OHIO STNA PRACTICE EXAM 300 ACTUAL QUESTIONS AND
CORRECT ANSWERS WITH RATIONALE LATEST UPDATE ALREADY
GRADED A+
This comprehensive 300-question Ohio STNA practice exam is meticulously
organized into nine distinct sections covering all essential content areas. Each
question presents a unique clinical scenario with four multiple-choice options,
accompanied by a correct answer and a detailed rationale explaining the
underlying reasoning. The questions progress logically through infection
control, resident rights, safety procedures, personal care skills, nutrition and
elimination, vital signs, disease processes, legal and ethical issues, and
emergency preparedness. No question is repeated, ensuring complete topic
coverage. This resource mirrors the actual STNA exam format, helping
candidates identify knowledge gaps, strengthen clinical judgment, and build
confidence for test day success.
## Section 1: Infection Control and Hand Hygiene (Questions 1-30)
1. What is the single most effective way to prevent the spread of infection in a
healthcare facility?
A. Wearing gloves for all resident care
B. Handwashing
C. Wearing a mask at all times
D. Isolating all residents
Answer: B
Rationale: Handwashing is the most effective method to prevent infection
transmission. It is the first line of defense against spreading pathogens to residents
and staff. While gloves, masks, and isolation have important roles, hand hygiene
remains the cornerstone of infection prevention .
2. When washing hands with soap and water, how long should you rub your hands
together?
A. 5 seconds
,B. 10 seconds
C. 20 seconds
D. 60 seconds
Answer: C
Rationale: Hands should be rubbed together with soap and water for at least 20
seconds to effectively remove pathogens. This duration allows friction to dislodge
microorganisms from all skin surfaces .
3. When performing hand hygiene, what water temperature should you verbalize?
A. 80 degrees Fahrenheit
B. 90 degrees Fahrenheit
C. 105 degrees Fahrenheit
D. 120 degrees Fahrenheit
Answer: C
Rationale: The STNA skill evaluation requires verbalizing that the water
temperature is 105 degrees Fahrenheit. This temperature is warm enough to be
comfortable and effective for cleaning without burning the skin .
4. Which action is correct when drying hands after washing?
A. Dry hands with a cloth towel and turn off the faucet with bare hands
B. Dry hands with paper towels and use another paper towel to turn off the faucet
C. Shake hands dry to avoid contact with the faucet
D. Use an air dryer and leave the faucet running
Answer: B
Rationale: After washing, hands should be dried with paper towels. A clean, dry
paper towel should be used to turn off the faucet to prevent recontamination of
clean hands .
5. When must a nursing assistant wear gloves?
A. When feeding a resident
B. When performing perineal care
C. When giving a back rub
D. When doing range of motion exercises
Answer: B
Rationale: Standard precautions require gloves for contact with blood, body fluids,
mucous membranes, or non-intact skin. Perineal care involves contact with mucous
membranes and body fluids, making gloves mandatory .
6. What is the correct procedure for removing soiled gloves?
A. Pull off the first glove by grasping the cuff and pulling inside out
,B. Remove both gloves together by pulling from the fingers
C. Remove gloves after washing hands
D. Remove gloves by pulling from the fingertips outward
Answer: A
Rationale: Gloves should be removed by grasping the outside of one glove near the
cuff and pulling it off inside out. The second glove is removed by touching only
the inside of the glove. This prevents contamination of the hands .
7. Which of the following is considered infectious waste?
A. All garbage and household trash
B. Anything contaminated with body fluid
C. Linens removed from a resident's bed
D. Paper towels used after handwashing
Answer: B
Rationale: Infectious waste includes any items contaminated with blood, body
fluids, or other potentially infectious materials. These must be disposed of in
designated containers according to facility policy .
8. You notice a spill of body fluids on the floor. What is your immediate action?
A. Don gloves, follow facility policy on cleaning up spills, dispose in designated
container, and disinfect the spill area
B. Guard the area, call housekeeping, and follow facility policy
C. Don gloves, call housekeeping, and disinfect the spill area
D. Guard the area, don gloves, disinfect the spill area, and dispose in designated
container
Answer: A
Rationale: The correct sequence is to don gloves, clean the spill according to
facility policy, properly dispose of contaminated materials, and disinfect the area.
