OHIO STNA FULL PRACTICE EXAM – WITH
ANSWERS & RATIONALES
GRADED A+
UPDATED QUESTIONS AND ANSWERS
SECTION 1: PATIENT RIGHTS & DIGNITY (Q1–Q8)
1. A resident tells the NA, "I don't want to take that medicine. It makes me feel
sick." What should the NA do?
• A. Tell the resident the doctor ordered it and she must take it.
• B. Crush the pill and hide it in applesauce.
• C. Report the resident's refusal to the nurse immediately.
• D. Ask the resident's family to convince her.
Correct Answer: C
Rationale: Competent residents have the legal right to refuse medication. The NA must
never force, hide, or trick a resident into taking medication. The refusal must be
reported to the nurse so the nurse can assess the resident, re-educate, or contact the
doctor for an alternative order.
2. Which of the following is an example of a resident's right to privacy?
• A. Leaving the bathroom door open while assisting a resident.
• B. Knocking on the door before entering a resident's room.
• C. Discussing a resident's condition in the hallway with other staff.
• D. Posting a resident's diagnosis on the bulletin board.
,Correct Answer: B
Rationale: Knocking and waiting for permission before entering respects the resident's
privacy. All other options violate privacy: leaving doors open exposes the resident,
discussing conditions in hallways violates HIPAA, and posting diagnoses publicly is a
confidentiality breach.
3. A resident who is alert and oriented has the right to:
• A. Refuse treatment.
• B. Smoke in bed.
• C. Stay in bed all day.
• D. Leave the facility without notifying staff.
Correct Answer: A
Rationale: Alert, oriented adults have the autonomy to accept or refuse medical
treatment. However, smoking in bed is a safety hazard, staying in bed all day risks skin
breakdown, and leaving without notifying staff is a safety risk (elopement protocol
requires staff notification).
4. When a resident is confused and tries to leave the facility, the NA should:
• A. Physically restrain the resident.
• B. Call security to escort the resident back.
• C. Calmly redirect the resident to a safe area and notify the nurse.
• D. Allow the resident to leave since they have that right.
Correct Answer: C
Rationale: Physical restraints require a doctor's order and cannot be used for
convenience. The NA should use gentle redirection (e.g., offering a snack or walk) and
immediately notify the nurse. The nurse will assess and implement safety measures like
alarms or increased supervision.
,5. What is the best way for an NA to show respect for a resident's personal
belongings?
• A. Move them to clean around them without asking.
• B. Handle them carefully and ask permission before moving them.
• C. Store them in a closet to keep the room tidy.
• D. Allow other residents to borrow them.
Correct Answer: B
Rationale: Respecting personal property means treating it with care and always asking
the resident before touching or moving their items. Moving without permission or
giving items to others violates resident rights and dignity.
6. A resident's family member asks the NA about the resident's medical condition.
The NA should:
• A. Share the information since the family has a right to know.
• B. Tell the family member to ask the resident directly.
• C. Politely tell the family member they need to speak with the nurse.
• D. Look in the chart and share what is written there.
Correct Answer: C
Rationale: Only licensed nurses or doctors are authorized to discuss medical diagnoses,
treatments, or prognoses with families. The NA must politely defer to the nurse to
maintain confidentiality and avoid giving incorrect medical information.
7. Which of the following is a form of abuse?
• A. Isolating a resident from visitors.
• B. Assisting a resident with feeding.
• C. Helping a resident ambulate.
• D. Turning a resident every 2 hours.
Correct Answer: A
Rationale: Isolating a resident from family, friends, or visitors is a form of
, psychological/emotional abuse and social isolation. The other options are appropriate,
standard care tasks.
8. A resident has the right to make choices about:
• A. When to get up in the morning.
• B. What medications to take.
• C. Whether to see a doctor.
• D. All of the above.
Correct Answer: D
Rationale: Residents in long-term care retain all their civil rights unless legally deemed
incompetent. This includes choices about daily routines, medications (refusal rights), and
medical appointments. The NA should support these choices whenever safely possible.
SECTION 2: INFECTION CONTROL & SAFETY (Q9–Q18)
9. The single most important way to prevent the spread of infection is:
• A. Wearing gloves at all times.
• B. Washing hands frequently.
• C. Wearing a mask.
• D. Using hand sanitizer only.
Correct Answer: B
Rationale: Hand hygiene (handwashing with soap and water or alcohol-based rub) is
universally recognized as the most effective method to prevent healthcare-associated
infections. Gloves are important but do not replace handwashing.
10. When should an NA wash their hands?
• A. Before touching a resident.
