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 the exact dose of her
father’s new pain medication. The most appropriate PSW response is:
A. Give the daughter the information; family always needs to know
B. Explain that medication details are private and direct her to the nurse or care plan
C. Tell her you’ll write it down later after your shift
D. Ignore the request and leave the room
Correct Answer: B
Rationale: Medication dosages are confidential health information outside the PSW
scope; redirecting to the nurse upholds privacy and scope-of-practice boundaries. A
breaches confidentiality, C delays necessary communication, and D is non-responsive
and unprofessional.
Q2: A PSW overhears a colleague making fun of a client’s accent in the lunchroom. The
PSW’s ethical responsibility is to:
A. Laugh along to maintain team harmony
B. Report the incident immediately to the supervisor or nurse
,C. Tell the client what was said
D. Do nothing; it was a private conversation
Correct Answer: B
Rationale: Reporting protects client dignity and fulfills the duty to advocate. A condones
disrespect, C could cause unnecessary distress, and D allows abuse to continue.
Q3: A client refuses a bed-bath for the third consecutive day. The best action is to:
A. Document the refusal and inform the nurse; offer alternatives
B. Insist that refusal will harm their skin
C. Perform the bath quickly while they are distracted
D. Tell them they will get a bedsore and it will be their fault
Correct Answer: A
Rationale: Client autonomy must be respected; reporting ensures reassessment and
alternative planning. B is coercive, C violates consent, and D uses fear and blame.
Q4: While documenting, a PSW realizes they forgot to record a client’s fall that occurred
two days ago. The correct action is to:
A. Add a late-entry note with date, time, and reason for delay
B. Leave it out; too much time has passed
C. Back-date the entry to the day of the fall
D. Only tell the nurse verbally and skip documentation
Correct Answer: A
, Rationale: Late-entry notes maintain accurate records and accountability. B omits a
critical incident, C is fraudulent, and D fails the legal requirement to document.
Q5: A client tells you they feel like “giving up.” The most supportive first response is:
A. “Don’t talk like that; you have so much to live for.”
B. “I hear how difficult things feel right now. Let me get the nurse so we can support you
together.”
C. Promise to keep their statement secret
D. Change the subject to cheer them up
Correct Answer: B
Rationale: Acknowledging feelings and involving the nurse ensures proper mental-health
follow-up. A minimizes feelings, C breaches safety if suicidal ideation is present, and D
avoids the issue.
Q6: When receiving a new client assignment, the PSW should:
A. Start care immediately to save time
B. Review the care plan and introduce themselves to the client
C. Ask a family member what the client needs
D. Skip the plan and rely on previous shift report memory
Correct Answer: B
Rationale: Reviewing the plan and introductions ensure correct, person-centered care
and build trust. A risks errors, C may provide inaccurate information, and D invites
omissions.
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 the exact dose of her
father’s new pain medication. The most appropriate PSW response is:
A. Give the daughter the information; family always needs to know
B. Explain that medication details are private and direct her to the nurse or care plan
C. Tell her you’ll write it down later after your shift
D. Ignore the request and leave the room
Correct Answer: B
Rationale: Medication dosages are confidential health information outside the PSW
scope; redirecting to the nurse upholds privacy and scope-of-practice boundaries. A
breaches confidentiality, C delays necessary communication, and D is non-responsive
and unprofessional.
Q2: A PSW overhears a colleague making fun of a client’s accent in the lunchroom. The
PSW’s ethical responsibility is to:
A. Laugh along to maintain team harmony
B. Report the incident immediately to the supervisor or nurse
,C. Tell the client what was said
D. Do nothing; it was a private conversation
Correct Answer: B
Rationale: Reporting protects client dignity and fulfills the duty to advocate. A condones
disrespect, C could cause unnecessary distress, and D allows abuse to continue.
Q3: A client refuses a bed-bath for the third consecutive day. The best action is to:
A. Document the refusal and inform the nurse; offer alternatives
B. Insist that refusal will harm their skin
C. Perform the bath quickly while they are distracted
D. Tell them they will get a bedsore and it will be their fault
Correct Answer: A
Rationale: Client autonomy must be respected; reporting ensures reassessment and
alternative planning. B is coercive, C violates consent, and D uses fear and blame.
Q4: While documenting, a PSW realizes they forgot to record a client’s fall that occurred
two days ago. The correct action is to:
A. Add a late-entry note with date, time, and reason for delay
B. Leave it out; too much time has passed
C. Back-date the entry to the day of the fall
D. Only tell the nurse verbally and skip documentation
Correct Answer: A
, Rationale: Late-entry notes maintain accurate records and accountability. B omits a
critical incident, C is fraudulent, and D fails the legal requirement to document.
Q5: A client tells you they feel like “giving up.” The most supportive first response is:
A. “Don’t talk like that; you have so much to live for.”
B. “I hear how difficult things feel right now. Let me get the nurse so we can support you
together.”
C. Promise to keep their statement secret
D. Change the subject to cheer them up
Correct Answer: B
Rationale: Acknowledging feelings and involving the nurse ensures proper mental-health
follow-up. A minimizes feelings, C breaches safety if suicidal ideation is present, and D
avoids the issue.
Q6: When receiving a new client assignment, the PSW should:
A. Start care immediately to save time
B. Review the care plan and introduce themselves to the client
C. Ask a family member what the client needs
D. Skip the plan and rely on previous shift report memory
Correct Answer: B
Rationale: Reviewing the plan and introductions ensure correct, person-centered care
and build trust. A risks errors, C may provide inaccurate information, and D invites
omissions.
