1
Ohio State Tested Nursing Assistant
STNA Exam Actual 2026/2027 with
Detailed Rationales | Complete Exam-
Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Roles & Responsibilities of the STNA | Q1 – Q17
Section 2 | Basic Nursing & Personal Care Skills | Q18 – Q56
Section 3 | Nutrition, Hydration & Elimination | Q57 – Q73
Section 4 | Safety, Infection Control & Emergency Procedures | Q74 –
Q95
Section 5 | NGN-Style Clinical Judgment & Integrated Case Scenarios |
Q96 – Q110
Instructions: Choose the single best answer. Pass: 77 in 120 minutes.
══════════════════════════════════════
SECTION 1: ROLES & RESPONSIBILITIES OF THE STNA Q1 –
Q17
══════════════════════════════════════
Question 1 of 110
,2
While assisting a resident with morning care, you notice several
unexplained bruises on their arms and back. The resident becomes quiet
and pulls away when you ask how the bruises happened. What is your
most appropriate action based on ODH regulations?
A. Document the bruises in the chart and wait for the next shift to
mention it to the nurse
B. Confront the resident's roommate to see if they witnessed any
suspicious activity overnight
C. Report your observations and the resident's reaction to the licensed
nurse immediately ✓ CORRECT
D. Apply warm compresses to the bruises to provide comfort before
filing an incident report
Correct Answer: C
Rationale: Ohio law requires nursing assistants to report any suspected
abuse, neglect, or unexplained injuries to the licensed nurse
immediately. Waiting to document or confronting another resident
delays necessary interventions and violates mandatory reporting
protocols. Always protect the resident by ensuring the chain of
command is notified right away.
Question 2 of 110
A family member asks you to explain why their mother's blood pressure
medication was changed by the physician. You overheard the nurse
discussing the change during shift report. How should you respond?
,3
A. Tell the family member what you heard during report to ease their
anxiety
B. Explain that you cannot discuss medical treatments and will have the
nurse speak with them ✓ CORRECT
C. Advise the family member to stop worrying because the doctor
knows what is best
D. Ask the family member to leave a note for the doctor at the front desk
Correct Answer: B
Rationale: Discussing medications, diagnoses, or physician orders falls
outside the STNA scope of practice and violates patient confidentiality
rules. Sharing information overheard at shift report is a breach of
HIPAA, even if the intent is to be helpful. Defer all medical questions to
the licensed nurse or physician.
Question 3 of 110
You are caring for a resident who has a documented history of
wandering. The resident is found in the hallway trying to open the exit
door. Another nursing assistant suggests tying a belt around the
resident's waist and securing it to the wheelchair to keep them seated.
What is your best response?
A. Agree to use the belt only during the busy evening hours when
staffing is low
, 4
B. Remind your coworker that applying a restraint without a physician's
order is illegal and report the suggestion ✓ CORRECT
C. Suggest using a vest restraint instead because it is more comfortable
than a belt
D. Ask the resident's family to provide permission so you can legally use
the belt
Correct Answer: B
Rationale: Restraints can only be applied with a specific physician's
order, and using an unauthorized device like a belt constitutes false
imprisonment and abuse under Ohio law. Suggesting an alternative
restraint or seeking family permission does not bypass the legal
requirement for a doctor's order. You must refuse to participate in
unauthorized restraint use and report unsafe practices.
Question 4 of 110
During your shift, a licensed practical nurse (LPN) asks you to
administer a dose of oral pain medication to a resident because she is
busy with another emergency. What action should you take?
A. Administer the medication while the LPN watches to ensure
compliance with facility policy
B. Politely refuse to administer the medication and remind the LPN that
medication administration is outside your scope of practice ✓
CORRECT
Ohio State Tested Nursing Assistant
STNA Exam Actual 2026/2027 with
Detailed Rationales | Complete Exam-
Style Questions | Pass Guaranteed – A+
Graded
TABLE OF CONTENTS
Section 1 | Roles & Responsibilities of the STNA | Q1 – Q17
Section 2 | Basic Nursing & Personal Care Skills | Q18 – Q56
Section 3 | Nutrition, Hydration & Elimination | Q57 – Q73
Section 4 | Safety, Infection Control & Emergency Procedures | Q74 –
Q95
Section 5 | NGN-Style Clinical Judgment & Integrated Case Scenarios |
Q96 – Q110
Instructions: Choose the single best answer. Pass: 77 in 120 minutes.
══════════════════════════════════════
SECTION 1: ROLES & RESPONSIBILITIES OF THE STNA Q1 –
Q17
══════════════════════════════════════
Question 1 of 110
,2
While assisting a resident with morning care, you notice several
unexplained bruises on their arms and back. The resident becomes quiet
and pulls away when you ask how the bruises happened. What is your
most appropriate action based on ODH regulations?
A. Document the bruises in the chart and wait for the next shift to
mention it to the nurse
B. Confront the resident's roommate to see if they witnessed any
suspicious activity overnight
C. Report your observations and the resident's reaction to the licensed
nurse immediately ✓ CORRECT
D. Apply warm compresses to the bruises to provide comfort before
filing an incident report
Correct Answer: C
Rationale: Ohio law requires nursing assistants to report any suspected
abuse, neglect, or unexplained injuries to the licensed nurse
immediately. Waiting to document or confronting another resident
delays necessary interventions and violates mandatory reporting
protocols. Always protect the resident by ensuring the chain of
command is notified right away.
Question 2 of 110
A family member asks you to explain why their mother's blood pressure
medication was changed by the physician. You overheard the nurse
discussing the change during shift report. How should you respond?
,3
A. Tell the family member what you heard during report to ease their
anxiety
B. Explain that you cannot discuss medical treatments and will have the
nurse speak with them ✓ CORRECT
C. Advise the family member to stop worrying because the doctor
knows what is best
D. Ask the family member to leave a note for the doctor at the front desk
Correct Answer: B
Rationale: Discussing medications, diagnoses, or physician orders falls
outside the STNA scope of practice and violates patient confidentiality
rules. Sharing information overheard at shift report is a breach of
HIPAA, even if the intent is to be helpful. Defer all medical questions to
the licensed nurse or physician.
Question 3 of 110
You are caring for a resident who has a documented history of
wandering. The resident is found in the hallway trying to open the exit
door. Another nursing assistant suggests tying a belt around the
resident's waist and securing it to the wheelchair to keep them seated.
What is your best response?
A. Agree to use the belt only during the busy evening hours when
staffing is low
, 4
B. Remind your coworker that applying a restraint without a physician's
order is illegal and report the suggestion ✓ CORRECT
C. Suggest using a vest restraint instead because it is more comfortable
than a belt
D. Ask the resident's family to provide permission so you can legally use
the belt
Correct Answer: B
Rationale: Restraints can only be applied with a specific physician's
order, and using an unauthorized device like a belt constitutes false
imprisonment and abuse under Ohio law. Suggesting an alternative
restraint or seeking family permission does not bypass the legal
requirement for a doctor's order. You must refuse to participate in
unauthorized restraint use and report unsafe practices.
Question 4 of 110
During your shift, a licensed practical nurse (LPN) asks you to
administer a dose of oral pain medication to a resident because she is
busy with another emergency. What action should you take?
A. Administer the medication while the LPN watches to ensure
compliance with facility policy
B. Politely refuse to administer the medication and remind the LPN that
medication administration is outside your scope of practice ✓
CORRECT
