Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
UPDATED FOR 2026/2027 • ODH REGISTRY BLUEPRINT
OHIO STNA EXAM
STATE TESTED NURSING ASSISTANT COMPETENCY
EXAMINATION
EXAM • 2026/2027 • 205 QUESTIONS
100+ Practice Questions with Answers and Detailed Rationales,
Verified Regulatory Citations, and Distractor Analysis for Every Item
205 VERIFIED Q&As Randomized Choice Order Updated for 2026/2027 Full Rationales
Overview
This comprehensive study guide provides 205 unique practice questions built for candidates
preparing for the Ohio State Tested Nursing Assistant competency examination for 2026/2027.
Every item is aligned to the Ohio nurse aide training and competency evaluation standards at OAC
Chapter 3701-18, the nursing home rules at OAC 3701-17-07.1 and 3701-17-07.3, and the federal
long-term care requirements at 42 CFR Part 483 enacted under OBRA '87. Each question includes a
regulatory or clinical citation, a written rationale, and a full distractor analysis explaining why
every incorrect option fails.
A note on regulatory authority: Ohio's nurse aide credential is the State Tested Nursing Assistant, and it is
administered by the Ohio Department of Health, not by the Ohio Board of Nursing. ODH maintains the Nurse
Aide Registry under ORC 3721.32 and OAC 3701-17-07.3, and approves the 75-hour training and competency
evaluation program under OAC Chapter 3701-18 with statutory authority at ORC 3721.31. The competency
examination itself is administered for ODH by Headmaster / D&S Diversified Technologies. ORC Chapter 4723
and the Board of Nursing rules govern licensed nurses and appear here only where they define the boundary of
the aide's scope of practice. Citations in this bank point to the provision that actually governs each answer.
✓ KEY FEATURES
• 205 unique, verified questions with zero duplicate stems
• Randomized correct-answer placement across all four letters, verified by distribution audit
• Citations to OAC 3701-18, OAC 3701-17, ORC 3721, and 42 CFR Part 483
• Real clinical figures: vital sign ranges, repositioning intervals, water temperatures, and fluid
targets
• Detailed rationale plus per-option distractor analysis for every item
• Master Quick Answer Key with compact grid layout and duplicate-check confirmation
1 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
▣ CORE CONTENT AREAS
• Section 1: Role & Responsibilities of the STNA — 30 questions
• Section 2: Communication & Interpersonal Skills — 25 questions
• Section 3: Basic Nursing Skills & Infection Control — 30 questions
• Section 4: Personal Care & Activities of Daily Living — 35 questions
• Section 5: Resident Safety & Emergency Procedures — 30 questions
• Section 6: Specialized Care for Resident Populations — 25 questions
• Section 7: Nutrition, Elimination & Skin Care — 30 questions
2 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
SECTION 1: ROLE & RESPONSIBILITIES OF THE STNA (30
QUESTIONS)
Legal scope of practice, resident rights, abuse and neglect prevention, and professional boundaries under
OAC 3701-18 and 42 CFR 483.10
1. In Ohio, the agency that maintains the Nurse Aide Registry and oversees nurse aide
training is:
A. The Ohio Board of Nursing
B. The Ohio Department of Job and Family Services
C. The Ohio Department of Aging
D. The Ohio Department of Health
Correct Answer: D. The Ohio Department of Health
OAC 3701-17-07.3; ORC 3721.32
Rationale: The Ohio Department of Health administers the Nurse Aide Training and Competency Evaluation
Program and maintains the registry.
Distractor Analysis:
A is incorrect: "The Ohio Board of Nursing" — violates OAC 3701-17-07.3; ORC 3721.32 and would breach
scope/safety vs correct practice.
B is incorrect: "The Ohio Department of Job and Family Services" — violates OAC 3701-17-07.3; ORC
3721.32 and would breach scope/safety vs correct practice.
C is incorrect: "The Ohio Department of Aging" — violates OAC 3701-17-07.3; ORC 3721.32 and would
breach scope/safety vs correct practice.
2. The minimum number of training hours required for an Ohio nurse aide training and
competency evaluation program is:
A. 40 hours
B. 100 hours
C. 75 hours
D. 120 hours
Correct Answer: C. 75 hours
OAC 3701-18; 42 CFR 483.152
Rationale: Ohio requires a 75-hour program, which meets the federal minimum established under OBRA 1987.
