NACC PSW Exam Evaluation –
2026/2027 Academic Year
Comprehensive Practice Examination
for Personal Support Workers
Introduction
This comprehensive Evaluation for the NACC PSW Exam Evaluation
2026/2027 contains exactly 150 original items aligned to the official NACC
Personal Support Worker comprehensive final examination blueprint for
2026/2027. Content is organized across four essential domains: Personal Care
and Activities of Daily Living (ADLs), Safety and Infection Control, Health
Promotion and Basic Clinical Skills, and Psychosocial Care and Professional
Ethics.
Domain 1: Personal Care and Activities of Daily Living (ADLs)
1. When providing a bed bath to a client who is unconscious, what is the
MOST important consideration for the PSW?
A. Use warm water only
B. Maintain client privacy and dignity while ensuring safety
C. Complete the bath quickly
D. Bathe only visible skin areas
Rationale: Maintaining privacy and dignity is paramount, especially for
unconscious clients. Safety includes frequent repositioning to prevent
pressure injuries and monitoring for signs of distress.
2. A client requires perineal care. The PSW should always perform this
procedure:
,A. From front to back for all clients
B. From back to front for all clients
C. From front to back for female clients only
D. In any direction as long as the area is cleaned
Rationale: Female perineal care must be performed front to back to prevent
transferring bacteria from the anal area to the urethra and vagina, reducing
urinary tract infection risk.
3. A client with dentures has difficulty removing them. The PSW's
priority action is to:
A. Apply firm pressure to release suction
B. Use a denture removal tool
C. Gently rock the dentures to break the seal
D. Ask another PSW to assist forcefully
Rationale: Gentle rocking loosens the seal without causing injury. Forcing
dentures or using tools can damage the dentures or cause oral tissue injury.
4. Which of the following is the correct sequence for donning personal
protective equipment (PPE) during a contact precaution procedure?
A. Mask, gown, gloves, eye protection
B. Gown, mask, eye protection, gloves
C. Gloves, gown, mask, eye protection
D. Eye protection, gloves, gown, mask
Rationale: The correct sequence is gown first, then mask, eye protection, and
gloves last. This ensures that the final step (gloves) covers the cuffs of the
gown.
5. When assisting a client with feeding who has dysphagia, the PSW
should:
A. Encourage large bites to speed feeding
B. Offer small, frequent bites and ensure the client is sitting upright
,C. Allow the client to lie flat during feeding
D. Mix all foods together for easier swallowing
Rationale: Clients with dysphagia require upright positioning, small bites,
and adequate time between swallows to prevent aspiration. Food consistency
modifications may be needed.
6. A client is incontinent of urine. The PSW should change the
incontinence product:
A. At specific times assigned by the nurse
B. When soiled or wet to maintain skin integrity
C. Only once per shift
D. When the client asks
Rationale: Incontinence products should be changed promptly when soiled to
prevent skin breakdown, irritation, and pressure injuries. Regular checks are
essential.
7. When assisting a client with a transfer using a gait belt, the PSW
should position the belt:
A. Around the client's waist below the breasts
B. At the waist or lower ribcage, snug but not tight
C. Around the client's thighs
D. Around the client's shoulders
Rationale: The gait belt is placed around the waist/lower ribcage, snugly
enough to provide support but not restrictive. Proper positioning protects
both client and caregiver.
8. When providing oral care to an unconscious client, the PSW should
position the client:
A. Supine with head flat
B. Prone position
, C. Side-lying with head turned to the side
D. Sitting upright
Rationale: Side-lying position allows fluid to drain from the mouth, reducing
aspiration risk. Unconscious clients cannot swallow or protect their airway
effectively.
9. A client with a cognitive impairment refuses to shower. The PSW
should:
A. Force the client to shower to maintain hygiene
B. Document the refusal and leave
C. Offer alternatives such as a bed bath or sponge bath
D. Ask the family to convince the client
Rationale: Offering alternatives respects the client's autonomy while
addressing hygiene needs. Forcing care damages trust and violates resident
rights.
10. When performing foot and nail care for a diabetic client, the PSW
should:
A. Cut nails straight across
B. Avoid cutting nails and refer to a podiatrist
C. Soak feet for 30 minutes
D. File nails to a sharp point
Rationale: Diabetic clients are at high risk for foot complications. PSWs
should not cut nails (especially with neuropathy or poor circulation) and
should refer to a podiatrist.
