STNA State Tested Nursing Assistant Final Exam Practice 2026/2027
UPDATE
1. What is the medical term for a heart rate that is faster than normal (over 100
beats per minute)?
A. Bradycardia
B. Hypotension
C. Arrhythmia
D. Tachycardia
Answer: D
Rationale: Tachycardia is defined as a heart rate over 100 beats per minute. Bradycardia is
a slow heart rate below 60 beats per minute.
2. The medical term ‘NPO’ stands for:
A. New Patient Only
B. Next Patient Order
C. Nursing Priority Observation
D. Nothing by Mouth
Answer: D
Rationale: NPO is derived from the Latin ‘nil per os’, which means nothing by mouth.
,3. When washing hands, for how long should an STNA create friction with soap?
A. At least 5 seconds
B. At least 20 seconds
C. At least 10 seconds
D. At least 60 seconds
Answer: B
Rationale: Standard infection control guidelines state that hand washing friction should
last for at least 20 seconds.
4. Which of the following is considered the ‘fifth vital sign’?
A. Blood Pressure
B. Oxygen Saturation
C. Height and Weight
D. Pain Level
Answer: D
Rationale: In many clinical settings, pain assessment is recognized as the fifth vital sign.
5. When assisting a resident with a weak left side to walk, the STNA should
stand:
A. Directly behind the resident
B. On the resident’s right side
C. On the resident’s left (weak) side
D. In front of the resident
Answer: C
Rationale: An STNA should always stand on the resident’s affected or weaker side to
provide support during ambulation.
, 6. The abbreviation ‘ADL’ stands for:
A. Advanced Daily Living
B. Always Do Lightly
C. Activities of Daily Living
D. Assessment of Daily Lifestyle
Answer: C
Rationale: ADLs refer to everyday tasks such as bathing, dressing, and eating.
7. What is the first step when a fire is discovered in a resident’s room?
A. Pull the fire alarm
B. Extinguish the fire
C. Close the doors and windows
D. Remove the resident from the room
Answer: D
Rationale: According to the RACE acronym, the first step is R - Rescue (or Remove) anyone
in immediate danger.
8. How often should a resident who is unable to move themselves be
repositioned in bed?
A. Every 30 minutes
B. Every 4 hours
C. Every 2 hours
D. Once per shift
Answer: C
Rationale: Standard practice is to reposition immobile residents at least every 2 hours to
prevent pressure ulcers.
UPDATE
1. What is the medical term for a heart rate that is faster than normal (over 100
beats per minute)?
A. Bradycardia
B. Hypotension
C. Arrhythmia
D. Tachycardia
Answer: D
Rationale: Tachycardia is defined as a heart rate over 100 beats per minute. Bradycardia is
a slow heart rate below 60 beats per minute.
2. The medical term ‘NPO’ stands for:
A. New Patient Only
B. Next Patient Order
C. Nursing Priority Observation
D. Nothing by Mouth
Answer: D
Rationale: NPO is derived from the Latin ‘nil per os’, which means nothing by mouth.
,3. When washing hands, for how long should an STNA create friction with soap?
A. At least 5 seconds
B. At least 20 seconds
C. At least 10 seconds
D. At least 60 seconds
Answer: B
Rationale: Standard infection control guidelines state that hand washing friction should
last for at least 20 seconds.
4. Which of the following is considered the ‘fifth vital sign’?
A. Blood Pressure
B. Oxygen Saturation
C. Height and Weight
D. Pain Level
Answer: D
Rationale: In many clinical settings, pain assessment is recognized as the fifth vital sign.
5. When assisting a resident with a weak left side to walk, the STNA should
stand:
A. Directly behind the resident
B. On the resident’s right side
C. On the resident’s left (weak) side
D. In front of the resident
Answer: C
Rationale: An STNA should always stand on the resident’s affected or weaker side to
provide support during ambulation.
, 6. The abbreviation ‘ADL’ stands for:
A. Advanced Daily Living
B. Always Do Lightly
C. Activities of Daily Living
D. Assessment of Daily Lifestyle
Answer: C
Rationale: ADLs refer to everyday tasks such as bathing, dressing, and eating.
7. What is the first step when a fire is discovered in a resident’s room?
A. Pull the fire alarm
B. Extinguish the fire
C. Close the doors and windows
D. Remove the resident from the room
Answer: D
Rationale: According to the RACE acronym, the first step is R - Rescue (or Remove) anyone
in immediate danger.
8. How often should a resident who is unable to move themselves be
repositioned in bed?
A. Every 30 minutes
B. Every 4 hours
C. Every 2 hours
D. Once per shift
Answer: C
Rationale: Standard practice is to reposition immobile residents at least every 2 hours to
prevent pressure ulcers.
