OHIO STATE TESTED NURSING ASSISTANT (STNA) EXAM NEWEST
EXAM PREPARATION WITH COMPLETE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: RESIDENT RIGHTS, ABUSE PREVENTION, ETHICS, AND ROLE OF STNA
(Questions 1–50)
Q1. Which of the following statements is true of helping a resident dress?
A) The nursing assistant should allow the resident to choose his own clothing.
B) The NA should encourage the resident to wear nightclothes during the
daytime.
C) The NA should dress a resident starting with the stronger side.
D) The NA does not need to provide privacy when residents are getting dressed.
Correct Answer: A
Rationale: Resident rights include the right to make personal choices, including
clothing selection. Encouraging nightwear during the day (B) is restrictive and
disrespectful. Dressing should start on the WEAKER side (C) so the stronger side
can assist, not the stronger side first. Privacy must always be provided (D) to
preserve dignity.
Q2. A resident refuses to take a bath. What should the STNA do?
A) Force the resident to take the bath.
B) Give the bath when the resident is sleeping.
C) Document the refusal and notify the charge nurse.
D) Ignore the refusal and proceed with the bath.
Correct Answer: C
Rationale: Residents have the right to refuse care. Forcing care (A) is assault.
Bathing while sleeping (B) is unethical and violates consent. Ignoring a refusal (D)
is also a violation. The STNA must respect the refusal, document it objectively,
and alert the nurse, who may reassess later.
Q3. An STNA suspects that a co-worker is physically abusing a resident. What
should the STNA do?
A) Confront the co-worker directly.
B) Keep it confidential to avoid conflict.
1
,C) Report the suspicion to the charge nurse or supervisor immediately.
D) Wait to see if it happens again.
Correct Answer: C
Rationale: Ohio law mandates immediate reporting of suspected abuse, neglect,
or misappropriation. Confronting the co-worker (A) is unsafe and unprofessional.
Keeping it confidential (B) enables the abuse to continue. Waiting (D) delays
resident protection. The chain of command (supervisor/nurse) is the correct
channel.
Q4. The genital and anal area is called the:
A) Axillae
B) Perineum
C) Orthosis
D) Bony Prominence
Correct Answer: B
Rationale: The perineum is the anatomical term for the area between the anus
and genitals. Axillae (A) are armpits. Orthosis (C) is a brace or splint. Bony
prominence (D) refers to areas where bone is close to skin (e.g., elbows, heels).
Q5. A resident tells the STNA, "I don't want anyone to know I wet the bed." Which
of the following is the best response?
A) "Everyone has accidents sometimes."
B) "I will keep it private, but I must chart it for your care."
C) "Don't worry, I won't tell anyone."
D) "You shouldn't be embarrassed at your age."
Correct Answer: B
Rationale: The STNA must maintain confidentiality, but cannot promise absolute
secrecy because care documentation is a legal requirement. Saying "everyone
does it" (A) minimizes the resident's feelings. Promising not to tell (C) is a false
promise because charting is required. Judgmental comments (D) are disrespectful.
Q6. What is the primary purpose of the OBRA (Omnibus Budget Reconciliation
Act) regulations?
A) To set minimum staff-to-resident ratios.
2
,B) To protect residents' rights and quality of life in long-term care.
C) To determine Medicare reimbursement rates.
D) To regulate the training of physicians.
Correct Answer: B
Rationale: OBRA (1987) was enacted to reform nursing home care, emphasizing
residents' rights, dignity, and quality of life—not just medical needs. It does set
training standards for NAs but its CORE purpose is resident protection. Staff ratios
(A) are state-specific, not OBRA's main focus.
Q7. A resident who is confused tries to get out of bed without assistance. The
STNA should:
A) Place a restraint on the resident immediately.
B) Let the resident fall to teach a lesson.
C) Redirect the resident and offer to help.
D) Leave the room to get help.
Correct Answer: C
Rationale: Restraints should only be used as a last resort with a doctor's order (A).
Letting a resident fall (B) is neglect. Leaving the room (D) leaves the resident
unsafe. Redirecting (C)—using calm verbal cues and offering assistance—is the
least restrictive and safest approach.
