ASWB practice tests

Free ASWB Clinical Practice Test

Practice ASWB Clinical exam questions on diagnosis, risk, treatment planning, modalities and clinical ethics, read why each answer is right, then take a full timed mock in the 2026 format: 122 questions in two sections, 4 hours, scored against the 110 that count.

122 questions in two sections, 4 hours, scored on the 110 that count, with a score by content area and competency and an explanation for every answer.

Or start with a free 10-question drill
  • 203 original ASWB Clinical questions with explanations
  • 11 free drills: every competency plus a mixed set
  • 75.7% of first-time candidates passed in 2025
Free sample · Question 1 of 5Assessment practices

A client treated for panic disorder has had no panic attacks for three months and agreed to end therapy in two sessions. In the next-to-last session she reports a brief return of anxiety and asks whether she should keep coming indefinitely. What is the BEST response?

ASWB Clinical exam format

A master’s degree in social work plus two years of supervised clinical experience, or the equivalent your jurisdiction defines. The Clinical exam is the LCSW exam in most states.

Questions
122 multiple-choice questions in two sections of 61; 110 are scored and 12 are unscored pretest questions mixed in
Answer options
Three or four options with one best answer; the 2026 exams use more three-option questions than before
Time limit
4 hours on a Pearson test center computer; move freely, skip, flag and change answers within a section
Content areas
Values and Ethics 36%, Assessment and Planning 32%, Intervention and Practice 32%
Passing score
Set per exam form; generally 66 to 78 correct of 110. Results appear on screen at the end and in ASWBCentral within about 24 hours
Fee
US$260 per attempt, paid to ASWB after your licensing board approves the category
Retakes
Wait at least 90 days; a waiver is possible within 10 points of passing where your jurisdiction allows. Register and pay again
Line drawing of a social worker’s desk with a case file, an ID badge on a lanyard, a plant, a mug and a phone in front of a city window

What’s on the ASWB Clinical exam

Three content areas and ten competencies from the 2026 content outline. Our full mock draws its 110 scored questions in the official proportions and adds 12 unscored pretest questions, as on the real exam. Each competency has a free ten-question drill with an explanation after every answer; each drill’s first attempt is free.

CompetencyWhat it coversShare of the examDrill
I. Values and Ethics36% · 40 scored questions
IA. Ethical principles and responsibilitiesInformed consent, confidentiality and its limits, ethical dilemmas, professional values, self-care and professional developmentPart of I10-question drill
IB. Ethical service deliveryBoundaries and dual relationships, self-determination, mandatory reporting and duty to warn, documentation, billing, termination and electronic practicePart of I10-question drill
IC. Diversity and social justiceAnti-oppressive practice, culture and identity, accessibility, privilege and bias, exploitation, immigration and refugee statusPart of I10-question drill
II. Assessment and Planning32% · 35 scored questions
IIA. Assessment conceptsTrauma, family dynamics, abuse and neglect, mental illness indicators, substance use, development across the lifespan, defense mechanismsPart of II10-question drill
IIB. Assessment methods and techniquesInterviewing, risk of harm to self and others, strengths and needs, sensitive information, readiness for change, the mental status examinationPart of II10-question drill
IIC. Assessment practicesCommunity resources, goal and treatment planning, choosing a modality, cultural considerations in planning, common medications, readiness for terminationPart of II10-question drill
III. Intervention and Practice32% · 35 scored questions
IIIA. Practice conceptsStrengths-based practice, the helping relationship, teams, end of life, parenting, policy and legislation, permanency planning, community organizingPart of III10-question drill
IIIB. Intervention methods and techniquesTrauma-informed care, crisis intervention, evidence-based practices, motivational interviewing, group and family work, case management, harm reductionPart of III10-question drill
IIIC. Practice evaluation and researchEvaluating progress and outcomes, program evaluation, research design, reliability and validityPart of III10-question drill
IIID. Supervision and administrationThe supervisee role, supervision models, transference in supervision, risk-reducing policies, organizational structure and fiscal managementPart of III10-question drill

What the Clinical exam tests

  • Independent clinical practice: use of the DSM in assessment, the mental status examination, suicide and violence risk, co-occurring disorders, common medications and side effects, treatment planning and choosing a modality, CBT, DBT, motivational interviewing, trauma-focused and family and couples approaches, termination, and the ethics of private practice, records, billing and electronic practice.
  • Values and Ethics carries 36% of the scored questions on the Clinical exam, one point more than on the other three exams.
  • The Clinical outline adds research ethics, assertiveness training, role play, couples interventions, program outcomes, quality assurance, organizational development and fiscal management to the Masters outline.

How to take the ASWB Clinical exam

  1. Apply for licensure with your state or provincial social work board. The board tells ASWB which exam category you are approved for (Clinical).
  2. Register with ASWB at ASWBCentral and pay the US$260 fee. Your Authorization to Test arrives by email within two business days and is valid for up to one year.
  3. Schedule your appointment at a Pearson test center. You can reschedule or cancel at least 24 hours before the appointment.
  4. Sit the 4-hour exam: two sections of 61 questions. You see your result on screen at the end, and your board receives the official score.

Common questions

How many questions are on the ASWB Clinical exam?

122 multiple-choice questions in two sections of 61. Twelve are unscored pretest questions mixed in with the rest, so 110 questions count toward your score. You have 4 hours.

What score do you need to pass the ASWB Clinical exam?

There is no single number. ASWB sets the passing score for each exam form so that every form demands the same ability; it generally falls between 66 and 78 correct of the 110 scored questions. Your score report shows the number you needed and the number you got right.

Did the ASWB Clinical exam change in 2026?

Yes. Since August 3, 2026 every ASWB exam follows the 2026 blueprint: three content areas instead of four, 110 scored questions instead of 150, 12 pretest questions instead of 20, more three-option questions and more reasoning questions. The 4-hour time limit did not change. Our questions follow the 2026 outline.

How long do I wait to retake the ASWB Clinical exam?

At least 90 days. If you scored within 10 points of passing and your jurisdiction allows it, you can request a waiver of the waiting period. You register with ASWB and pay the fee again, and some boards limit the number of attempts.

Are these official ASWB questions?

No. ASWB does not release its questions. These are original practice questions written to the published 2026 content outline, in the exam’s scenario style, with an explanation for every answer.

What is the ASWB Clinical exam pass rate?

In 2025, 75.7% of first-time test-takers passed the Clinical exam (26,439 first-time exams), the highest first-time pass rate of the four categories.

Is the LCSW exam the same as the ASWB Clinical exam?

Yes. The ASWB Clinical exam is the national exam states use for the clinical license (LCSW, LICSW, LISW and similar titles). Your state board sets the experience and supervision requirements and approves you to register for the Clinical category.

Ready for exam day?

122 questions in two sections, 4 hours, scored on the 110 that count, with a score by content area and competency and an explanation for every answer.

Or start with a free 10-question drill

More ASWB exam practice

One ASWB pass covers every full mock exam below.

Exam format, fees, scoring and pass rates checked November 2026: ASWB Examination Guidebook (08/2026) · ASWB: The social work licensing exams · ASWB: Exam scoring · ASWB: 2025 exam pass rates · ASWB: Content outlines · ASWB: New social work licensing exam begins August 3 (2026) · ASWB: Upcoming changes to the social work licensing exams.

Original independent practice questions written to the published ASWB content outline. Not affiliated with or endorsed by the Association of Social Work Boards (ASWB).