Distractor Analysis:
A is incorrect: "40 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
B is incorrect: "100 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
D is incorrect: "120 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
3 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
3. Of the required Ohio training hours, the minimum that must be supervised clinical
experience is:
A. 8 hours
B. 16 hours
C. 30 hours
D. 59 hours
Correct Answer: B. 16 hours
OAC 3701-18
Rationale: At least 16 hours must be supervised clinical experience in a long-term care facility, with the
remainder classroom and laboratory instruction.
Distractor Analysis:
A is incorrect: "8 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
C is incorrect: "30 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
D is incorrect: "59 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
4. The first 16 hours of an Ohio training program must be completed before:
A. The background check is submitted
B. The skills examination is scheduled
C. Any direct resident contact or clinical experience
D. Registry placement occurs
Correct Answer: C. Any direct resident contact or clinical experience
OAC 3701-18
Rationale: Pre-resident contact instruction ensures trainees can protect residents before providing hands-on
care.
Distractor Analysis:
A is incorrect: "The background check is submitted" — violates OAC 3701-18 and would breach
scope/safety vs correct practice.
B is incorrect: "The skills examination is scheduled" — violates OAC 3701-18 and would breach
scope/safety vs correct practice.
D is incorrect: "Registry placement occurs" — violates OAC 3701-18 and would breach scope/safety vs
correct practice.
5. An STNA who has not performed nursing or nursing-related services for pay within a
24-month period must:
A. Simply pay a renewal fee
B. Complete another approved training program and pass the competency evaluation again
C. Submit two letters of reference
D. Complete eight hours of continuing education
Correct Answer: B. Complete another approved training program and pass the competency
evaluation again
OAC 3701-17-07.3; 42 CFR 483.156
Rationale: Lapsed registry status requires full retraining and retesting because competency can no longer be
assumed.
Distractor Analysis:
A is incorrect: "Simply pay a renewal fee" — violates OAC 3701-17-07.3; 42 CFR 483.156 and would breach
scope/safety vs correct practice.
4 | Ohio Department of Health • Nurse Aide Registry
UPDATED FOR 2026/2027 • ODH REGISTRY BLUEPRINT
OHIO STNA EXAM
STATE TESTED NURSING ASSISTANT COMPETENCY
EXAMINATION
EXAM • 2026/2027 • 205 QUESTIONS
100+ Practice Questions with Answers and Detailed Rationales,
Verified Regulatory Citations, and Distractor Analysis for Every Item
205 VERIFIED Q&As Randomized Choice Order Updated for 2026/2027 Full Rationales
Overview
This comprehensive study guide provides 205 unique practice questions built for candidates
preparing for the Ohio State Tested Nursing Assistant competency examination for 2026/2027.
Every item is aligned to the Ohio nurse aide training and competency evaluation standards at OAC
Chapter 3701-18, the nursing home rules at OAC 3701-17-07.1 and 3701-17-07.3, and the federal
long-term care requirements at 42 CFR Part 483 enacted under OBRA '87. Each question includes a
regulatory or clinical citation, a written rationale, and a full distractor analysis explaining why
every incorrect option fails.
A note on regulatory authority: Ohio's nurse aide credential is the State Tested Nursing Assistant, and it is
administered by the Ohio Department of Health, not by the Ohio Board of Nursing. ODH maintains the Nurse
Aide Registry under ORC 3721.32 and OAC 3701-17-07.3, and approves the 75-hour training and competency
evaluation program under OAC Chapter 3701-18 with statutory authority at ORC 3721.31. The competency
examination itself is administered for ODH by Headmaster / D&S Diversified Technologies. ORC Chapter 4723
and the Board of Nursing rules govern licensed nurses and appear here only where they define the boundary of
the aide's scope of practice. Citations in this bank point to the provision that actually governs each answer.
