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PSW / Health Care Aide exam study guide

What's on the exam and how to study for it. Free to read, no sign-up.

The exam at a glance

Alberta HCA Registration Exam (AHRE): 100 multiple-choice questions, 2 hours, closed book. Ontario (HSCPOA) and BC (Care Aide Registry) have no single provincial exam.

Main topic areas

Area
AHCA role and responsibility (13–17%)
BProvision of care (25–35%)
CCollaborative care (8–12%)
DCommunication (12–16%)
EHealth across the lifespan (11–15%)
FSafety (16–20%)

How to study

  1. Safety and provision of care together are about half the AHRE.
  2. Report changes (skin, behaviour, intake) to the nurse; don't assess.
  3. Respect client choice and dignity in every answer.
  4. Practise every day in short sets. When you miss one, work out why each wrong option is wrong.

Try 3 sample questions

Original practice questions from our PSW / Health Care Aide bank, not real exam questions.

Question 1

A family member asks the PSW to give their mother an extra dose of her pain pill because she seems uncomfortable. What should the PSW do?

  1. A. Explain it is outside the PSW role and report the client's pain to the nurse
  2. B. Give half a pill as a compromise
  3. C. Give the extra pill because the family gave permission
  4. D. Tell the family they can give the pain pill themselves once the PSW has left for the day
Show the answer

A. Explain it is outside the PSW role and report the client's pain to the nurse

Changing a medication dose is not within the PSW role. The PSW reports the client's pain to the nurse or supervisor, who can assess and follow the prescriber's orders.

Question 2

A client asks the PSW to look at a new rash and say whether it is shingles. What is the best response?

  1. A. Apply the client's old steroid cream to it
  2. B. Tell the client you can't diagnose it, then report the rash to the nurse
  3. C. Say it looks like shingles so the client can start treatment with cream from the pharmacy
  4. D. Tell the client rashes are common and nothing to worry about
Show the answer

B. Tell the client you can't diagnose it, then report the rash to the nurse

PSWs observe and report changes but do not diagnose. Report the rash promptly so a nurse or doctor can assess it.

Question 3

Which task is usually outside the role of a PSW?

  1. A. Measuring and recording fluid intake
  2. B. Assisting a client to walk with a walker
  3. C. Changing the rate on an IV pump
  4. D. Helping a client with a tub bath
Show the answer

C. Changing the rate on an IV pump

Adjusting IV therapy is a nursing task. Bathing, intake and output, and helping with mobility are typical PSW duties.

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Source

Checked October 2026. Exam details change, so confirm with your provincial regulator before you write. MedTestCoach is an independent study tool and isn't affiliated with any exam owner or regulator.