Ohio State Tested Nursing Assistant (STNA)
Exam – Ohio Department of Health (ODH) –
2026/2027 Edition – 200+ Verified Questions
and Answers with detailed rationales | with
complete solutions.
SECTION 1: RESIDENT RIGHTS AND LEGAL ISSUES
(Questions 1-25)
1. A resident tells the nurse aide, "I don't want to take that
medicine. It makes me feel sick." What should the nurse aide do?
A) Tell the resident to take the medicine anyway
B) Crush the medicine and hide it in food
C) Respect the refusal, report it to the nurse, and document it
D) Ask the resident's family to convince them to take it
Answer: C) Respect the refusal, report it to the nurse, and document
it
Rationale: Competent residents have the legal right to refuse medication.
The nurse aide must never force, hide, or trick a resident into taking
medication. The refusal must be reported to the nurse so the nurse can
assess the resident, re-educate, or contact the doctor for an alternative
order .
Source: Docsity STNA Exam Bank 2026/2027
,2. Which of the following is an example of a resident's right to
privacy?
A) Leaving the bathroom door open while assisting a resident
B) Knocking on the door before entering a resident's room
C) Discussing a resident's condition in the hallway with other staff
D) Posting a resident's diagnosis on the bulletin board
Answer: B) Knocking on the door before entering a resident's room
Rationale: Knocking and waiting for permission before entering respects the
resident's privacy. All other options violate privacy: leaving doors open
exposes the resident, discussing conditions in hallways violates HIPAA, and
posting diagnoses publicly is a confidentiality breach .
Source: Docsity STNA Exam Bank 2026/2027
3. A resident who is alert and oriented has the right to:
A) Refuse treatment
B) Smoke in bed
C) Stay in bed all day
D) Leave the facility without notifying staff
Answer: A) Refuse treatment
Rationale: Alert, oriented adults have the autonomy to accept or refuse
medical treatment. Smoking in bed is a safety hazard, staying in bed all day
risks skin breakdown, and leaving without notifying staff is a safety risk
(elopement protocol requires staff notification) .
,Source: Docsity STNA Exam Bank 2026/2027
4. When a resident is admitted to the nursing home, the nurse aide
should expect that the resident will:
A) Have problems related to incontinence
B) Require a lot of assistance with personal care
C) Experience a sense of loss related to the life change
D) Adjust more quickly if admitted directly from the hospital
Answer: C) Experience a sense of loss related to the life change
Rationale: Admission to a nursing home represents a significant life change
and loss of independence. Residents often experience grief over the loss of
their home, independence, and familiar routines. This is a normal response
to the transition .
Source: Docsity STNA Practice Exam 2026
5. The role of the ombudsman is to:
A) Run a group of nursing homes
B) Work with the nursing home to protect clients' rights
C) Control the nursing home budget
D) Prepare classes that nurse aides take
Answer: B) Work with the nursing home to protect clients' rights
, Rationale: The ombudsman is a resident advocate who works to protect the
rights of residents in long-term care facilities. They investigate complaints,
mediate disputes, and help residents understand their rights .
Source: Docsity STNA Practice Test 2026
6. A resident tells the nurse aide that a staff member yelled at them
yesterday. What is the priority response?
A) Tell the resident to forget about it
B) Promise to keep it secret
C) Confront the staff member in front of the resident
D) Listen respectfully and report the allegation promptly according to policy
Answer: D) Listen respectfully and report the allegation promptly
according to policy
Rationale: Allegations of mistreatment must be taken seriously and reported
through the required chain of responsibility. The STNA should listen
respectfully to the resident's concern and report it promptly to the nurse or
supervisor .
Source: Docsity STNA Comprehensive Study Guide 2026
7. The nurse aide is in the employee dining room. A group of nurse
aides are eating lunch together and begin discussing how rude a
certain resident was acting. What should the nurse aide do?