ANSWERS & RATIONALES
GRADED A+
UPDATED QUESTIONS AND ANSWERS
SECTION 1: PATIENT RIGHTS & DIGNITY (Q1–Q8)
1. A resident tells the NA, "I don't want to take that medicine. It makes me feel
sick." What should the NA do?
• A. Tell the resident the doctor ordered it and she must take it.
• B. Crush the pill and hide it in applesauce.
• C. Report the resident's refusal to the nurse immediately.
• D. Ask the resident's family to convince her.
Correct Answer: C
Rationale: Competent residents have the legal right to refuse medication. The NA must
never force, hide, or trick a resident into taking medication. The refusal must be
reported to the nurse so the nurse can assess the resident, re-educate, or contact the
doctor for an alternative order.
2. Which of the following is an example of a resident's right to privacy?
• A. Leaving the bathroom door open while assisting a resident.
• B. Knocking on the door before entering a resident's room.
• C. Discussing a resident's condition in the hallway with other staff.
• D. Posting a resident's diagnosis on the bulletin board.
,Correct Answer: B
Rationale: Knocking and waiting for permission before entering respects the resident's
privacy. All other options violate privacy: leaving doors open exposes the resident,
discussing conditions in hallways violates HIPAA, and posting diagnoses publicly is a
confidentiality breach.
3. A resident who is alert and oriented has the right to:
• A. Refuse treatment.
• B. Smoke in bed.
• C. Stay in bed all day.
• D. Leave the facility without notifying staff.
Correct Answer: A
Rationale: Alert, oriented adults have the autonomy to accept or refuse medical
treatment. However, smoking in bed is a safety hazard, staying in bed all day risks skin
breakdown, and leaving without notifying staff is a safety risk (elopement protocol
requires staff notification).
4. When a resident is confused and tries to leave the facility, the NA should:
• A. Physically restrain the resident.
• B. Call security to escort the resident back.
• C. Calmly redirect the resident to a safe area and notify the nurse.
• D. Allow the resident to leave since they have that right.
Correct Answer: C
Rationale: Physical restraints require a doctor's order and cannot be used for
convenience. The NA should use gentle redirection (e.g., offering a snack or walk) and
immediately notify the nurse. The nurse will assess and implement safety measures like
alarms or increased supervision.
,5. What is the best way for an NA to show respect for a resident's personal
belongings?
• A. Move them to clean around them without asking.
• B. Handle them carefully and ask permission before moving them.
• C. Store them in a closet to keep the room tidy.
• D. Allow other residents to borrow them.
Correct Answer: B
Rationale: Respecting personal property means treating it with care and always asking
the resident before touching or moving their items. Moving without permission or
giving items to others violates resident rights and dignity.
6. A resident's family member asks the NA about the resident's medical condition.
The NA should:
• A. Share the information since the family has a right to know.
• B. Tell the family member to ask the resident directly.
• C. Politely tell the family member they need to speak with the nurse.
• D. Look in the chart and share what is written there.
Correct Answer: C
Rationale: Only licensed nurses or doctors are authorized to discuss medical diagnoses,
treatments, or prognoses with families. The NA must politely defer to the nurse to
maintain confidentiality and avoid giving incorrect medical information.
7. Which of the following is a form of abuse?
• A. Isolating a resident from visitors.
• B. Assisting a resident with feeding.
• C. Helping a resident ambulate.
• D. Turning a resident every 2 hours.
Correct Answer: A
Rationale: Isolating a resident from family, friends, or visitors is a form of
, psychological/emotional abuse and social isolation. The other options are appropriate,
standard care tasks.
8. A resident has the right to make choices about:
• A. When to get up in the morning.
• B. What medications to take.
• C. Whether to see a doctor.
• D. All of the above.
Correct Answer: D
Rationale: Residents in long-term care retain all their civil rights unless legally deemed
incompetent. This includes choices about daily routines, medications (refusal rights), and
medical appointments. The NA should support these choices whenever safely possible.
SECTION 2: INFECTION CONTROL & SAFETY (Q9–Q18)
9. The single most important way to prevent the spread of infection is:
• A. Wearing gloves at all times.
• B. Washing hands frequently.
• C. Wearing a mask.
• D. Using hand sanitizer only.
Correct Answer: B
Rationale: Hand hygiene (handwashing with soap and water or alcohol-based rub) is
universally recognized as the most effective method to prevent healthcare-associated
infections. Gloves are important but do not replace handwashing.
10. When should an NA wash their hands?
• A. Before touching a resident.