Guarding the area and calling for assistance are also important but come after
donning appropriate PPE .
9. A resident has a urinary tract infection. What type of precautions should be
implemented?
A. Standard Precautions
B. Contact Precautions
C. Droplet Precautions
D. Airborne Precautions
Answer: A
Rationale: Urinary tract infections typically require only Standard Precautions
unless the infection is caused by a multidrug-resistant organism. Standard
, Precautions include hand hygiene and gloves when contact with body fluids is
anticipated .
10. Which of the following is the correct order for donning personal protective
equipment (PPE)?
A. Gown, mask, gloves
B. Gloves, gown, mask
C. Mask, gloves, gown
D. Gown, gloves, mask
Answer: A
Rationale: The correct order for donning PPE is gown first, then mask, and finally
gloves. This sequence helps prevent contamination during the donning process.
11. How often should linens be changed for a bedridden resident?
A. At least every 2 to 3 days or when soiled
B. Once per week
C. Only when the resident requests
D. Once per month
Answer: A
Rationale: Linens should be changed at least every 2 to 3 days or immediately
when soiled. Frequent linen changes help prevent skin breakdown, infection, and
maintain resident comfort .
12. When handling soiled linens, the nursing assistant should:
A. Shake the linens to remove debris before placing in the hamper
B. Fold the linens and place them neatly in the hamper
C. Hold the linens away from the uniform and place in the designated hamper
D. Place linens on the floor until collection
Answer: C
Rationale: Soiled linens should be held away from the uniform to prevent
contamination of clothing. They should be placed directly into the designated linen
hamper and never shaken, as shaking can disperse microorganisms into the air .
13. What is the purpose of wearing a mask during resident care?
A. To protect the resident from the nursing assistant's germs
B. To protect the nursing assistant from airborne droplets
C. Both A and B
D. To comply with facility dress code
Answer: C
CORRECT ANSWERS WITH RATIONALE LATEST UPDATE ALREADY
GRADED A+
This comprehensive 300-question Ohio STNA practice exam is meticulously
organized into nine distinct sections covering all essential content areas. Each
question presents a unique clinical scenario with four multiple-choice options,
accompanied by a correct answer and a detailed rationale explaining the
underlying reasoning. The questions progress logically through infection
control, resident rights, safety procedures, personal care skills, nutrition and
elimination, vital signs, disease processes, legal and ethical issues, and
emergency preparedness. No question is repeated, ensuring complete topic
coverage. This resource mirrors the actual STNA exam format, helping
candidates identify knowledge gaps, strengthen clinical judgment, and build
confidence for test day success.
## Section 1: Infection Control and Hand Hygiene (Questions 1-30)
1. What is the single most effective way to prevent the spread of infection in a
healthcare facility?
A. Wearing gloves for all resident care
B. Handwashing
C. Wearing a mask at all times
D. Isolating all residents
Answer: B
Rationale: Handwashing is the most effective method to prevent infection
transmission. It is the first line of defense against spreading pathogens to residents
and staff. While gloves, masks, and isolation have important roles, hand hygiene
remains the cornerstone of infection prevention .
2. When washing hands with soap and water, how long should you rub your hands
together?
A. 5 seconds
,B. 10 seconds
C. 20 seconds
D. 60 seconds
Answer: C
Rationale: Hands should be rubbed together with soap and water for at least 20
seconds to effectively remove pathogens. This duration allows friction to dislodge
microorganisms from all skin surfaces .
3. When performing hand hygiene, what water temperature should you verbalize?
A. 80 degrees Fahrenheit
B. 90 degrees Fahrenheit
C. 105 degrees Fahrenheit
D. 120 degrees Fahrenheit
Answer: C
Rationale: The STNA skill evaluation requires verbalizing that the water
temperature is 105 degrees Fahrenheit. This temperature is warm enough to be
comfortable and effective for cleaning without burning the skin .
