Ohio State Tested Nursing Assistant (STNA) Exam
2026/2027 Complete Questions and Revised Answers with
Rationales | A+ Guaranteed
EXAM OVERVIEW
This comprehensive practice examination is designed for the Ohio State Tested
Nursing Assistant (STNA) Exam. It covers all core content domains including
Personal Care & ADLs, Basic Nursing Skills, Safety & Infection Control,
Communication & Interpersonal Skills, Restorative Care, and Mental Health &
Social Service Needs.
Content Domains Covered:
• Personal Care & Activities of Daily Living (ADLs)
• Basic Nursing Skills (Vital Signs, Body Mechanics, etc.)
• Safety & Infection Control
• Communication & Interpersonal Skills
• Restorative Care & Rehabilitation
• Mental Health & Social Service Needs
• Resident Rights & Legal/Ethical Issues
SECTION 1: PERSONAL CARE & ACTIVITIES OF DAILY LIVING
(ADLs) (Questions 1-30)
1. Which statement is true when helping a resident dress?
A) The NA should dress a resident starting with the stronger side
B) The NA should allow the resident to choose their own clothing
C) The NA should encourage the resident to dress in nightclothes during the
daytime
D) The NA does not need to provide privacy when residents are getting dressed
Answer: B
,Rationale: Promoting independence and respecting resident choice is a
fundamental principle of care. Residents should be encouraged to make choices
about their clothing whenever possible. Starting with the weaker side is correct for
dressing, and privacy must always be provided.
2. When a resident has left-sided weakness, which sleeve of a sweater should
be put on first?
A) Both sleeves
B) Left sleeve
C) Client's choice
D) Right sleeve
Answer: B
Rationale: When dressing a resident with weakness on one side, always put the
weak/affected arm in first. This makes the dressing process easier and less painful.
The stronger arm is then used to help guide the garment into place.
3. To convert 4 ounces of juice to milliliters (ml), the NA should multiply:
A) 4 x 5 ml
B) 4 x 10 ml
C) 4 x 15 ml
D) 4 x 30 ml
Answer: D
Rationale: 1 ounce equals approximately 30 milliliters. Therefore, 4 ounces × 30
ml = 120 ml. This is a standard conversion used in healthcare for measuring liquid
intake and output.
4. The genital and anal area is called the:
A) Axillae
B) Perineum
C) Orthosis
D) Bony Prominence
,Answer: B
Rationale: The perineum is the anatomical term for the genital and anal area.
Axillae refers to underarms, orthosis is a supportive device, and bony prominence
refers to areas where bone is close to the skin surface (elbows, heels, sacrum).
5. Where should the NA start when giving a resident a bed bath?
A) Start at the resident's head and work down
B) Start at the resident's feet and work up
C) Start at the resident's abdomen and work down
D) Start at the resident's shoulders and work down
Answer: A
Rationale: Bathing should proceed from the cleanest areas to the dirtiest areas,
typically starting with the face and working downward to the feet. This prevents
spreading bacteria from dirtier areas to cleaner areas.
6. When a resident is lying on their left side with one leg drawn up, they are in
which position?
A) Lateral
B) Supine
C) Sims'
D) Prone
Answer: C
Rationale: Sims' position is lying on the left side with the right leg drawn up. This
position is often used for enemas, rectal exams, and perineal care. Lateral position
is lying on the side with legs straight. Supine is lying on the back. Prone is lying on
the stomach.
7. A resident who has difficulty with chewing or swallowing should be served
which type of diet?
, A) Regular diet
B) Mechanical soft or pureed diet
C) Clear liquid diet
D) Full liquid diet
Answer: B
Rationale: Residents with chewing or swallowing difficulties require a mechanical
soft or pureed diet to reduce the risk of choking and aspiration. The diet order
must be prescribed by the healthcare provider based on the resident's needs.
8. The nursing assistant is providing mouth care for an unconscious resident.
The NA should position the resident in:
A) Supine position
B) Side-lying position
C) Prone position
D) Sitting position
Answer: B
Rationale: For unconscious residents, the side-lying position prevents aspiration
of fluids into the lungs. This allows fluids to drain out of the mouth rather than
being inhaled. Mouth care must be performed carefully with proper suctioning
available.
9. Which type of bed position is used to promote breathing and prevent
aspiration?