Q8. Which of the following is an example of misappropriation of resident
property?
A) Borrowing a resident's pen and returning it.
B) Taking a resident's watch and wearing it home.
C) Moving a resident's personal items to clean.
D) Helping a resident count their money.
Correct Answer: B
Rationale: Misappropriation is the deliberate theft, misuse, or concealment of a
resident's property. Taking the watch with the intent to keep it (B) is theft.
Borrowing and returning (A) is not theft. Moving items for cleaning (C) is care.
Counting money with a resident (D) is assisting.
Q9. When caring for a resident with a hearing aid, the STNA should:
3
, A) Turn the hearing aid off before the resident goes to sleep.
B) Check the battery and volume daily.
C) Remove the hearing aid before the resident eats.
D) Keep the hearing aid in water overnight.
Correct Answer: B
Rationale: Daily checking of battery and volume ensures the device functions
properly—a key part of promoting communication. Hearing aids should usually be
removed at night but turned off (A) is not the primary action. Removing before
eating (C) is not standard unless for comfort. Water ruins hearing aids (D).
Q10. An STNA notices a resident's dentures are missing. The resident is confused
and cannot tell where they are. What should the STNA do?
A) Report the missing dentures to the charge nurse.
B) Blame the roommate.
C) Wait until the next shift to report.
D) Search the trash without gloves.
Correct Answer: A
Rationale: Missing dentures must be reported immediately so a search can be
organized; they are expensive and essential for nutrition. Blaming (B) is
unprofessional. Waiting (C) delays care. Searching trash without gloves (D) is an
infection control violation.
Q11. Which of the following is the best way for an STNA to promote a resident's
independence?
A) Do everything for the resident to save time.
B) Allow the resident to make as many decisions as possible.
C) Tell the resident what to do at all times.
D) Only allow choices when the resident behaves well.
Correct Answer: B
Rationale: Independence is fostered by allowing decision-making (e.g., clothing,
schedule, activities). Doing everything (A) fosters dependence. Telling the resident
what to do (C) is controlling. Conditioning choices on behavior (D) is manipulative
and violates rights.
4
EXAM PREPARATION WITH COMPLETE QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
SECTION 1: RESIDENT RIGHTS, ABUSE PREVENTION, ETHICS, AND ROLE OF STNA
(Questions 1–50)
Q1. Which of the following statements is true of helping a resident dress?
A) The nursing assistant should allow the resident to choose his own clothing.
B) The NA should encourage the resident to wear nightclothes during the
daytime.
C) The NA should dress a resident starting with the stronger side.
D) The NA does not need to provide privacy when residents are getting dressed.
Correct Answer: A
Rationale: Resident rights include the right to make personal choices, including
clothing selection. Encouraging nightwear during the day (B) is restrictive and
disrespectful. Dressing should start on the WEAKER side (C) so the stronger side
can assist, not the stronger side first. Privacy must always be provided (D) to
preserve dignity.
Q2. A resident refuses to take a bath. What should the STNA do?
A) Force the resident to take the bath.
B) Give the bath when the resident is sleeping.
C) Document the refusal and notify the charge nurse.
D) Ignore the refusal and proceed with the bath.
Correct Answer: C
Rationale: Residents have the right to refuse care. Forcing care (A) is assault.
Bathing while sleeping (B) is unethical and violates consent. Ignoring a refusal (D)
is also a violation. The STNA must respect the refusal, document it objectively,
and alert the nurse, who may reassess later.
Q3. An STNA suspects that a co-worker is physically abusing a resident. What
should the STNA do?
A) Confront the co-worker directly.
B) Keep it confidential to avoid conflict.
1
,C) Report the suspicion to the charge nurse or supervisor immediately.
D) Wait to see if it happens again.
Correct Answer: C
Rationale: Ohio law mandates immediate reporting of suspected abuse, neglect,
or misappropriation. Confronting the co-worker (A) is unsafe and unprofessional.
Keeping it confidential (B) enables the abuse to continue. Waiting (D) delays
resident protection. The chain of command (supervisor/nurse) is the correct
channel.
