Page 1 of 55
OHIO STATE TESTED NURSING ASSISTANT (STNA) EXAM
COMPLETE (140) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare effectively for the Ohio State Tested Nursing Assistant (STNA) Exam with this
focused study resource. It supports review of essential nursing assistant concepts,
patient care skills, safety, infection control, communication, and daily living
assistance. Use the material to reinforce your knowledge, review key topics, and
identify areas that may require additional study. This resource is suited for Ohio STNA
students, nursing assistant trainees, and candidates preparing for the state
competency examination.
MULTIPLE CHOICE.
DOMAIN 1 — Roles, Responsibilities, and Resident Rights (Questions 1–
14)
1. Which of the following is the primary role of a State Tested Nursing
Assistant (STNA)?
A. Diagnosing medical conditions
B. Prescribing medications
C. Providing direct personal care under the supervision of a licensed nurse
D. Developing the resident's care plan independently
Answer: C. Providing direct personal care under the supervision of a
licensed nurse
Rationale: The STNA works under the supervision of a licensed nurse (RN or
LPN) and provides direct personal care to residents. STNAs do not diagnose,
prescribe, or develop care plans independently.
2. A resident's family member asks the STNA for a copy of the resident's
medical records. What is the MOST appropriate response?
, Page 2 of 55
A. "I can give you a copy right now."
B. "I'll print them out for you after my shift."
C. "I am not authorized to release medical records. Please speak with the
charge nurse."
D. "You don't need to see those records."
Answer: C. "I am not authorized to release medical records. Please speak
with the charge nurse."
Rationale: Medical records are confidential and protected by HIPAA. STNAs
are not authorized to release medical records. The STNA should direct the
family member to the charge nurse or supervisor.
3. A resident refuses to take a bath. What should the STNA do?
A. Force the resident to take a bath
B. Document the refusal and notify the charge nurse
C. Ask the resident's family to convince them
D. Give the bath when the resident is sleeping
Answer: B. Document the refusal and notify the charge nurse
Rationale: Residents have the right to refuse care. The STNA should respect
the resident's choice, document the refusal, and notify the charge nurse.
Forcing care is a violation of resident rights and can be considered abuse.
4. An STNA suspects that a co-worker is physically abusing a resident.
What is the STNA's legal obligation?
A. Ignore it to avoid conflict
B. Confront the co-worker privately
C. Report the suspicion immediately to the supervisor
D. Wait until there is proof before reporting
Answer: C. Report the suspicion immediately to the supervisor
, Page 3 of 55
Rationale: STNAs are mandated reporters. Any suspicion of abuse, neglect,
or exploitation must be reported immediately to the supervisor. Failure to
report can result in legal consequences and removal from the state registry.
5. Which of the following is a violation of a resident's right to privacy?
A. Closing the door during personal care
B. Knocking before entering a resident's room
C. Discussing a resident's medical condition in the hallway
D. Pulling the privacy curtain during a bed bath
Answer: C. Discussing a resident's medical condition in the hallway
Rationale: Discussing a resident's medical condition in public areas
(hallways, elevators, cafeteria) violates the resident's right to privacy and
confidentiality. Personal care should be provided in private with doors and
curtains closed.
6. What is the maximum number of hours of continuing education an
STNA must complete annually in Ohio to maintain certification?
A. 8 hours
B. 12 hours
C. 16 hours
D. 20 hours
Answer: B. 12 hours
Rationale: In Ohio, STNAs must complete at least 12 hours of continuing
education per year to maintain their certification on the state registry.
7. An STNA notices that a resident's personal belongings are missing.
What should the STNA do?
A. Ignore it and assume the resident misplaced the items
B. Report the missing items to the charge nurse immediately
C. Search the resident's roommate's belongings
, Page 4 of 55
D. Tell the resident to buy new items
Answer: B. Report the missing items to the charge nurse immediately
Rationale: Missing personal belongings should be reported immediately. The
STNA should not search other residents' belongings. This could be a sign of
theft, and the charge nurse should investigate.
8. Under the Omnibus Budget Reconciliation Act (OBRA) of 1987, nursing
assistants must complete a minimum of how many hours of training?
A. 30 hours
B. 60 hours
C. 75 hours
D. 120 hours
Answer: C. 75 hours
Rationale: OBRA 1987 requires a minimum of 75 hours of training for nursing
assistants, including at least 16 hours of supervised clinical practice.
9. A resident tells the STNA that they want to refuse a medication. What is
the STNA's BEST response?
A. "You have to take it; the doctor ordered it."
B. "I'll tell the nurse, and we can discuss it with you."
C. "I'll crush it and put it in your food."
D. "If you don't take it, you'll get sick."
Answer: B. "I'll tell the nurse, and we can discuss it with you."
Rationale: Residents have the right to refuse medication. The STNA should
respect the refusal, document it, and notify the charge nurse. Coercing or
hiding medication is unethical and illegal.
10. An STNA is assigned to care for a resident who is confused and
agitated. What should the STNA do FIRST?