A) Supine
B) Fowler's
C) Trendelenburg
D) Prone
Answer: B
Rationale: Fowler's position (head of bed elevated 45-60 degrees) promotes
breathing by allowing full chest expansion and prevents aspiration by using
2026/2027 Complete Questions and Revised Answers with
Rationales | A+ Guaranteed
EXAM OVERVIEW
This comprehensive practice examination is designed for the Ohio State Tested
Nursing Assistant (STNA) Exam. It covers all core content domains including
Personal Care & ADLs, Basic Nursing Skills, Safety & Infection Control,
Communication & Interpersonal Skills, Restorative Care, and Mental Health &
Social Service Needs.
Content Domains Covered:
• Personal Care & Activities of Daily Living (ADLs)
• Basic Nursing Skills (Vital Signs, Body Mechanics, etc.)
• Safety & Infection Control
• Communication & Interpersonal Skills
• Restorative Care & Rehabilitation
• Mental Health & Social Service Needs
• Resident Rights & Legal/Ethical Issues
SECTION 1: PERSONAL CARE & ACTIVITIES OF DAILY LIVING
(ADLs) (Questions 1-30)
1. Which statement is true when helping a resident dress?
A) The NA should dress a resident starting with the stronger side
B) The NA should allow the resident to choose their own clothing
C) The NA should encourage the resident to dress in nightclothes during the
daytime
D) The NA does not need to provide privacy when residents are getting dressed
Answer: B
,Rationale: Promoting independence and respecting resident choice is a
fundamental principle of care. Residents should be encouraged to make choices
about their clothing whenever possible. Starting with the weaker side is correct for
dressing, and privacy must always be provided.
2. When a resident has left-sided weakness, which sleeve of a sweater should
be put on first?
A) Both sleeves
B) Left sleeve
C) Client's choice
D) Right sleeve
Answer: B
Rationale: When dressing a resident with weakness on one side, always put the
weak/affected arm in first. This makes the dressing process easier and less painful.
The stronger arm is then used to help guide the garment into place.
3. To convert 4 ounces of juice to milliliters (ml), the NA should multiply:
A) 4 x 5 ml
B) 4 x 10 ml
C) 4 x 15 ml
D) 4 x 30 ml
Answer: D
Rationale: 1 ounce equals approximately 30 milliliters. Therefore, 4 ounces × 30
ml = 120 ml. This is a standard conversion used in healthcare for measuring liquid
intake and output.
4. The genital and anal area is called the:
A) Axillae
B) Perineum
C) Orthosis
D) Bony Prominence
,Answer: B
Rationale: The perineum is the anatomical term for the genital and anal area.
Axillae refers to underarms, orthosis is a supportive device, and bony prominence
refers to areas where bone is close to the skin surface (elbows, heels, sacrum).
5. Where should the NA start when giving a resident a bed bath?
A) Start at the resident's head and work down
B) Start at the resident's feet and work up
C) Start at the resident's abdomen and work down
D) Start at the resident's shoulders and work down
Answer: A
Rationale: Bathing should proceed from the cleanest areas to the dirtiest areas,
typically starting with the face and working downward to the feet. This prevents
spreading bacteria from dirtier areas to cleaner areas.
6. When a resident is lying on their left side with one leg drawn up, they are in
which position?
A) Lateral
B) Supine
C) Sims'
D) Prone
Answer: C
Rationale: Sims' position is lying on the left side with the right leg drawn up. This
position is often used for enemas, rectal exams, and perineal care. Lateral position
is lying on the side with legs straight. Supine is lying on the back. Prone is lying on
the stomach.
7. A resident who has difficulty with chewing or swallowing should be served
which type of diet?
, A) Regular diet
B) Mechanical soft or pureed diet
C) Clear liquid diet
D) Full liquid diet
Answer: B
Rationale: Residents with chewing or swallowing difficulties require a mechanical
soft or pureed diet to reduce the risk of choking and aspiration. The diet order
must be prescribed by the healthcare provider based on the resident's needs.
8. The nursing assistant is providing mouth care for an unconscious resident.
The NA should position the resident in:
A) Supine position
B) Side-lying position
C) Prone position
D) Sitting position
Answer: B
Rationale: For unconscious residents, the side-lying position prevents aspiration
of fluids into the lungs. This allows fluids to drain out of the mouth rather than
being inhaled. Mouth care must be performed carefully with proper suctioning
available.
9. Which type of bed position is used to promote breathing and prevent
aspiration?
A) Supine
B) Fowler's
C) Trendelenburg
D) Prone
Answer: B
Rationale: Fowler's position (head of bed elevated 45-60 degrees) promotes
breathing by allowing full chest expansion and prevents aspiration by using