A) Join in the conversation
B) Suggest that this is not the place to discuss the resident
C) Be quiet and not say anything
D) Return to the unit and tell the resident what was said
Exam – Ohio Department of Health (ODH) –
2026/2027 Edition – 200+ Verified Questions
and Answers with detailed rationales | with
complete solutions.
SECTION 1: RESIDENT RIGHTS AND LEGAL ISSUES
(Questions 1-25)
1. A resident tells the nurse aide, "I don't want to take that
medicine. It makes me feel sick." What should the nurse aide do?
A) Tell the resident to take the medicine anyway
B) Crush the medicine and hide it in food
C) Respect the refusal, report it to the nurse, and document it
D) Ask the resident's family to convince them to take it
Answer: C) Respect the refusal, report it to the nurse, and document
it
Rationale: Competent residents have the legal right to refuse medication.
The nurse aide must never force, hide, or trick a resident into taking
medication. The refusal must be reported to the nurse so the nurse can
assess the resident, re-educate, or contact the doctor for an alternative
order .
Source: Docsity STNA Exam Bank 2026/2027
,2. Which of the following is an example of a resident's right to
privacy?
A) Leaving the bathroom door open while assisting a resident
B) Knocking on the door before entering a resident's room
C) Discussing a resident's condition in the hallway with other staff
D) Posting a resident's diagnosis on the bulletin board
Answer: B) Knocking on the door before entering a resident's room
Rationale: Knocking and waiting for permission before entering respects the
resident's privacy. All other options violate privacy: leaving doors open
exposes the resident, discussing conditions in hallways violates HIPAA, and
posting diagnoses publicly is a confidentiality breach .
Source: Docsity STNA Exam Bank 2026/2027
3. A resident who is alert and oriented has the right to:
A) Refuse treatment
B) Smoke in bed
C) Stay in bed all day
D) Leave the facility without notifying staff
Answer: A) Refuse treatment
Rationale: Alert, oriented adults have the autonomy to accept or refuse
medical treatment. Smoking in bed is a safety hazard, staying in bed all day
risks skin breakdown, and leaving without notifying staff is a safety risk
(elopement protocol requires staff notification) .
,Source: Docsity STNA Exam Bank 2026/2027
4. When a resident is admitted to the nursing home, the nurse aide
should expect that the resident will:
A) Have problems related to incontinence
B) Require a lot of assistance with personal care
C) Experience a sense of loss related to the life change
D) Adjust more quickly if admitted directly from the hospital
Answer: C) Experience a sense of loss related to the life change
Rationale: Admission to a nursing home represents a significant life change
and loss of independence. Residents often experience grief over the loss of
their home, independence, and familiar routines. This is a normal response
to the transition .
Source: Docsity STNA Practice Exam 2026
5. The role of the ombudsman is to:
A) Run a group of nursing homes
B) Work with the nursing home to protect clients' rights
C) Control the nursing home budget
D) Prepare classes that nurse aides take
Answer: B) Work with the nursing home to protect clients' rights
, Rationale: The ombudsman is a resident advocate who works to protect the
rights of residents in long-term care facilities. They investigate complaints,
mediate disputes, and help residents understand their rights .
Source: Docsity STNA Practice Test 2026
6. A resident tells the nurse aide that a staff member yelled at them
yesterday. What is the priority response?
A) Tell the resident to forget about it
B) Promise to keep it secret
C) Confront the staff member in front of the resident
D) Listen respectfully and report the allegation promptly according to policy
Answer: D) Listen respectfully and report the allegation promptly
according to policy
Rationale: Allegations of mistreatment must be taken seriously and reported
through the required chain of responsibility. The STNA should listen
respectfully to the resident's concern and report it promptly to the nurse or
supervisor .
Source: Docsity STNA Comprehensive Study Guide 2026
7. The nurse aide is in the employee dining room. A group of nurse
aides are eating lunch together and begin discussing how rude a
certain resident was acting. What should the nurse aide do?
A) Join in the conversation
B) Suggest that this is not the place to discuss the resident
C) Be quiet and not say anything
D) Return to the unit and tell the resident what was said
