Free Practice Questions for ASWB Clinical
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Key Facts: ASWB Clinical Exam
$260
Exam Fee
ASWB 2026
122 items
Total Questions (since Aug 3, 2026)
ASWB 2026 Exam Changes
4 hours
Time Limit
ASWB Exam Guidebook
36%
Values & Ethics Weight (largest area)
ASWB 2026 Clinical blueprint
75.7%
2025 First-Time Pass Rate
ASWB exam pass rates
66-78
Correct Answers Needed (of 110 scored)
ASWB exam scoring
Since August 3, 2026, the ASWB Clinical exam follows a three-area blueprint with 122 total questions (110 scored + 12 pretest) in 4 hours, delivered as two 61-question sections with a two-hour limit each and an optional 10-minute break between them, and a $260 fee. Values and Ethics is the largest area at 36%, with Assessment and Planning and Intervention and Practice at 32% each, and more items have three options and test applied clinical judgment. In 2025, 75.7% of first-time Clinical test-takers passed.
Sample ASWB Clinical Practice Questions
Try these sample questions to review concepts for the ASWB Clinical exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 110+ question experience with AI tutoring.
1An LCSW evaluates a 28-year-old woman with a current major depressive episode. Last year, she had 5 days of markedly irritable mood and increased energy, with decreased need for sleep, pressured speech, racing thoughts, grandiosity, and hospitalization. The MOST consistent diagnosis is:
2Erikson's psychosocial stage of 'generativity versus stagnation' typically corresponds to:
3A 42-year-old veteran reports re-experiencing combat events through nightmares and intrusive memories, hyperarousal, avoidance of crowds, and negative beliefs ('the world is unsafe') for 18 months. DSM-5-TR diagnosis is:
4A 16-year-old client describes recurrent unexpected panic attacks with palpitations, fear of dying, and chest pain, followed by 1 month of worry about another attack and avoidance. The MOST consistent diagnosis is:
5An adult client presents with chronic pattern of detachment, restricted emotional expression, indifference to praise/criticism, and few close relationships. The MOST consistent personality disorder is:
6The cluster A personality disorders include:
7Among the listed medication classes, which is commonly used as first-line pharmacotherapy for major depressive disorder?
8Lithium is associated with which classic adverse effect that requires monitoring?
9Adult attachment styles include secure, dismissing, preoccupied, and fearful-avoidant. The 'preoccupied' style is MOST closely associated in childhood with:
10Which is the BEST screen for harmful or hazardous alcohol use in adults?
About the ASWB Clinical Exam
The ASWB Clinical Examination is the LCSW-level licensing exam used by U.S. states and Canadian provinces to credential clinical social workers for independent clinical practice including psychotherapy. The exam tests biopsychosocial-spiritual development, DSM-5-TR diagnosis, evidence-based clinical assessment and intervention (CBT, IPT, DBT, trauma-focused therapies, MI, MOUD, family-based treatments), and professional values and ethics. Compared to the Masters exam, the Clinical exam emphasizes diagnostic reasoning, complex clinical decision-making, and risk management.
Exam sponsor: ASWB. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Questions
122 questions
Time Limit
4 hours total (two 61-question sections, two hours each) plus an optional 10-minute break between sections
Passing Score
Number correct, generally 66 to 78 of 110 scored questions depending on the exam form (not a scaled score)
Reported exam pass rate: 75.7% first-time (2025). ASWB published 2025 data (26,439 Clinical exams); no published rate yet for the exam form launched August 3, 2026 This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website
Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Values and Ethics
Confidentiality and HIPAA TPO/minimum-necessary/Breach Notification, informed consent, ethical dilemma resolution, NASW Code responsibilities to clients/colleagues/profession/society, professional boundaries and dual relationships (NASW 1.06), sexual prohibition (1.09, current/former clients and close contacts), barter (1.13), fee splitting and referral payment (1.16), mandated reporting and Tarasoff duty to warn/protect, documentation, billing and managed care, death and dying, supervision ethics, termination/abandonment (1.17), electronic practice and telehealth ethics, research ethics (5.02), fraud/impairment/misrepresentation (4.04-4.06), social/political action (6.04), burnout/self-care (4.05), anti-oppressive and anti-racist practice, social/racial/economic/environmental justice, intersectionality, accessibility, privilege/bias/microaggressions, and cultural impacts of exploitation (trafficking, MMIW, immigration).
Assessment and Planning
Biopsychosocial assessment, trauma/stressors/violence/crises (intergenerational, historical, complex), family dynamics and interpersonal relationships, physical/sexual/psychological abuse and neglect, mental-health and DSM-5-TR indicators across the lifespan, co-occurring disorders, addiction/SUD indicators, social determinants of health and poverty, defense mechanisms, self/body-image, perpetrator characteristics, typical/atypical development, aging, cultural/spiritual-faith development, risk assessment for harm to self/others (C-SSRS, Stanley-Brown safety plan), interviewing, mental status examination, DSM-5-TR use in assessment (Clinical-specific), treatment/goal planning, triage, service plans, modality selection, cultural considerations, medication effects, and termination readiness indicators.
