OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
OHIO STATE TESTED NURSING ASSISTANT
(STNA)
ORIGINAL PRACTICE EXAMINATION
2026/2027 STUDY EDITION
203 ORIGINAL MULTIPLE-CHOICE QUESTIONS
ORIGINAL PRACTICE QUESTIONS — NOT AN OFFICIAL STATE EXAM
Independent educational practice and review resource. Not affiliated with or endorsed by any government testing agency, testing vendor,
school, or commercial exam provider.
Practice/Review Resource • Page 1
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
IMPORTANT DISCLAIMER
This resource contains independently written practice questions for study and review. It does not contain leaked, confidential, recalled,
or purported actual examination questions. Performance on this practice resource does not predict an official examination result.
Ohio-specific regulatory statements are limited to points supported by current Ohio Administrative Code sources. Where a procedure
depends on an individual care plan, delegation decision, competency validation, or facility policy, the question is framed accordingly.
HOW TO USE THIS PRACTICE RESOURCE
• Complete the questions without looking at the answers when possible.
• Review the rationale after each question and identify why the other choices are less appropriate.
• Pay particular attention to resident rights, safety, reporting, infection prevention, and staying within the STNA role.
• Use the questions alongside approved training materials, care plans, facility policies, and instructor guidance.
• For Ohio-specific requirements, consult the current Ohio Administrative Code and official state resources.
EXAM OVERVIEW
This study edition contains 203 original multiple-choice questions. Each question has exactly four answer choices and is followed by
the correct answer, a concise rationale, and distractor analysis.
CORE CONTENT AREAS
• Roles and Responsibilities
• Resident Rights
• Communication
• Infection Prevention and Control
• Safety and Emergency Procedures
• Basic Nursing Skills
• Activities of Daily Living
• Nutrition and Hydration
• Elimination
• Mental Health and Dementia
• End-of-Life Care
• Rehabilitation and Restorative Care
DETAILED CONTENT BREAKDOWN
Roles and Responsibilities: 17 questions
Resident Rights: 17 questions
Communication: 17 questions
Infection Prevention and Control: 17 questions
Safety and Emergency Procedures: 17 questions
Basic Nursing Skills: 17 questions
Activities of Daily Living: 17 questions
Nutrition and Hydration: 17 questions
Elimination: 17 questions
Mental Health and Dementia: 17 questions
End-of-Life Care: 16 questions
Rehabilitation and Restorative Care: 17 questions
Practice/Review Resource • Page 2
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
Roles and Responsibilities
Question 1. A resident asks an STNA to change a prescribed medication dose because the resident says it is too strong. What is the
best response?
A. Skip the medication and document it as refused
B. Change the dose only for this resident
C. Ask another STNA to decide
D. Tell the resident the dose cannot be changed and promptly notify the nurse
Correct Answer: D. Tell the resident the dose cannot be changed and promptly notify the nurse
Rationale: Medication dosing is outside the STNA's independent role. The concern should be communicated promptly to the nurse.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Tell the resident the dose cannot be changed and promptly notify the nurse
Question 2. During a morning assignment, an STNA notices a new skin tear that was not present on the previous shift. What should
the STNA do first?
A. Cover it with any available cream
B. Ignore it because it is small
C. Report the finding promptly to the nurse and follow facility procedure
D. Ask the resident's family to decide what to do
Correct Answer: C. Report the finding promptly to the nurse and follow facility procedure
Rationale: A new skin injury is a change in condition that should be reported promptly so the nurse can assess it.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Correct — Report the finding promptly to the nurse and follow facility procedure
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Question 3. A nurse asks an STNA to perform a task the STNA has never been trained or checked off to perform. What is the safest
action?
A. Tell the nurse that the task has not been trained or validated for the STNA and request guidance
B. Perform it only if the resident agrees
C. Attempt it carefully
D. Ask another aide to demonstrate it and then perform it
Correct Answer: A. Tell the nurse that the task has not been trained or validated for the STNA and request guidance
Rationale: An STNA should not perform an unfamiliar task merely because it was requested. Training, competency, and applicable delegation
rules must be followed.
Distractor Analysis:
• A. Correct — Tell the nurse that the task has not been trained or validated for the STNA and request guidance
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Question 4. Which documentation entry is most appropriate after assisting a resident with lunch?
A. Resident was difficult today
B. Resident probably enjoyed the meal
C. Resident looked healthy
D. Resident ate about 75% of the meal and drank 180 mL of water
Correct Answer: D. Resident ate about 75% of the meal and drank 180 mL of water
Rationale: Documentation should contain objective, observable information rather than judgments or assumptions.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Resident ate about 75% of the meal and drank 180 mL of water
Practice/Review Resource • Page 3
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
Question 5. A coworker asks an STNA to sign that the coworker completed a bath that the STNA did not observe. What should the
STNA do?
