m too tired today.” You should:
A. Insist that hygiene is non-negotiable for health
, B. Respect the refusal, document it, and inform the nurse; offer alternatives or
reschedule
C. Leave and return later without documenting
D. Perform the bath quickly while the client is half-asleep
Correct Answer: B
Rationale: Clients have the right to refuse care; PSWs must respect autonomy,
document, and communicate to the team. Forcing (A) violates dignity. Leaving without
documentation (C) is unsafe. Bathing while asleep (D) is disrespectful and potentially
unsafe.
Q5: While documenting, you realize you forgot to record a client’s blood pressure
reading taken two hours ago. Your best action is:
A. Leave it out since it’s late
B. Estimate a reasonable value based on previous readings
C. Record the actual reading with the correct time and notify the nurse
D. Back-date the entry to the time it was taken
Correct Answer: C
Rationale: Accurate, timely documentation is a legal requirement. Estimating (B) or
back-dating (D) constitutes falsification. Omitting (A) leaves gaps in care records.
Q6: A client’s family member offers you a $50 gift card as a thank-you for your care. You
should:
A. Accept it graciously to avoid offending the family
B. Politely decline and explain that accepting gifts is against agency policy
Exam 2026/2027 | Questions with Verified Answers |
100% Correct | Pass Guaranteed
SECTION 1: Professionalism, Ethics, & Communication
Q1: During breakfast, a client tells you their daughter is visiting later and asks you to
keep it a secret from the care team. You should:
A. Promise to keep the secret to avoid upsetting the client
B. Explain that you must share relevant information with the care team and reassure the
client
C. Agree but document the request in the communication book only
D. Ignore the request and tell the nurse the client is being difficult
Correct Answer: B
Rationale: PSWs must maintain open communication with the care team to ensure safe,
coordinated care. Promising secrecy (A) could compromise safety. Documenting only
(C) is insufficient. Ignoring and labeling the client (D) is disrespectful and
unprofessional.
Q2: A client’s son asks to see his mother’s full medical chart while you are reviewing it.
Your most appropriate response is:
A. Hand him the chart since he is family
,B. Direct him to speak with the nurse or supervisor and follow facility policy on record
access
C. Show him the medication section only
D. Refuse abruptly and walk away
Correct Answer: B
Rationale: Access to medical records is governed by privacy legislation and facility
policy; PSWs must defer to the nurse/supervisor. Providing records without
authorization (A, C) breaches confidentiality. Abrupt refusal (D) is disrespectful.
Q3: You overhear two staff members joking about a client’s appearance in the hallway.
Your immediate action should be:
A. Ignore the conversation to avoid conflict
B. Politely remind them that such discussions are unprofessional and report the
incident if it continues
C. Laugh along to maintain team harmony
D. Record the incident in the client’s chart
Correct Answer: B
Rationale: PSWs must uphold professional standards and client dignity. Ignoring (A) or
joining (C) condones unprofessional behavior. Documenting in the chart (D) is
inappropriate; incident reports follow facility protocol.
Q4: A client refuses a bed bath, stating, “I’m too tired today.” You should:
A. Insist that hygiene is non-negotiable for health
, B. Respect the refusal, document it, and inform the nurse; offer alternatives or
reschedule
C. Leave and return later without documenting
D. Perform the bath quickly while the client is half-asleep
Correct Answer: B
Rationale: Clients have the right to refuse care; PSWs must respect autonomy,
document, and communicate to the team. Forcing (A) violates dignity. Leaving without
documentation (C) is unsafe. Bathing while asleep (D) is disrespectful and potentially
unsafe.
Q5: While documenting, you realize you forgot to record a client’s blood pressure
reading taken two hours ago. Your best action is:
A. Leave it out since it’s late
B. Estimate a reasonable value based on previous readings
C. Record the actual reading with the correct time and notify the nurse
D. Back-date the entry to the time it was taken
Correct Answer: C
Rationale: Accurate, timely documentation is a legal requirement. Estimating (B) or
back-dating (D) constitutes falsification. Omitting (A) leaves gaps in care records.
Q6: A client’s family member offers you a $50 gift card as a thank-you for your care. You
should:
A. Accept it graciously to avoid offending the family
B. Politely decline and explain that accepting gifts is against agency policy
