STNA Study Guide Exam 2 (2026/2027 Update)
1. When measuring a resident’s blood pressure, which of the following is
considered a normal systolic range for an adult?
A. 60-90 mmHg
B. 100-119 mmHg
C. 140-159 mmHg
D. 160-180 mmHg
Answer: B
Rationale: The normal systolic blood pressure range for a healthy adult is typically
between 100 and 119 mmHg.
2. Which of the following is the first action an STNA should take when
discovering a fire in a resident’s room?
A. Extinguish the fire
B. Rescue the resident
C. Activate the fire alarm
D. Contain the fire by closing doors
Answer: B
Rationale: Following the RACE acronym, the first step is always Rescue to ensure the
safety of the individual in immediate danger.
,3. A resident is on a ‘Low Sodium’ diet. Which of the following foods should the
STNA encourage the resident to avoid?
A. Canned soup
B. Steamed broccoli
C. Fresh apples
D. Baked chicken
Answer: A
Rationale: Processed and canned foods like soup are typically very high in sodium
compared to fresh or steamed options.
4. What is the most common site for taking an adult’s pulse in a long-term care
facility?
A. Radial artery
B. Brachial artery
C. Carotid artery
D. Femoral artery
Answer: A
Rationale: The radial pulse, located on the thumb side of the wrist, is the most common
site for routine pulse measurement.
5. When performing perineal care on a female resident, the STNA should always
wipe in which direction?
A. Back to front
B. Front to back
C. Circular motion
D. Side to side
Answer: B
Rationale: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria
from the anal area to the urinary tract.
, 6. Which of the following is a sign of possible dehydration in a resident?
A. Moist skin
B. Increased appetite
C. High blood pressure
D. Dark-colored urine
Answer: D
Rationale: Dark, concentrated urine is a primary clinical indicator that a resident is not
receiving enough fluids.
7. What does the medical abbreviation ‘NPO’ stand for?
A. New Patient Only
B. Normal Pulse Observed
C. Next Patient Order
D. Nothing by Mouth
Answer: D
Rationale: NPO is derived from Latin (Nil Per Os) and means the resident is restricted
from eating or drinking anything by mouth.
8. How often should a resident who is unable to move themselves be
repositioned to prevent pressure ulcers?
A. Every 4 hours
B. Every 2 hours
C. Every shift
D. Once a day
Answer: B
Rationale: Standard practice is to reposition immobile residents at least every 2 hours to
relieve pressure on bony prominences.
1. When measuring a resident’s blood pressure, which of the following is
considered a normal systolic range for an adult?
A. 60-90 mmHg
B. 100-119 mmHg
C. 140-159 mmHg
D. 160-180 mmHg
Answer: B
Rationale: The normal systolic blood pressure range for a healthy adult is typically
between 100 and 119 mmHg.
2. Which of the following is the first action an STNA should take when
discovering a fire in a resident’s room?
A. Extinguish the fire
B. Rescue the resident
C. Activate the fire alarm
D. Contain the fire by closing doors
Answer: B
Rationale: Following the RACE acronym, the first step is always Rescue to ensure the
safety of the individual in immediate danger.
,3. A resident is on a ‘Low Sodium’ diet. Which of the following foods should the
STNA encourage the resident to avoid?
A. Canned soup
B. Steamed broccoli
C. Fresh apples
D. Baked chicken
Answer: A
Rationale: Processed and canned foods like soup are typically very high in sodium
compared to fresh or steamed options.
4. What is the most common site for taking an adult’s pulse in a long-term care
facility?
A. Radial artery
B. Brachial artery
C. Carotid artery
D. Femoral artery
Answer: A
Rationale: The radial pulse, located on the thumb side of the wrist, is the most common
site for routine pulse measurement.
5. When performing perineal care on a female resident, the STNA should always
wipe in which direction?
A. Back to front
B. Front to back
C. Circular motion
D. Side to side
Answer: B
Rationale: Wiping from front to back (cleanest to dirtiest) prevents the spread of bacteria
from the anal area to the urinary tract.
, 6. Which of the following is a sign of possible dehydration in a resident?
A. Moist skin
B. Increased appetite
C. High blood pressure
D. Dark-colored urine
Answer: D
Rationale: Dark, concentrated urine is a primary clinical indicator that a resident is not
receiving enough fluids.
7. What does the medical abbreviation ‘NPO’ stand for?
A. New Patient Only
B. Normal Pulse Observed
C. Next Patient Order
D. Nothing by Mouth
Answer: D
Rationale: NPO is derived from Latin (Nil Per Os) and means the resident is restricted
from eating or drinking anything by mouth.
8. How often should a resident who is unable to move themselves be
repositioned to prevent pressure ulcers?
A. Every 4 hours
B. Every 2 hours
C. Every shift
D. Once a day
Answer: B
Rationale: Standard practice is to reposition immobile residents at least every 2 hours to
relieve pressure on bony prominences.
