Ohio STNA Practice Test 2026/2027: 150 Advanced &
Hard Multiple-Choice Questions with Detailed Answer
Explanations, In-Depth Rationales, and Scenario-
Based Application for Nursing Assistant Certification
Exam Success and Professional Competency
Table of Contents:
1. Role and Responsibilities of the Nurse Aide (Q1-Q10)
2. Communication and Interpersonal Skills (Q11-Q20)
3. Infection Control and Standard Precautions (Q21-Q30)
4. Safety and Emergency Procedures (Q31-Q45)
5. Patient Rights and Ethical/Legal Issues (Q46-Q55)
6. Vital Signs and Observation (Q56-Q65)
7. Personal Care and Hygiene (Q66-Q85)
8. Positioning, Moving, and Ambulation (Q86-Q95)
9. Nutrition and Hydration (Q96-Q105)
10. Elimination and Specimen Collection (Q106-Q115)
11. Common Health Conditions & Cognitive Impairment (Q116-Q130)
12. End-of-Life Care and Post-Mortem Care (Q131-Q140)
13. Advanced Prioritization and Delegation Scenarios (Q141-Q150)
Practice Test Questions
1. Role and Responsibilities of the Nurse Aide
🟢 1. A nurse aide is assigned to care for a resident who has a Do-Not-Resuscitate (DNR) order. The
resident stops breathing. What is the nurse aide's immediate and correct action?
A. Begin CPR immediately.
B. Call for help and start chest compressions.
C. Stay with the resident, call for the nurse, and provide comfort.
🔴🔴 D. Stay with the resident, call for the nurse, and provide comfort.
,Rationale: A DNR order means no cardiopulmonary resuscitation (CPR) is to be performed. The aide's
role is to stay with the resident, notify the licensed nurse immediately, and provide comfort and
emotional support.
🟢 2. Which task is outside the scope of practice for an Ohio STNA?
A. Measuring and recording a resident's intake and output.
B. Administering a prescribed oral medication.
🔴🔴 B. Administering a prescribed oral medication.
Rationale: Administering medication is a task reserved for licensed nurses (RN or LPN). Nurse aides can
assist with self-administration but cannot administer medications themselves.
🟢 3. An STNA is asked by a nurse to perform a task they have not been trained for. The STNA should:
A. Perform the task to the best of their ability.
B. Refuse the task and explain that it is outside their training and scope of practice.
🔴🔴 B. Refuse the task and explain that it is outside their training and scope of practice.
Rationale: An STNA must only perform tasks they have been trained and deemed competent to do.
Performing an untrained task places the resident at risk and the aide in a legally precarious position.
🟢 4. The primary goal of restorative care is to:
A. Cure the resident's underlying disease.
B. Help the resident maintain or regain their highest possible level of function.
🔴🔴 B. Help the resident maintain or regain their highest possible level of function.
Rationale: Restorative care focuses on promoting independence and function, not on curing a disease. It
involves encouraging residents to do as much for themselves as possible.
🟢 5. A resident's care plan is considered a:
A. Permanent, unchangeable document.
B. Legal document that guides all care provided to the resident.
🔴🔴 B. Legal document that guides all care provided to the resident.
Rationale: The care plan is a legal document and a living tool that is updated as the resident's needs
change. It is the central guide for all members of the healthcare team.
🟢 6. Which of the following is a primary responsibility of an STNA regarding a resident's care plan?
A. Creating the initial care plan upon admission.
B. Following the care plan and reporting any changes in the resident's condition.
🔴🔴 B. Following the care plan and reporting any changes in the resident's condition.
Rationale: The STNA is responsible for implementing the interventions outlined in the care plan and
observing/reporting any changes that might necessitate a revision of the plan.
🟢 7. An STNA observes a colleague verbally abusing a resident. The STNA's first action should be to:
A. Intervene immediately to stop the abuse and ensure the resident's safety.
🔴🔴 A. Intervene immediately to stop the abuse and ensure the resident's safety.
Rationale: The immediate safety and well-being of the resident are the top priority. The STNA must
intervene to stop the abuse and then report it to the supervisor immediately.
🟢 8. What is the primary purpose of an incident report?
A. To discipline the staff member involved.
, B. To document the facts of an unusual event for risk management and quality improvement.
🔴🔴 B. To document the facts of an unusual event for risk management and quality improvement.