11. The PSW is assisting a client with dressing. The affected/weaker side
should be:
A. Dressed first and undressed first
B. Dressed first and undressed last
2026/2027 Academic Year
Comprehensive Practice Examination
for Personal Support Workers
Introduction
This comprehensive Evaluation for the NACC PSW Exam Evaluation
2026/2027 contains exactly 150 original items aligned to the official NACC
Personal Support Worker comprehensive final examination blueprint for
2026/2027. Content is organized across four essential domains: Personal Care
and Activities of Daily Living (ADLs), Safety and Infection Control, Health
Promotion and Basic Clinical Skills, and Psychosocial Care and Professional
Ethics.
Domain 1: Personal Care and Activities of Daily Living (ADLs)
1. When providing a bed bath to a client who is unconscious, what is the
MOST important consideration for the PSW?
A. Use warm water only
B. Maintain client privacy and dignity while ensuring safety
C. Complete the bath quickly
D. Bathe only visible skin areas
Rationale: Maintaining privacy and dignity is paramount, especially for
unconscious clients. Safety includes frequent repositioning to prevent
pressure injuries and monitoring for signs of distress.
2. A client requires perineal care. The PSW should always perform this
procedure:
,A. From front to back for all clients
B. From back to front for all clients
C. From front to back for female clients only
D. In any direction as long as the area is cleaned
Rationale: Female perineal care must be performed front to back to prevent
transferring bacteria from the anal area to the urethra and vagina, reducing
urinary tract infection risk.
3. A client with dentures has difficulty removing them. The PSW's
priority action is to:
A. Apply firm pressure to release suction
B. Use a denture removal tool
C. Gently rock the dentures to break the seal
D. Ask another PSW to assist forcefully
Rationale: Gentle rocking loosens the seal without causing injury. Forcing
dentures or using tools can damage the dentures or cause oral tissue injury.
4. Which of the following is the correct sequence for donning personal
protective equipment (PPE) during a contact precaution procedure?
A. Mask, gown, gloves, eye protection
B. Gown, mask, eye protection, gloves
C. Gloves, gown, mask, eye protection
D. Eye protection, gloves, gown, mask
Rationale: The correct sequence is gown first, then mask, eye protection, and
gloves last. This ensures that the final step (gloves) covers the cuffs of the
gown.
5. When assisting a client with feeding who has dysphagia, the PSW
should:
A. Encourage large bites to speed feeding
B. Offer small, frequent bites and ensure the client is sitting upright
,C. Allow the client to lie flat during feeding
D. Mix all foods together for easier swallowing
Rationale: Clients with dysphagia require upright positioning, small bites,
and adequate time between swallows to prevent aspiration. Food consistency
modifications may be needed.
6. A client is incontinent of urine. The PSW should change the
incontinence product:
A. At specific times assigned by the nurse
B. When soiled or wet to maintain skin integrity
C. Only once per shift
D. When the client asks
Rationale: Incontinence products should be changed promptly when soiled to
prevent skin breakdown, irritation, and pressure injuries. Regular checks are
essential.
7. When assisting a client with a transfer using a gait belt, the PSW
should position the belt:
A. Around the client's waist below the breasts
B. At the waist or lower ribcage, snug but not tight
C. Around the client's thighs
D. Around the client's shoulders
Rationale: The gait belt is placed around the waist/lower ribcage, snugly
enough to provide support but not restrictive. Proper positioning protects
both client and caregiver.
8. When providing oral care to an unconscious client, the PSW should
position the client:
A. Supine with head flat
B. Prone position
, C. Side-lying with head turned to the side
D. Sitting upright
Rationale: Side-lying position allows fluid to drain from the mouth, reducing
aspiration risk. Unconscious clients cannot swallow or protect their airway
effectively.
9. A client with a cognitive impairment refuses to shower. The PSW
should:
A. Force the client to shower to maintain hygiene
B. Document the refusal and leave
C. Offer alternatives such as a bed bath or sponge bath
D. Ask the family to convince the client
Rationale: Offering alternatives respects the client's autonomy while
addressing hygiene needs. Forcing care damages trust and violates resident
rights.
10. When performing foot and nail care for a diabetic client, the PSW
should:
A. Cut nails straight across
B. Avoid cutting nails and refer to a podiatrist
C. Soak feet for 30 minutes
D. File nails to a sharp point
Rationale: Diabetic clients are at high risk for foot complications. PSWs
should not cut nails (especially with neuropathy or poor circulation) and
should refer to a podiatrist.
11. The PSW is assisting a client with dressing. The affected/weaker side
should be:
A. Dressed first and undressed first
B. Dressed first and undressed last