Q4. The genital and anal area is called the:
A) Axillae
B) Perineum
C) Orthosis
D) Bony Prominence
Correct Answer: B
Rationale: The perineum is the anatomical term for the area between the anus
and genitals. Axillae (A) are armpits. Orthosis (C) is a brace or splint. Bony
prominence (D) refers to areas where bone is close to skin (e.g., elbows, heels).
Q5. A resident tells the STNA, "I don't want anyone to know I wet the bed." Which
of the following is the best response?
A) "Everyone has accidents sometimes."
B) "I will keep it private, but I must chart it for your care."
C) "Don't worry, I won't tell anyone."
D) "You shouldn't be embarrassed at your age."
Correct Answer: B
Rationale: The STNA must maintain confidentiality, but cannot promise absolute
secrecy because care documentation is a legal requirement. Saying "everyone
does it" (A) minimizes the resident's feelings. Promising not to tell (C) is a false
promise because charting is required. Judgmental comments (D) are disrespectful.
Q6. What is the primary purpose of the OBRA (Omnibus Budget Reconciliation
Act) regulations?
A) To set minimum staff-to-resident ratios.
2
,B) To protect residents' rights and quality of life in long-term care.
C) To determine Medicare reimbursement rates.
D) To regulate the training of physicians.
Correct Answer: B
Rationale: OBRA (1987) was enacted to reform nursing home care, emphasizing
residents' rights, dignity, and quality of life—not just medical needs. It does set
training standards for NAs but its CORE purpose is resident protection. Staff ratios
(A) are state-specific, not OBRA's main focus.
Q7. A resident who is confused tries to get out of bed without assistance. The
STNA should:
A) Place a restraint on the resident immediately.
B) Let the resident fall to teach a lesson.
C) Redirect the resident and offer to help.
D) Leave the room to get help.
Correct Answer: C
Rationale: Restraints should only be used as a last resort with a doctor's order (A).
Letting a resident fall (B) is neglect. Leaving the room (D) leaves the resident
unsafe. Redirecting (C)—using calm verbal cues and offering assistance—is the
least restrictive and safest approach.
Q8. Which of the following is an example of misappropriation of resident
property?
A) Borrowing a resident's pen and returning it.
B) Taking a resident's watch and wearing it home.
C) Moving a resident's personal items to clean.
D) Helping a resident count their money.
Correct Answer: B
Rationale: Misappropriation is the deliberate theft, misuse, or concealment of a
resident's property. Taking the watch with the intent to keep it (B) is theft.
Borrowing and returning (A) is not theft. Moving items for cleaning (C) is care.
Counting money with a resident (D) is assisting.
Q9. When caring for a resident with a hearing aid, the STNA should:
3
, A) Turn the hearing aid off before the resident goes to sleep.
B) Check the battery and volume daily.
C) Remove the hearing aid before the resident eats.
D) Keep the hearing aid in water overnight.
Correct Answer: B
Rationale: Daily checking of battery and volume ensures the device functions
properly—a key part of promoting communication. Hearing aids should usually be
removed at night but turned off (A) is not the primary action. Removing before
eating (C) is not standard unless for comfort. Water ruins hearing aids (D).
Q10. An STNA notices a resident's dentures are missing. The resident is confused
and cannot tell where they are. What should the STNA do?
A) Report the missing dentures to the charge nurse.
B) Blame the roommate.
C) Wait until the next shift to report.
D) Search the trash without gloves.
Correct Answer: A
Rationale: Missing dentures must be reported immediately so a search can be
organized; they are expensive and essential for nutrition. Blaming (B) is
unprofessional. Waiting (C) delays care. Searching trash without gloves (D) is an
infection control violation.
Q11. Which of the following is the best way for an STNA to promote a resident's
independence?
A) Do everything for the resident to save time.
B) Allow the resident to make as many decisions as possible.
C) Tell the resident what to do at all times.
D) Only allow choices when the resident behaves well.
Correct Answer: B
Rationale: Independence is fostered by allowing decision-making (e.g., clothing,
schedule, activities). Doing everything (A) fosters dependence. Telling the resident
what to do (C) is controlling. Conditioning choices on behavior (D) is manipulative
and violates rights.
4