✓ KEY FEATURES
• 205 unique, verified questions with zero duplicate stems
• Randomized correct-answer placement across all four letters, verified by distribution audit
• Citations to OAC 3701-18, OAC 3701-17, ORC 3721, and 42 CFR Part 483
• Real clinical figures: vital sign ranges, repositioning intervals, water temperatures, and fluid
targets
• Detailed rationale plus per-option distractor analysis for every item
• Master Quick Answer Key with compact grid layout and duplicate-check confirmation
1 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
▣ CORE CONTENT AREAS
• Section 1: Role & Responsibilities of the STNA — 30 questions
• Section 2: Communication & Interpersonal Skills — 25 questions
• Section 3: Basic Nursing Skills & Infection Control — 30 questions
• Section 4: Personal Care & Activities of Daily Living — 35 questions
• Section 5: Resident Safety & Emergency Procedures — 30 questions
• Section 6: Specialized Care for Resident Populations — 25 questions
• Section 7: Nutrition, Elimination & Skin Care — 30 questions
2 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
SECTION 1: ROLE & RESPONSIBILITIES OF THE STNA (30
QUESTIONS)
Legal scope of practice, resident rights, abuse and neglect prevention, and professional boundaries under
OAC 3701-18 and 42 CFR 483.10
1. In Ohio, the agency that maintains the Nurse Aide Registry and oversees nurse aide
training is:
A. The Ohio Board of Nursing
B. The Ohio Department of Job and Family Services
C. The Ohio Department of Aging
D. The Ohio Department of Health
Correct Answer: D. The Ohio Department of Health
OAC 3701-17-07.3; ORC 3721.32
Rationale: The Ohio Department of Health administers the Nurse Aide Training and Competency Evaluation
Program and maintains the registry.
Distractor Analysis:
A is incorrect: "The Ohio Board of Nursing" — violates OAC 3701-17-07.3; ORC 3721.32 and would breach
scope/safety vs correct practice.
B is incorrect: "The Ohio Department of Job and Family Services" — violates OAC 3701-17-07.3; ORC
3721.32 and would breach scope/safety vs correct practice.
C is incorrect: "The Ohio Department of Aging" — violates OAC 3701-17-07.3; ORC 3721.32 and would
breach scope/safety vs correct practice.
2. The minimum number of training hours required for an Ohio nurse aide training and
competency evaluation program is:
A. 40 hours
B. 100 hours
C. 75 hours
D. 120 hours
Correct Answer: C. 75 hours
OAC 3701-18; 42 CFR 483.152
Rationale: Ohio requires a 75-hour program, which meets the federal minimum established under OBRA 1987.
Distractor Analysis:
A is incorrect: "40 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
B is incorrect: "100 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
D is incorrect: "120 hours" — violates OAC 3701-18; 42 CFR 483.152 and would breach scope/safety vs
correct practice.
3 | Ohio Department of Health • Nurse Aide Registry
, Ohio STNA Exam • Ohio Department of Health • Nurse Aide Registry • 2026/2027
3. Of the required Ohio training hours, the minimum that must be supervised clinical
experience is:
A. 8 hours
B. 16 hours
C. 30 hours
D. 59 hours
Correct Answer: B. 16 hours
OAC 3701-18
Rationale: At least 16 hours must be supervised clinical experience in a long-term care facility, with the
remainder classroom and laboratory instruction.
Distractor Analysis:
A is incorrect: "8 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
C is incorrect: "30 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
D is incorrect: "59 hours" — violates OAC 3701-18 and would breach scope/safety vs correct practice.
4. The first 16 hours of an Ohio training program must be completed before:
A. The background check is submitted
B. The skills examination is scheduled
C. Any direct resident contact or clinical experience
D. Registry placement occurs
Correct Answer: C. Any direct resident contact or clinical experience
OAC 3701-18
Rationale: Pre-resident contact instruction ensures trainees can protect residents before providing hands-on
care.
Distractor Analysis:
A is incorrect: "The background check is submitted" — violates OAC 3701-18 and would breach
scope/safety vs correct practice.
B is incorrect: "The skills examination is scheduled" — violates OAC 3701-18 and would breach
scope/safety vs correct practice.
D is incorrect: "Registry placement occurs" — violates OAC 3701-18 and would breach scope/safety vs
correct practice.
5. An STNA who has not performed nursing or nursing-related services for pay within a
24-month period must:
A. Simply pay a renewal fee
B. Complete another approved training program and pass the competency evaluation again
C. Submit two letters of reference
D. Complete eight hours of continuing education
Correct Answer: B. Complete another approved training program and pass the competency
evaluation again
OAC 3701-17-07.3; 42 CFR 483.156
Rationale: Lapsed registry status requires full retraining and retesting because competency can no longer be
assumed.
Distractor Analysis:
A is incorrect: "Simply pay a renewal fee" — violates OAC 3701-17-07.3; 42 CFR 483.156 and would breach
scope/safety vs correct practice.
4 | Ohio Department of Health • Nurse Aide Registry