A. Sign and add a note later
B. Ask the resident to confirm the bath
C. Sign because the coworker is busy
D. Decline to document care that was not performed or verified by the STNA
Correct Answer: D. Decline to document care that was not performed or verified by the STNA
Rationale: Each caregiver is responsible for accurate documentation of care actually performed or observed according to policy.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Decline to document care that was not performed or verified by the STNA
Question 6. An STNA is unsure whether a resident's requested activity is included in the care plan. What is the best approach?
A. Ask a visitor to approve it
B. Refuse every request not memorized
C. Do whatever the resident requests without checking
D. Review the care plan and ask the nurse when clarification is needed
Correct Answer: D. Review the care plan and ask the nurse when clarification is needed
Rationale: The care plan provides individualized direction. When uncertain, the STNA should seek clarification from the nurse.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Review the care plan and ask the nurse when clarification is needed
Question 7. A resident tells an STNA that a staff member yelled at them yesterday. What is the priority response?
A. Tell the resident to forget about it
B. Promise to keep it secret
C. Confront the staff member in front of the resident
D. Listen respectfully and report the allegation promptly according to policy
Correct Answer: D. Listen respectfully and report the allegation promptly according to policy
Rationale: Allegations of mistreatment must be taken seriously and reported through the required chain of responsibility.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Listen respectfully and report the allegation promptly according to policy
Question 8. An STNA is asked to perform care for a resident but discovers the resident's name is not on the assignment. What should
the STNA do?
A. Confirm the assignment with the nurse before providing non-emergency care
B. Proceed because the resident needs help
C. Ask the roommate for permission
D. Leave the resident without assistance
Correct Answer: A. Confirm the assignment with the nurse before providing non-emergency care
Rationale: Assignment and care-plan information should be confirmed to promote safe, appropriate care.
Distractor Analysis:
• A. Correct — Confirm the assignment with the nurse before providing non-emergency care
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Practice/Review Resource • Page 4
OHIO STATE TESTED NURSING ASSISTANT
(STNA)
ORIGINAL PRACTICE EXAMINATION
2026/2027 STUDY EDITION
203 ORIGINAL MULTIPLE-CHOICE QUESTIONS
ORIGINAL PRACTICE QUESTIONS — NOT AN OFFICIAL STATE EXAM
Independent educational practice and review resource. Not affiliated with or endorsed by any government testing agency, testing vendor,
school, or commercial exam provider.
Practice/Review Resource • Page 1
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
IMPORTANT DISCLAIMER
This resource contains independently written practice questions for study and review. It does not contain leaked, confidential, recalled,
or purported actual examination questions. Performance on this practice resource does not predict an official examination result.
Ohio-specific regulatory statements are limited to points supported by current Ohio Administrative Code sources. Where a procedure
depends on an individual care plan, delegation decision, competency validation, or facility policy, the question is framed accordingly.
HOW TO USE THIS PRACTICE RESOURCE
• Complete the questions without looking at the answers when possible.
• Review the rationale after each question and identify why the other choices are less appropriate.
• Pay particular attention to resident rights, safety, reporting, infection prevention, and staying within the STNA role.
• Use the questions alongside approved training materials, care plans, facility policies, and instructor guidance.
• For Ohio-specific requirements, consult the current Ohio Administrative Code and official state resources.
EXAM OVERVIEW
This study edition contains 203 original multiple-choice questions. Each question has exactly four answer choices and is followed by
the correct answer, a concise rationale, and distractor analysis.
CORE CONTENT AREAS
• Roles and Responsibilities
• Resident Rights
• Communication
• Infection Prevention and Control
• Safety and Emergency Procedures
• Basic Nursing Skills
• Activities of Daily Living
• Nutrition and Hydration
• Elimination
• Mental Health and Dementia
• End-of-Life Care
• Rehabilitation and Restorative Care
DETAILED CONTENT BREAKDOWN
Roles and Responsibilities: 17 questions
Resident Rights: 17 questions
Communication: 17 questions
Infection Prevention and Control: 17 questions
Safety and Emergency Procedures: 17 questions
Basic Nursing Skills: 17 questions
Activities of Daily Living: 17 questions
Nutrition and Hydration: 17 questions
Elimination: 17 questions
Mental Health and Dementia: 17 questions
End-of-Life Care: 16 questions
Rehabilitation and Restorative Care: 17 questions
Practice/Review Resource • Page 2
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
Roles and Responsibilities
Question 1. A resident asks an STNA to change a prescribed medication dose because the resident says it is too strong. What is the
best response?
