1
OHIO STATE TESTED NURSING ASSISTANT (STNA) EXAM
() ACTUAL QUESTIONS AND REVISED ANSWERS
WITH RATIONALES (A+ GUARANTEE).
1.
A nursing assistant is beginning a morning assignment in a long-term-care facility
and is preparing to enter the room of a resident who requires assistance with
bathing, dressing, toileting, and eating. Before providing any direct care, the STNA
reviews the resident's care plan, identifies the resident correctly, explains the
planned care, and prepares the necessary supplies. Which action should the STNA
perform first when entering the resident's room before beginning personal care?
A. Raise the resident's bed to the highest possible position
B. Perform hand hygiene and introduce themselves to the resident
C. Remove all personal items from the bedside table
D. Begin removing the resident's clothing to save time
Answer: B
2.
A resident tells the STNA that she does not want to take a shower because she is
embarrassed about needing assistance with bathing. The resident is alert,
understands the consequences of refusing the shower, and continues to decline
after the STNA respectfully explains the benefits of hygiene. What is the most
appropriate action?
A. Force the resident to shower because bathing is part of the care plan
B. Ask another resident to convince her to shower
C. Respect the refusal and report it to the nurse
D. Tell the resident that she cannot refuse scheduled care
Answer: C
3.
An STNA is assisting an older adult with dressing after a bath. The resident has
weakness and limited movement on the left side following a previous stroke. The
resident can move the right arm normally but has difficulty lifting the left arm.
Which approach should the STNA use when helping the resident put on a shirt?
,2
A. Dress the stronger side first
B. Dress the weaker side first
C. Pull the shirt rapidly over both arms
D. Ask the resident to stand without assistance
Answer: B
4.
A resident who normally communicates clearly suddenly becomes confused, has
difficulty following simple directions, and repeatedly asks where she is. The STNA
notices that the change developed during the current shift and was not present
during the previous evening. What should the STNA do?
A. Assume the resident is developing dementia
B. Ignore the behavior because confusion is normal in older adults
C. Report the sudden change in mental status to the nurse immediately
D. Give the resident food and wait until the next shift
Answer: C
5.
During morning care, an STNA notices that a resident's skin over the sacral area is
red and does not appear normal. The resident reports tenderness when the area is
touched. What should the STNA do?
A. Massage the reddened area vigorously
B. Apply lotion without telling anyone
C. Report the skin finding promptly to the nurse
D. Place a heating pad directly over the area
Answer: C
6.
An STNA is preparing to transfer a resident from the bed to a wheelchair. The
resident has limited lower-extremity strength but can bear some weight. Before
beginning the transfer, which action is most important for preventing injury?
,3
A. Lock the wheelchair wheels and position the wheelchair appropriately
B. Place the wheelchair several feet away from the bed
C. Leave the wheelchair footrests in the resident's path
D. Ask the resident to pull on the STNA's neck
Answer: A
7.
A resident who is at increased risk for falls wants to walk independently to the
bathroom even though the care plan requires assistance with ambulation. The
resident becomes irritated when the STNA explains the need for assistance. Which
response is most appropriate?
A. "You have no choice because I am responsible for you."
B. "If you fall, you will have to stay in bed."
C. "I understand you want to be independent. I can help you walk safely."
D. "I will let you walk alone because you have the right to choose."
Answer: C
8.
An STNA enters a resident's room and finds the resident sitting on the floor beside
the bed. The resident says, "I am fine. Just help me back into bed." What should
the STNA do?
A. Immediately lift the resident back into bed
B. Ask the resident to stand independently
C. Stay with the resident, call for the nurse, and avoid moving the resident unless
directed
D. Leave the room to obtain a wheelchair
Answer: C
9.
A resident receiving oxygen through a nasal cannula asks the STNA to increase the
oxygen flow because the resident feels short of breath. The STNA observes that
the oxygen flowmeter is set according to the current order. What should the STNA
do?
, 4
A. Increase the oxygen flow independently
B. Remove the oxygen temporarily
C. Notify the nurse about the resident's breathing difficulty
D. Tell the resident that oxygen cannot be changed
Answer: C
10.
An STNA is assisting a resident who has difficulty swallowing during breakfast.
The resident begins coughing repeatedly while attempting to swallow a bite of
food. What is the most appropriate response?
A. Encourage the resident to take another large bite
B. Continue feeding rapidly so the meal can be completed
C. Stop feeding and notify the nurse of the coughing episode
D. Give the resident water immediately regardless of swallowing ability
Answer: C
11.
A resident has an indwelling urinary catheter and the drainage bag is attached to
the bed frame. During care, the STNA notices that the bag has become higher than
the resident's bladder. Which action is appropriate?
A. Leave it because the position does not matter
B. Place the drainage bag below the level of the bladder
C. Empty the catheter into a cup
D. Disconnect the catheter tubing
Answer: B
12.
While providing catheter care, an STNA notices that the urine in the drainage bag
is unusually cloudy and has a strong odor. The resident also reports new
discomfort. What should the STNA do?
