STNA Module Exam 4 (Week 12) - Practice Quiz 2026 UPDATE
1. When collecting a mid-stream urine specimen, why is it important to clean
the perineal area first?
A. To prevent the resident from getting a UTI
B. To increase the amount of urine collected
C. To make the resident feel more comfortable
D. To reduce the number of microbes that may contaminate the sample
Answer: D
Rationale: Cleaning the area first ensures that the specimen is as free as possible from
external bacteria and skin cells.
2. A resident is on a 24-hour urine collection. The nursing assistant accidentally
flushes one of the voidings. What should be done?
A. Notify the nurse; the test must be restarted
B. Subtract 100mL from the final total
C. Estimate the amount flushed and continue
D. Ignore it as one voiding does not matter
Answer: A
Rationale: For a 24-hour urine collection to be accurate, every single drop of urine must be
saved. If any is lost, the test is invalid and must start over.
,3. Which is the best time of day to collect a sputum specimen?
A. Right before bedtime
B. After the resident has eaten lunch
C. First thing in the morning
D. After an afternoon nap
Answer: C
Rationale: Sputum is most concentrated and easier to expectorate when the resident first
wakes up in the morning.
4. A resident is on a ‘Restricted Fluids’ order. What is the primary responsibility
of the STNA?
A. Do not provide any fluids at all
B. Offer fluids only when the resident asks
C. Keep an accurate record of all fluid intake and offer only the allowed amounts
D. Allow the resident to drink as much as they want, but record it
Answer: C
Rationale: STNAs must strictly monitor and document intake to ensure the resident does
not exceed the limit set by the doctor.
5. Convert 6 ounces (oz) of juice into milliliters (mL).
A. 120 mL
B. 150 mL
C. 200 mL
D. 180 mL
Answer: D
Rationale: To convert ounces to mL, multiply the number of ounces by 30 (6 x 30 = 180).
, 6. What is the first sign of a developing pressure injury?
A. Bleeding and drainage
B. Reddened skin that does not blanch
C. A blister or open sore
D. A deep purple or black area
Answer: B
Rationale: Non-blanchable erythema (redness that stays red when pressed) is the Stage 1
indicator of a pressure injury.
7. When a resident has Alzheimer’s disease and experiences ‘sundowning,’ what
are they likely to do?
A. Become more alert and energetic at night
B. Become restless, agitated, or confused in the late afternoon or evening
C. Experience a sudden loss of memory in the morning
D. Fall asleep much earlier than usual
Answer: B
Rationale: Sundowning is a phenomenon where confusion and agitation worsen as
daylight fades.
8. Which of the following is an example of validation therapy?
A. Acknowledging the resident’s feelings and ‘living’ in their reality
B. Telling the resident they are at the nursing home, not their childhood home
C. Correcting a resident when they say their deceased mother is coming to visit
D. Showing the resident a calendar and clock to prove what year it is
Answer: A
Rationale: Validation therapy focuses on the emotional truth of the resident’s reality
rather than forcing them to accept facts they no longer understand.
1. When collecting a mid-stream urine specimen, why is it important to clean
the perineal area first?
A. To prevent the resident from getting a UTI
B. To increase the amount of urine collected
C. To make the resident feel more comfortable
D. To reduce the number of microbes that may contaminate the sample
Answer: D
Rationale: Cleaning the area first ensures that the specimen is as free as possible from
external bacteria and skin cells.
2. A resident is on a 24-hour urine collection. The nursing assistant accidentally
flushes one of the voidings. What should be done?
A. Notify the nurse; the test must be restarted
B. Subtract 100mL from the final total
C. Estimate the amount flushed and continue
D. Ignore it as one voiding does not matter
Answer: A
Rationale: For a 24-hour urine collection to be accurate, every single drop of urine must be
saved. If any is lost, the test is invalid and must start over.
,3. Which is the best time of day to collect a sputum specimen?
A. Right before bedtime
B. After the resident has eaten lunch
C. First thing in the morning
D. After an afternoon nap
Answer: C
Rationale: Sputum is most concentrated and easier to expectorate when the resident first
wakes up in the morning.
4. A resident is on a ‘Restricted Fluids’ order. What is the primary responsibility
of the STNA?
A. Do not provide any fluids at all
B. Offer fluids only when the resident asks
C. Keep an accurate record of all fluid intake and offer only the allowed amounts
D. Allow the resident to drink as much as they want, but record it
Answer: C
Rationale: STNAs must strictly monitor and document intake to ensure the resident does
not exceed the limit set by the doctor.
5. Convert 6 ounces (oz) of juice into milliliters (mL).
A. 120 mL
B. 150 mL
C. 200 mL
D. 180 mL
Answer: D
Rationale: To convert ounces to mL, multiply the number of ounces by 30 (6 x 30 = 180).
, 6. What is the first sign of a developing pressure injury?
A. Bleeding and drainage
B. Reddened skin that does not blanch
C. A blister or open sore
D. A deep purple or black area
Answer: B
Rationale: Non-blanchable erythema (redness that stays red when pressed) is the Stage 1
indicator of a pressure injury.
7. When a resident has Alzheimer’s disease and experiences ‘sundowning,’ what
are they likely to do?
A. Become more alert and energetic at night
B. Become restless, agitated, or confused in the late afternoon or evening
C. Experience a sudden loss of memory in the morning
D. Fall asleep much earlier than usual
Answer: B
Rationale: Sundowning is a phenomenon where confusion and agitation worsen as
daylight fades.
8. Which of the following is an example of validation therapy?
A. Acknowledging the resident’s feelings and ‘living’ in their reality
B. Telling the resident they are at the nursing home, not their childhood home
C. Correcting a resident when they say their deceased mother is coming to visit
D. Showing the resident a calendar and clock to prove what year it is
Answer: A
Rationale: Validation therapy focuses on the emotional truth of the resident’s reality
rather than forcing them to accept facts they no longer understand.