Rationale: Incident reports are not for punishment. They are used to identify risks and prevent future
occurrences. The report should contain only objective facts.
🟢 9. When should an STNA complete an incident report?
A. Only when a resident is seriously injured.
B. Immediately after any unusual event, no matter how minor it seems.
🔴🔴 B. Immediately after any unusual event, no matter how minor it seems.
Rationale: Any unusual event, such as a fall without injury or a medication error, should be documented
via an incident report to track patterns and ensure safety.
🟢 10. The chain of command for an STNA in a long-term care facility typically starts with the:
A. Director of Nursing (DON).
B. Charge Nurse or Licensed Practical Nurse (LPN).
🔴🔴 B. Charge Nurse or Licensed Practical Nurse (LPN).
Rationale: The STNA reports directly to the licensed nurse on their unit/shift. This is the first step in the
chain of command for reporting concerns or changes in condition.
2. Communication and Interpersonal Skills
🟢 11. A resident with a hearing impairment does not respond when you speak. The best initial action
is to:
A. Speak louder.
B. Gently touch the resident's arm to get their attention.
🔴🔴 B. Gently touch the resident's arm to get their attention.
Rationale: Touching the resident gently alerts them to your presence without startling them. Speaking
louder can be perceived as shouting and is often ineffective. You should ensure you have their attention
before speaking.
🟢 12. When communicating with a resident who has aphasia (difficulty speaking), the STNA should:
A. Finish the resident's sentences for them to save time.
B. Ask questions that require a "yes" or "no" answer.
🔴🔴 B. Ask questions that require a "yes" or "no" answer.
Rationale: Yes/no questions are easier for a person with aphasia to answer. Finishing their sentences is
disrespectful and can increase their frustration.
🟢 13. A resident is crying and says they miss their family. The most therapeutic response is:
A. "Don't worry, you'll see them soon."
B. "It sounds like you're feeling very sad. Would you like to talk about it?"
🔴🔴 B. "It sounds like you're feeling very sad. Would you like to talk about it?"
Rationale: This response acknowledges the resident's feelings (empathy) and offers an opportunity for
them to express their emotions without being dismissive.
🟢 14. Which of the following is an example of objective information?
A. "The resident seems to be in a lot of pain."
B. "The resident's face is grimacing and their heart rate is 110."
Hard Multiple-Choice Questions with Detailed Answer
Explanations, In-Depth Rationales, and Scenario-
Based Application for Nursing Assistant Certification
Exam Success and Professional Competency
Table of Contents:
1. Role and Responsibilities of the Nurse Aide (Q1-Q10)
2. Communication and Interpersonal Skills (Q11-Q20)
3. Infection Control and Standard Precautions (Q21-Q30)
4. Safety and Emergency Procedures (Q31-Q45)
5. Patient Rights and Ethical/Legal Issues (Q46-Q55)
6. Vital Signs and Observation (Q56-Q65)
7. Personal Care and Hygiene (Q66-Q85)
8. Positioning, Moving, and Ambulation (Q86-Q95)
9. Nutrition and Hydration (Q96-Q105)
10. Elimination and Specimen Collection (Q106-Q115)
11. Common Health Conditions & Cognitive Impairment (Q116-Q130)
12. End-of-Life Care and Post-Mortem Care (Q131-Q140)
13. Advanced Prioritization and Delegation Scenarios (Q141-Q150)
Practice Test Questions
1. Role and Responsibilities of the Nurse Aide
🟢 1. A nurse aide is assigned to care for a resident who has a Do-Not-Resuscitate (DNR) order. The
resident stops breathing. What is the nurse aide's immediate and correct action?
A. Begin CPR immediately.
B. Call for help and start chest compressions.
C. Stay with the resident, call for the nurse, and provide comfort.
🔴🔴 D. Stay with the resident, call for the nurse, and provide comfort.
,Rationale: A DNR order means no cardiopulmonary resuscitation (CPR) is to be performed. The aide's
role is to stay with the resident, notify the licensed nurse immediately, and provide comfort and
emotional support.
🟢 2. Which task is outside the scope of practice for an Ohio STNA?
A. Measuring and recording a resident's intake and output.
B. Administering a prescribed oral medication.
🔴🔴 B. Administering a prescribed oral medication.
Rationale: Administering medication is a task reserved for licensed nurses (RN or LPN). Nurse aides can
assist with self-administration but cannot administer medications themselves.