A. Add water to the drainage bag
B. Ignore the finding because urine commonly changes appearance
OHIO STATE TESTED NURSING ASSISTANT (STNA) EXAM
() ACTUAL QUESTIONS AND REVISED ANSWERS
WITH RATIONALES (A+ GUARANTEE).
1.
A nursing assistant is beginning a morning assignment in a long-term-care facility
and is preparing to enter the room of a resident who requires assistance with
bathing, dressing, toileting, and eating. Before providing any direct care, the STNA
reviews the resident's care plan, identifies the resident correctly, explains the
planned care, and prepares the necessary supplies. Which action should the STNA
perform first when entering the resident's room before beginning personal care?
A. Raise the resident's bed to the highest possible position
B. Perform hand hygiene and introduce themselves to the resident
C. Remove all personal items from the bedside table
D. Begin removing the resident's clothing to save time
Answer: B
2.
A resident tells the STNA that she does not want to take a shower because she is
embarrassed about needing assistance with bathing. The resident is alert,
understands the consequences of refusing the shower, and continues to decline
after the STNA respectfully explains the benefits of hygiene. What is the most
appropriate action?
A. Force the resident to shower because bathing is part of the care plan
B. Ask another resident to convince her to shower
C. Respect the refusal and report it to the nurse
D. Tell the resident that she cannot refuse scheduled care
Answer: C
3.
An STNA is assisting an older adult with dressing after a bath. The resident has
weakness and limited movement on the left side following a previous stroke. The
resident can move the right arm normally but has difficulty lifting the left arm.
Which approach should the STNA use when helping the resident put on a shirt?
,2
A. Dress the stronger side first
B. Dress the weaker side first
C. Pull the shirt rapidly over both arms
D. Ask the resident to stand without assistance
Answer: B
4.
A resident who normally communicates clearly suddenly becomes confused, has
difficulty following simple directions, and repeatedly asks where she is. The STNA
notices that the change developed during the current shift and was not present
during the previous evening. What should the STNA do?
A. Assume the resident is developing dementia
B. Ignore the behavior because confusion is normal in older adults
C. Report the sudden change in mental status to the nurse immediately
D. Give the resident food and wait until the next shift
Answer: C
5.
During morning care, an STNA notices that a resident's skin over the sacral area is
red and does not appear normal. The resident reports tenderness when the area is
touched. What should the STNA do?
A. Massage the reddened area vigorously
B. Apply lotion without telling anyone
C. Report the skin finding promptly to the nurse
D. Place a heating pad directly over the area
Answer: C
6.
An STNA is preparing to transfer a resident from the bed to a wheelchair. The
resident has limited lower-extremity strength but can bear some weight. Before
beginning the transfer, which action is most important for preventing injury?
,3
A. Lock the wheelchair wheels and position the wheelchair appropriately
B. Place the wheelchair several feet away from the bed
C. Leave the wheelchair footrests in the resident's path
D. Ask the resident to pull on the STNA's neck
Answer: A
7.
A resident who is at increased risk for falls wants to walk independently to the
bathroom even though the care plan requires assistance with ambulation. The
resident becomes irritated when the STNA explains the need for assistance. Which
response is most appropriate?
A. "You have no choice because I am responsible for you."
B. "If you fall, you will have to stay in bed."
C. "I understand you want to be independent. I can help you walk safely."
D. "I will let you walk alone because you have the right to choose."
Answer: C
8.
An STNA enters a resident's room and finds the resident sitting on the floor beside
the bed. The resident says, "I am fine. Just help me back into bed." What should
the STNA do?
A. Immediately lift the resident back into bed
B. Ask the resident to stand independently
C. Stay with the resident, call for the nurse, and avoid moving the resident unless
directed
D. Leave the room to obtain a wheelchair
Answer: C
9.
A resident receiving oxygen through a nasal cannula asks the STNA to increase the
oxygen flow because the resident feels short of breath. The STNA observes that
the oxygen flowmeter is set according to the current order. What should the STNA
do?
, 4
A. Increase the oxygen flow independently
B. Remove the oxygen temporarily
C. Notify the nurse about the resident's breathing difficulty
D. Tell the resident that oxygen cannot be changed
Answer: C
10.
An STNA is assisting a resident who has difficulty swallowing during breakfast.
The resident begins coughing repeatedly while attempting to swallow a bite of
food. What is the most appropriate response?
A. Encourage the resident to take another large bite
B. Continue feeding rapidly so the meal can be completed
C. Stop feeding and notify the nurse of the coughing episode
D. Give the resident water immediately regardless of swallowing ability
Answer: C
11.
A resident has an indwelling urinary catheter and the drainage bag is attached to
the bed frame. During care, the STNA notices that the bag has become higher than
the resident's bladder. Which action is appropriate?
A. Leave it because the position does not matter
B. Place the drainage bag below the level of the bladder
C. Empty the catheter into a cup
D. Disconnect the catheter tubing
Answer: B
12.
While providing catheter care, an STNA notices that the urine in the drainage bag
is unusually cloudy and has a strong odor. The resident also reports new
discomfort. What should the STNA do?
A. Add water to the drainage bag
B. Ignore the finding because urine commonly changes appearance