A. Restrain the resident to prevent injury
OHIO STATE TESTED NURSING ASSISTANT (STNA) EXAM
COMPLETE (140) CURRENT TESTING QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES.
NURSING
Prepare effectively for the Ohio State Tested Nursing Assistant (STNA) Exam with this
focused study resource. It supports review of essential nursing assistant concepts,
patient care skills, safety, infection control, communication, and daily living
assistance. Use the material to reinforce your knowledge, review key topics, and
identify areas that may require additional study. This resource is suited for Ohio STNA
students, nursing assistant trainees, and candidates preparing for the state
competency examination.
MULTIPLE CHOICE.
DOMAIN 1 — Roles, Responsibilities, and Resident Rights (Questions 1–
14)
1. Which of the following is the primary role of a State Tested Nursing
Assistant (STNA)?
A. Diagnosing medical conditions
B. Prescribing medications
C. Providing direct personal care under the supervision of a licensed nurse
D. Developing the resident's care plan independently
Answer: C. Providing direct personal care under the supervision of a
licensed nurse
Rationale: The STNA works under the supervision of a licensed nurse (RN or
LPN) and provides direct personal care to residents. STNAs do not diagnose,
prescribe, or develop care plans independently.
2. A resident's family member asks the STNA for a copy of the resident's
medical records. What is the MOST appropriate response?
, Page 2 of 55
A. "I can give you a copy right now."
B. "I'll print them out for you after my shift."
C. "I am not authorized to release medical records. Please speak with the
charge nurse."
D. "You don't need to see those records."
Answer: C. "I am not authorized to release medical records. Please speak
with the charge nurse."
Rationale: Medical records are confidential and protected by HIPAA. STNAs
are not authorized to release medical records. The STNA should direct the
family member to the charge nurse or supervisor.
3. A resident refuses to take a bath. What should the STNA do?
A. Force the resident to take a bath
B. Document the refusal and notify the charge nurse
C. Ask the resident's family to convince them
D. Give the bath when the resident is sleeping
Answer: B. Document the refusal and notify the charge nurse
Rationale: Residents have the right to refuse care. The STNA should respect
the resident's choice, document the refusal, and notify the charge nurse.
Forcing care is a violation of resident rights and can be considered abuse.
4. An STNA suspects that a co-worker is physically abusing a resident.
What is the STNA's legal obligation?
A. Ignore it to avoid conflict
B. Confront the co-worker privately
C. Report the suspicion immediately to the supervisor
D. Wait until there is proof before reporting
Answer: C. Report the suspicion immediately to the supervisor
, Page 3 of 55
Rationale: STNAs are mandated reporters. Any suspicion of abuse, neglect,
or exploitation must be reported immediately to the supervisor. Failure to
report can result in legal consequences and removal from the state registry.
5. Which of the following is a violation of a resident's right to privacy?
A. Closing the door during personal care
B. Knocking before entering a resident's room
C. Discussing a resident's medical condition in the hallway
D. Pulling the privacy curtain during a bed bath
Answer: C. Discussing a resident's medical condition in the hallway
Rationale: Discussing a resident's medical condition in public areas
(hallways, elevators, cafeteria) violates the resident's right to privacy and
confidentiality. Personal care should be provided in private with doors and
curtains closed.
6. What is the maximum number of hours of continuing education an
STNA must complete annually in Ohio to maintain certification?
A. 8 hours
B. 12 hours
C. 16 hours
D. 20 hours
Answer: B. 12 hours
Rationale: In Ohio, STNAs must complete at least 12 hours of continuing
education per year to maintain their certification on the state registry.
7. An STNA notices that a resident's personal belongings are missing.
What should the STNA do?
A. Ignore it and assume the resident misplaced the items
B. Report the missing items to the charge nurse immediately
C. Search the resident's roommate's belongings
, Page 4 of 55
D. Tell the resident to buy new items
Answer: B. Report the missing items to the charge nurse immediately
Rationale: Missing personal belongings should be reported immediately. The
STNA should not search other residents' belongings. This could be a sign of
theft, and the charge nurse should investigate.
8. Under the Omnibus Budget Reconciliation Act (OBRA) of 1987, nursing
assistants must complete a minimum of how many hours of training?
A. 30 hours
B. 60 hours
C. 75 hours
D. 120 hours
Answer: C. 75 hours
Rationale: OBRA 1987 requires a minimum of 75 hours of training for nursing
assistants, including at least 16 hours of supervised clinical practice.
9. A resident tells the STNA that they want to refuse a medication. What is
the STNA's BEST response?
A. "You have to take it; the doctor ordered it."
B. "I'll tell the nurse, and we can discuss it with you."
C. "I'll crush it and put it in your food."
D. "If you don't take it, you'll get sick."
Answer: B. "I'll tell the nurse, and we can discuss it with you."
Rationale: Residents have the right to refuse medication. The STNA should
respect the refusal, document it, and notify the charge nurse. Coercing or
hiding medication is unethical and illegal.
10. An STNA is assigned to care for a resident who is confused and
agitated. What should the STNA do FIRST?
A. Restrain the resident to prevent injury