A. Skip the medication and document it as refused
B. Change the dose only for this resident
C. Ask another STNA to decide
D. Tell the resident the dose cannot be changed and promptly notify the nurse
Correct Answer: D. Tell the resident the dose cannot be changed and promptly notify the nurse
Rationale: Medication dosing is outside the STNA's independent role. The concern should be communicated promptly to the nurse.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Tell the resident the dose cannot be changed and promptly notify the nurse
Question 2. During a morning assignment, an STNA notices a new skin tear that was not present on the previous shift. What should
the STNA do first?
A. Cover it with any available cream
B. Ignore it because it is small
C. Report the finding promptly to the nurse and follow facility procedure
D. Ask the resident's family to decide what to do
Correct Answer: C. Report the finding promptly to the nurse and follow facility procedure
Rationale: A new skin injury is a change in condition that should be reported promptly so the nurse can assess it.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Correct — Report the finding promptly to the nurse and follow facility procedure
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Question 3. A nurse asks an STNA to perform a task the STNA has never been trained or checked off to perform. What is the safest
action?
A. Tell the nurse that the task has not been trained or validated for the STNA and request guidance
B. Perform it only if the resident agrees
C. Attempt it carefully
D. Ask another aide to demonstrate it and then perform it
Correct Answer: A. Tell the nurse that the task has not been trained or validated for the STNA and request guidance
Rationale: An STNA should not perform an unfamiliar task merely because it was requested. Training, competency, and applicable delegation
rules must be followed.
Distractor Analysis:
• A. Correct — Tell the nurse that the task has not been trained or validated for the STNA and request guidance
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Question 4. Which documentation entry is most appropriate after assisting a resident with lunch?
A. Resident was difficult today
B. Resident probably enjoyed the meal
C. Resident looked healthy
D. Resident ate about 75% of the meal and drank 180 mL of water
Correct Answer: D. Resident ate about 75% of the meal and drank 180 mL of water
Rationale: Documentation should contain objective, observable information rather than judgments or assumptions.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Resident ate about 75% of the meal and drank 180 mL of water
Practice/Review Resource • Page 3
, OHIO STNA | ORIGINAL PRACTICE & REVIEW RESOURCE | 2026/2027
Question 5. A coworker asks an STNA to sign that the coworker completed a bath that the STNA did not observe. What should the
STNA do?
A. Sign and add a note later
B. Ask the resident to confirm the bath
C. Sign because the coworker is busy
D. Decline to document care that was not performed or verified by the STNA
Correct Answer: D. Decline to document care that was not performed or verified by the STNA
Rationale: Each caregiver is responsible for accurate documentation of care actually performed or observed according to policy.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Decline to document care that was not performed or verified by the STNA
Question 6. An STNA is unsure whether a resident's requested activity is included in the care plan. What is the best approach?
A. Ask a visitor to approve it
B. Refuse every request not memorized
C. Do whatever the resident requests without checking
D. Review the care plan and ask the nurse when clarification is needed
Correct Answer: D. Review the care plan and ask the nurse when clarification is needed
Rationale: The care plan provides individualized direction. When uncertain, the STNA should seek clarification from the nurse.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Review the care plan and ask the nurse when clarification is needed
Question 7. A resident tells an STNA that a staff member yelled at them yesterday. What is the priority response?
A. Tell the resident to forget about it
B. Promise to keep it secret
C. Confront the staff member in front of the resident
D. Listen respectfully and report the allegation promptly according to policy
Correct Answer: D. Listen respectfully and report the allegation promptly according to policy
Rationale: Allegations of mistreatment must be taken seriously and reported through the required chain of responsibility.
Distractor Analysis:
• A. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Correct — Listen respectfully and report the allegation promptly according to policy
Question 8. An STNA is asked to perform care for a resident but discovers the resident's name is not on the assignment. What should
the STNA do?
A. Confirm the assignment with the nurse before providing non-emergency care
B. Proceed because the resident needs help
C. Ask the roommate for permission
D. Leave the resident without assistance
Correct Answer: A. Confirm the assignment with the nurse before providing non-emergency care
Rationale: Assignment and care-plan information should be confirmed to promote safe, appropriate care.
Distractor Analysis:
• A. Correct — Confirm the assignment with the nurse before providing non-emergency care
• B. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• C. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
• D. Not the best choice — it does not address the situation as safely or appropriately as the correct response.
Practice/Review Resource • Page 4
