STNA State Tested Nursing Assistant Study Guide Exam 4 2026
UPDATE
1. When providing hand hygiene, which is the most important factor in
removing microorganisms?
A. The temperature of the water
B. The type of soap used
C. Friction during lathering
D. The length of the paper towel
Answer: C
Rationale: Friction is the most important factor in the mechanical removal of
microorganisms from the skin during handwashing.
2. A resident is refusing to take a shower. What is the best response by the
STNA?
A. Force the resident to shower for their own hygiene
B. Tell the resident they will lose their TV privileges
C. Respect the resident’s right to refuse and offer it again later
D. Call the family to come and give the shower
Answer: C
Rationale: Residents have the right to refuse care. The STNA should respect this, document
it, and offer the care at another time.
,3. Which of the following is an example of objective data?
A. The resident says they have a headache
B. The resident’s blood pressure is 140/90
C. The resident feels nauseated
D. The resident is worried about their family
Answer: B
Rationale: Objective data is information that can be seen, heard, felt, or measured.
Subjective data is what the resident tells you.
4. When transferring a resident from a bed to a wheelchair, the STNA should:
A. Lock the wheelchair brakes
B. Keep the bed in the highest position
C. Lift the resident by their arms
D. Ask the resident to put their arms around your neck
Answer: A
Rationale: Safety is a priority; locking the brakes prevents the wheelchair from moving
during the transfer.
5. What is the first sign of a pressure ulcer?
A. Bleeding and drainage
B. Deep craters in the skin
C. The skin is cool to the touch
D. Redness that does not go away when pressed
Answer: D
Rationale: Stage 1 pressure ulcers appear as non-blanchable redness, meaning the skin
stays red even when pressed.
, 6. A resident is on a restricted fluid diet. What should the STNA do?
A. Give the resident as much water as they want
B. Measure and record all fluid intake accurately
C. Offer fluids only during meals
D. Keep the water pitcher full at the bedside
Answer: B
Rationale: Fluid restriction requires precise measurement and documentation of all intake
to ensure the resident does not exceed the limit.
7. When communicating with a resident who is hearing impaired, the STNA
should:
A. Shout loudly into their ear
B. Face the resident and speak clearly in a normal tone
C. Speak quickly to finish the conversation
D. Avoid using hand gestures
Answer: B
Rationale: Facing the resident allows them to see your lips and facial expressions, while a
normal tone is easier to understand than shouting.
8. Which pulse site is most commonly used for taking a manual pulse?
A. Carotid pulse
B. Brachial pulse
C. Femoral pulse
D. Radial pulse
Answer: D
Rationale: The radial pulse, located on the thumb side of the wrist, is the standard site for
routine pulse measurement.
UPDATE
1. When providing hand hygiene, which is the most important factor in
removing microorganisms?
A. The temperature of the water
B. The type of soap used
C. Friction during lathering
D. The length of the paper towel
Answer: C
Rationale: Friction is the most important factor in the mechanical removal of
microorganisms from the skin during handwashing.
2. A resident is refusing to take a shower. What is the best response by the
STNA?
A. Force the resident to shower for their own hygiene
B. Tell the resident they will lose their TV privileges
C. Respect the resident’s right to refuse and offer it again later
D. Call the family to come and give the shower
Answer: C
Rationale: Residents have the right to refuse care. The STNA should respect this, document
it, and offer the care at another time.
,3. Which of the following is an example of objective data?
A. The resident says they have a headache
B. The resident’s blood pressure is 140/90
C. The resident feels nauseated
D. The resident is worried about their family
Answer: B
Rationale: Objective data is information that can be seen, heard, felt, or measured.
Subjective data is what the resident tells you.
4. When transferring a resident from a bed to a wheelchair, the STNA should:
A. Lock the wheelchair brakes
B. Keep the bed in the highest position
C. Lift the resident by their arms
D. Ask the resident to put their arms around your neck
Answer: A
Rationale: Safety is a priority; locking the brakes prevents the wheelchair from moving
during the transfer.
5. What is the first sign of a pressure ulcer?
A. Bleeding and drainage
B. Deep craters in the skin
C. The skin is cool to the touch
D. Redness that does not go away when pressed
Answer: D
Rationale: Stage 1 pressure ulcers appear as non-blanchable redness, meaning the skin
stays red even when pressed.
, 6. A resident is on a restricted fluid diet. What should the STNA do?
A. Give the resident as much water as they want
B. Measure and record all fluid intake accurately
C. Offer fluids only during meals
D. Keep the water pitcher full at the bedside
Answer: B
Rationale: Fluid restriction requires precise measurement and documentation of all intake
to ensure the resident does not exceed the limit.
7. When communicating with a resident who is hearing impaired, the STNA
should:
A. Shout loudly into their ear
B. Face the resident and speak clearly in a normal tone
C. Speak quickly to finish the conversation
D. Avoid using hand gestures
Answer: B
Rationale: Facing the resident allows them to see your lips and facial expressions, while a
normal tone is easier to understand than shouting.
8. Which pulse site is most commonly used for taking a manual pulse?
A. Carotid pulse
B. Brachial pulse
C. Femoral pulse
D. Radial pulse
Answer: D
Rationale: The radial pulse, located on the thumb side of the wrist, is the standard site for
routine pulse measurement.