🟢 3. An STNA is asked by a nurse to perform a task they have not been trained for. The STNA should:
A. Perform the task to the best of their ability.
B. Refuse the task and explain that it is outside their training and scope of practice.
🔴🔴 B. Refuse the task and explain that it is outside their training and scope of practice.
Rationale: An STNA must only perform tasks they have been trained and deemed competent to do.
Performing an untrained task places the resident at risk and the aide in a legally precarious position.
🟢 4. The primary goal of restorative care is to:
A. Cure the resident's underlying disease.
B. Help the resident maintain or regain their highest possible level of function.
🔴🔴 B. Help the resident maintain or regain their highest possible level of function.
Rationale: Restorative care focuses on promoting independence and function, not on curing a disease. It
involves encouraging residents to do as much for themselves as possible.
🟢 5. A resident's care plan is considered a:
A. Permanent, unchangeable document.
B. Legal document that guides all care provided to the resident.
🔴🔴 B. Legal document that guides all care provided to the resident.
Rationale: The care plan is a legal document and a living tool that is updated as the resident's needs
change. It is the central guide for all members of the healthcare team.
🟢 6. Which of the following is a primary responsibility of an STNA regarding a resident's care plan?
A. Creating the initial care plan upon admission.
B. Following the care plan and reporting any changes in the resident's condition.
🔴🔴 B. Following the care plan and reporting any changes in the resident's condition.
Rationale: The STNA is responsible for implementing the interventions outlined in the care plan and
observing/reporting any changes that might necessitate a revision of the plan.
🟢 7. An STNA observes a colleague verbally abusing a resident. The STNA's first action should be to:
A. Intervene immediately to stop the abuse and ensure the resident's safety.
🔴🔴 A. Intervene immediately to stop the abuse and ensure the resident's safety.
Rationale: The immediate safety and well-being of the resident are the top priority. The STNA must
intervene to stop the abuse and then report it to the supervisor immediately.
🟢 8. What is the primary purpose of an incident report?
A. To discipline the staff member involved.
, B. To document the facts of an unusual event for risk management and quality improvement.
🔴🔴 B. To document the facts of an unusual event for risk management and quality improvement.
Rationale: Incident reports are not for punishment. They are used to identify risks and prevent future
occurrences. The report should contain only objective facts.
🟢 9. When should an STNA complete an incident report?
A. Only when a resident is seriously injured.
B. Immediately after any unusual event, no matter how minor it seems.
🔴🔴 B. Immediately after any unusual event, no matter how minor it seems.
Rationale: Any unusual event, such as a fall without injury or a medication error, should be documented
via an incident report to track patterns and ensure safety.
🟢 10. The chain of command for an STNA in a long-term care facility typically starts with the:
A. Director of Nursing (DON).
B. Charge Nurse or Licensed Practical Nurse (LPN).
🔴🔴 B. Charge Nurse or Licensed Practical Nurse (LPN).
Rationale: The STNA reports directly to the licensed nurse on their unit/shift. This is the first step in the
chain of command for reporting concerns or changes in condition.
2. Communication and Interpersonal Skills
🟢 11. A resident with a hearing impairment does not respond when you speak. The best initial action
is to:
A. Speak louder.
B. Gently touch the resident's arm to get their attention.
🔴🔴 B. Gently touch the resident's arm to get their attention.
Rationale: Touching the resident gently alerts them to your presence without startling them. Speaking
louder can be perceived as shouting and is often ineffective. You should ensure you have their attention
before speaking.
🟢 12. When communicating with a resident who has aphasia (difficulty speaking), the STNA should:
A. Finish the resident's sentences for them to save time.
B. Ask questions that require a "yes" or "no" answer.
🔴🔴 B. Ask questions that require a "yes" or "no" answer.
Rationale: Yes/no questions are easier for a person with aphasia to answer. Finishing their sentences is
disrespectful and can increase their frustration.
🟢 13. A resident is crying and says they miss their family. The most therapeutic response is:
A. "Don't worry, you'll see them soon."
B. "It sounds like you're feeling very sad. Would you like to talk about it?"
🔴🔴 B. "It sounds like you're feeling very sad. Would you like to talk about it?"
Rationale: This response acknowledges the resident's feelings (empathy) and offers an opportunity for
them to express their emotions without being dismissive.
🟢 14. Which of the following is an example of objective information?
A. "The resident seems to be in a lot of pain."
B. "The resident's face is grimacing and their heart rate is 110."