Intervention and Practice
Strengths-based and empowerment practice, helping relationships (acceptance, empathy, rapport), interdisciplinary team collaboration, social worker role in problem-solving, end-of-life (hospice, palliative), parenting capacity/skill building, policies/regulations/legislation, developing formal documents (grants, proposals, reports, evaluations; also on Advanced Generalist), trauma-informed care, communication and active listening, boundary/limit setting, emotional regulation, crisis intervention, evidence-based practices (CBT, DBT, MBSR, MI, EMDR), grief/loss, coping/self-care skills, engaging voluntary/involuntary clients, harm reduction, advocacy, psychoeducation, contracting/goal-setting, addiction intervention, case management, conflict/anger management, family therapy models, couples interventions (Clinical-specific), group work, discharge/aftercare/wrap-around, program evaluation and research design (qualitative/quantitative, reliability/validity), quality assurance, supervision/consultation models, transference/countertransference, and fiscal management and resource allocation (Clinical-specific).
Preparing for the ASWB Clinical Exam
What You Need to Know
- Passing score: Number correct, generally 66 to 78 of 110 scored questions depending on the exam form (not a scaled score)
- Exam length: 122 questions
- Time limit: 4 hours total (two 61-question sections, two hours each) plus an optional 10-minute break between sections
- Exam / certification fees: $260 (ASWB 2026) Official sources
Using Our Practice Resources
- Work through all 110 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
ASWB Clinical: Suggested Study Strategy
Frequently Asked Questions
What changed for the ASWB Clinical exam in 2026?
Since August 3, 2026, the Clinical exam follows a three-area blueprint: Values and Ethics (36%, the largest area), Assessment and Planning (32%), and Intervention and Practice (32%). Total items went from 170 (150 scored + 20 pretest) to 122 (110 scored + 12 pretest). The four-hour time limit is retained but split into two 61-question sections of two hours each, with an optional 10-minute break between them, and a higher proportion of items have three options and test applied clinical judgment.
Who is eligible to take the ASWB Clinical exam?
ASWB's Clinical category requires a master's degree in social work plus two years (or commensurate experience as defined by the jurisdiction) of experience in clinical settings. Your state or provincial board sets the supervised-hour and supervision requirements and approves you to test; state-specific jurisprudence exams may also be required.
How much does the ASWB Clinical exam cost?
The ASWB Clinical exam fee is $260 in 2026 (Advanced Generalist is also $260; Bachelors, Masters, and Associate are $230). State or provincial application fees, supervision fees, and background-check costs are separate. Retakes also cost $260 with a 90-day waiting period between attempts; a waiver of the wait may be requested if your score was within 10 points of passing and your jurisdiction allows waivers, and some boards limit the number of retakes.
How is the ASWB Clinical exam scored?
Results are pass/fail. ASWB uses several exam forms, so the number of correct answers needed depends on the form; it generally falls between 66 and 78 of the 110 scored questions, and every jurisdiction recognizes the same passing standard. The 12 unscored pretest questions are mixed in at random. You see an unofficial result on the testing computer, an unofficial score report appears in ASWBCentral about 24 hours later, and official results go to ASWB and your licensing board.
How long should I study for the ASWB Clinical exam?
Plan roughly 150-250 hours of structured study over 16-20 weeks. A high-yield plan allocates about 36% of your time to Values and Ethics, 32% to Assessment and Planning, and 32% to Intervention and Practice, with at least three full-length timed practice exams in the final three weeks.
What is the pass rate for the ASWB Clinical exam?
In 2025, 75.7% of first-time Clinical test-takers passed (26,439 exams). In August 2022, ASWB published an analysis showing pass-rate differences across demographic groups.
How does the ASWB Clinical exam differ from the Masters exam?
The Clinical exam tests independent clinical practice including psychotherapy and emphasizes DSM-5-TR diagnosis, complex clinical reasoning, and risk management more heavily than the Masters exam. The new 2026 Clinical blueprint weights Values and Ethics at ~36% (content on the Clinical outline but not the Masters outline includes DSM use in assessment, couples interventions, developing formal documents, and fiscal management), while the Masters exam weights Values and Ethics at ~35% and covers less clinical-specific content.
Is the ASWB Clinical exam offered via remote proctoring?
No. The ASWB Clinical exam is taken at Pearson test centers. ASWB ran an online-proctoring pilot from March 23, 2026 and suspended it as of July 31, 2026. Candidates who need nonstandard testing arrangements request them from ASWB.