Page 1 of 64
ANCC AGACNP EXAM |ACTUAL
500+Qs&As|ALREADY GRADED A+
Q1. Which of the following tasks is outside the scope of practice
for a PSW?
a) Assisting a client with a tub bath
b) Measuring and recording a client’s blood pressure
c) Administering insulin to a diabetic client
d) Feeding a client with dysphagia under supervision
Correct Answer: c) Administering insulin to a diabetic client
Rationale: Insulin administration is a controlled act typically
restricted to regulated health professionals (nurses, doctors). PSWs
may assist with oral medications if delegated by a nurse in some
settings, but injections are generally outside scope. Bathing, vital
signs (with training), and feeding are within PSW duties.
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Q2. A PSW notices that a client’s family member is yelling at the
client. What is the PSW’s most appropriate first action?
a) Confront the family member immediately
b) Report the observation to the supervisor or registered staff
c) Ignore it to avoid conflict
d) Ask the client if they feel safe
Correct Answer: b) Report the observation to the supervisor or
registered staff
Rationale: PSWs are mandatory reporters of suspected abuse or
neglect. The first step is to report to the supervisor or designated
staff. Asking the client alone may put the client at risk if family is
present. Do not confront the abuser directly.
Q3. A PSW is asked to work an extra shift but has already
worked 60 hours this week. According to safe practice, what
should the PSW do?
a) Accept the shift to help the team
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b) Decline the shift due to risk of fatigue-related error
c) Accept only if paid double time
d) Ask another PSW to cover the shift
Correct Answer: b) Decline the shift due to risk of fatigue-
related error
Rationale: PSWs have a duty to provide safe care. Excessive
fatigue impairs judgment and increases risk of falls, medication
errors, and infections. Accepting unsafe hours violates professional
responsibility.
Q4. Which document outlines the legal boundaries and
responsibilities of a PSW in a specific province?
a) The Canadian Charter of Rights and Freedoms
b) The PSW Code of Ethics only
c) The provincial PSW scope of practice or job description
regulated by college/employer
d) The Criminal Code of Canada
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Correct Answer: c) The provincial PSW scope of practice or job
description regulated by college/employer
Rationale: PSWs are not yet a regulated profession in all
provinces, but employer policies and provincial guidelines define
scope. The Charter and Criminal Code apply generally but not
specifically to PSW duties.
Q5. A PSW is caring for a client who refuses a bath. The PSW
says, “If you don’t bathe, I’ll have to tell your daughter.” This is
an example of:
a) Therapeutic communication
b) Empathy
c) Threat or coercion
d) Negotiation
Correct Answer: c) Threat or coercion
Rationale: Using fear or guilt to force a client is unethical and may
constitute psychological abuse. The PSW should respect the client’s
ANCC AGACNP EXAM |ACTUAL
500+Qs&As|ALREADY GRADED A+
Q1. Which of the following tasks is outside the scope of practice
for a PSW?
a) Assisting a client with a tub bath
b) Measuring and recording a client’s blood pressure
c) Administering insulin to a diabetic client
d) Feeding a client with dysphagia under supervision
Correct Answer: c) Administering insulin to a diabetic client
Rationale: Insulin administration is a controlled act typically
restricted to regulated health professionals (nurses, doctors). PSWs
may assist with oral medications if delegated by a nurse in some
settings, but injections are generally outside scope. Bathing, vital
signs (with training), and feeding are within PSW duties.
,Page 2 of 64
Q2. A PSW notices that a client’s family member is yelling at the
client. What is the PSW’s most appropriate first action?
a) Confront the family member immediately
b) Report the observation to the supervisor or registered staff
c) Ignore it to avoid conflict
d) Ask the client if they feel safe
Correct Answer: b) Report the observation to the supervisor or
registered staff
Rationale: PSWs are mandatory reporters of suspected abuse or
neglect. The first step is to report to the supervisor or designated
staff. Asking the client alone may put the client at risk if family is
present. Do not confront the abuser directly.
Q3. A PSW is asked to work an extra shift but has already
worked 60 hours this week. According to safe practice, what
should the PSW do?
a) Accept the shift to help the team
,Page 3 of 64
b) Decline the shift due to risk of fatigue-related error
c) Accept only if paid double time
d) Ask another PSW to cover the shift
Correct Answer: b) Decline the shift due to risk of fatigue-
related error
Rationale: PSWs have a duty to provide safe care. Excessive
fatigue impairs judgment and increases risk of falls, medication
errors, and infections. Accepting unsafe hours violates professional
responsibility.
Q4. Which document outlines the legal boundaries and
responsibilities of a PSW in a specific province?
a) The Canadian Charter of Rights and Freedoms
b) The PSW Code of Ethics only
c) The provincial PSW scope of practice or job description
regulated by college/employer
d) The Criminal Code of Canada
, Page 4 of 64
Correct Answer: c) The provincial PSW scope of practice or job
description regulated by college/employer
Rationale: PSWs are not yet a regulated profession in all
provinces, but employer policies and provincial guidelines define
scope. The Charter and Criminal Code apply generally but not
specifically to PSW duties.
Q5. A PSW is caring for a client who refuses a bath. The PSW
says, “If you don’t bathe, I’ll have to tell your daughter.” This is
an example of:
a) Therapeutic communication
b) Empathy
c) Threat or coercion
d) Negotiation
Correct Answer: c) Threat or coercion
Rationale: Using fear or guilt to force a client is unethical and may
constitute psychological abuse. The PSW should respect the client’s