4. Which action is correct when drying hands after washing?
A. Dry hands with a cloth towel and turn off the faucet with bare hands
B. Dry hands with paper towels and use another paper towel to turn off the faucet
C. Shake hands dry to avoid contact with the faucet
D. Use an air dryer and leave the faucet running
Answer: B
Rationale: After washing, hands should be dried with paper towels. A clean, dry
paper towel should be used to turn off the faucet to prevent recontamination of
clean hands .
5. When must a nursing assistant wear gloves?
A. When feeding a resident
B. When performing perineal care
C. When giving a back rub
D. When doing range of motion exercises
Answer: B
Rationale: Standard precautions require gloves for contact with blood, body fluids,
mucous membranes, or non-intact skin. Perineal care involves contact with mucous
membranes and body fluids, making gloves mandatory .
6. What is the correct procedure for removing soiled gloves?
A. Pull off the first glove by grasping the cuff and pulling inside out
,B. Remove both gloves together by pulling from the fingers
C. Remove gloves after washing hands
D. Remove gloves by pulling from the fingertips outward
Answer: A
Rationale: Gloves should be removed by grasping the outside of one glove near the
cuff and pulling it off inside out. The second glove is removed by touching only
the inside of the glove. This prevents contamination of the hands .
7. Which of the following is considered infectious waste?
A. All garbage and household trash
B. Anything contaminated with body fluid
C. Linens removed from a resident's bed
D. Paper towels used after handwashing
Answer: B
Rationale: Infectious waste includes any items contaminated with blood, body
fluids, or other potentially infectious materials. These must be disposed of in
designated containers according to facility policy .
8. You notice a spill of body fluids on the floor. What is your immediate action?
A. Don gloves, follow facility policy on cleaning up spills, dispose in designated
container, and disinfect the spill area
B. Guard the area, call housekeeping, and follow facility policy
C. Don gloves, call housekeeping, and disinfect the spill area
D. Guard the area, don gloves, disinfect the spill area, and dispose in designated
container
Answer: A
Rationale: The correct sequence is to don gloves, clean the spill according to
facility policy, properly dispose of contaminated materials, and disinfect the area.
Guarding the area and calling for assistance are also important but come after
donning appropriate PPE .
9. A resident has a urinary tract infection. What type of precautions should be
implemented?
A. Standard Precautions
B. Contact Precautions
C. Droplet Precautions
D. Airborne Precautions
Answer: A
Rationale: Urinary tract infections typically require only Standard Precautions
unless the infection is caused by a multidrug-resistant organism. Standard
, Precautions include hand hygiene and gloves when contact with body fluids is
anticipated .
10. Which of the following is the correct order for donning personal protective
equipment (PPE)?
A. Gown, mask, gloves
B. Gloves, gown, mask
C. Mask, gloves, gown
D. Gown, gloves, mask
Answer: A
Rationale: The correct order for donning PPE is gown first, then mask, and finally
gloves. This sequence helps prevent contamination during the donning process.
11. How often should linens be changed for a bedridden resident?
A. At least every 2 to 3 days or when soiled
B. Once per week
C. Only when the resident requests
D. Once per month
Answer: A
Rationale: Linens should be changed at least every 2 to 3 days or immediately
when soiled. Frequent linen changes help prevent skin breakdown, infection, and
maintain resident comfort .
12. When handling soiled linens, the nursing assistant should:
A. Shake the linens to remove debris before placing in the hamper
B. Fold the linens and place them neatly in the hamper
C. Hold the linens away from the uniform and place in the designated hamper
D. Place linens on the floor until collection
Answer: C
Rationale: Soiled linens should be held away from the uniform to prevent
contamination of clothing. They should be placed directly into the designated linen
hamper and never shaken, as shaking can disperse microorganisms into the air .
13. What is the purpose of wearing a mask during resident care?
A. To protect the resident from the nursing assistant's germs
B. To protect the nursing assistant from airborne droplets
C. Both A and B
D. To comply with facility dress code
Answer: C
