Try our free STNA practice test. You will need to pass the STNA test in order to work as a State Tested Nurse Aide in Ohio. Our STNA practice test features 79 questions that are similar to those on the actual test. All of the key topics are covered, and detailed explanations are included for each of the answers.
A confused client tries to get out of bed despite requests from staff to remain on bedrest. The nursing assistant knows that the nurse will most likely apply:
four point restraints.
a bed alarm.
a vest restraint.
Which of the following would NOT be an appropriate food item for a 3-year-old patient?
Hotdog cut up into bite-size pieces.
Sandwich cut up into bite-size pieces.
An elderly, unstable patient wants to use the bathroom by himself and is frustrated when the nursing assistant tells him to call her for assistance. “Leave me alone!” he says. “I want to go without telling you!” What is the nursing assistant’s best response?
“Do you want to fall?”
“I’ll get you a urinal to use.”
“All right. I guess we were just trying to be extra careful.”
“I’m sorry, sir, but that’s just not possible.”
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is:
Between 105°F and 120°F
Between 65°F and 80°F
Between 80°F and 93°F
Between 95°F and 110°F
A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?
Jacket restraint straps that do not tighten when force is applied against them.
Jacket restraint secured so that two fingers can slide easily between the restraint and the client’s skin.
A safety knot in the restraint straps.
Restraint straps that are safely secured to the side rails.
A typical blood pressure around the upper arm should NOT be taken when the patient:
has heart failure.
has IV catheters in both the left and right arms.
complains that “this is the fifth time today.”
had lymph nodes removed around the axilla of the left arm.
A nursing assistant enters a client’s room and finds a fire burning in a trashcan. The nursing assistant’s first action is to:
try to put out the fire.
call the nurse for help.
remove the patient.
pull the fire alarm.
Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan?
Any previous refusal of ADLs.
Shaving instructions related to problems or issues clotting.
History of a heart condition.
Presence of the resident’s razor from home.
When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:
Assist the resident to put on a robe and non skid slippers.
Place the chair on the resident’s strong side.
Encourage the resident to pivot themselves with minimal assistance.
Place the bed in the lowest position and lock the wheels.
A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client?
Eating his lunch.
Shaving using an electric razor.
Use of cotton bedclothes.
Talking with visitors.
Which of the following diseases does not require airborne precautions?
The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?
Dirty eating utensils.
IV drug use.
Dirty toilet seat.
When correctly washing hands, the nursing assistant should scrub hands thoroughly and completely for how long?
What protective equipment should be worn when changing an incontinent patient?
Gloves and gown.
Gloves, gown, and a mask.
Mask and gown.
MRSA is an example of which of the following?
A set of activity guidelines designed to keep residents safe.
A bacterial strain that is easy to treat with antibiotics.
A mnemonic to remember how to act if there is a fire in the facility.
A resistant strain of bacteria that is difficult to treat with antibiotics.
What is the best way for a nursing assistant to prevent infection?
Use standard precautions when caring for residents.
Apply an antiseptic hand rub before and after caring for residents.
Wear gloves when in contact with body fluids.
A client with an indwelling urinary catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should:
have the patient cover the bag with a pillow sleeve.
raise the bag above the bladder level.
keep the bag below the bladder level.
ask the nurse to confirm this order.
Which action is incorrect when flossing the client’s teeth?
Use a new piece of floss for each tooth.
Hold the floss between the middle fingers of each hand.
Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth.
Move the floss gently up and down between the teeth.
Which of the following is a key part of care when administering a bath to a resident?
Allow participation in care to promote a sense of independence.
Clean the perinea area of a patient before assisting them to clean their face.
Perform all care for the resident in order to conserve their energy.
Use cool water when bathing the patient to promote better circulation.
A nursing assistant cares for a resident. Which of the following skin care measures are correct?
The nursing assistant notes a nonblanchable red area on the resident’s sacrum and reports it to the nurse.
The nursing assistant does not begin perineal care until a second staff member is present.
The nursing assistant applies talcum powder beneath the abdominal folds of the resident.
The nursing assistant applies a prescription ointment as ordered.
Which of the following actions is correct when giving a client a bath?
Make the client give themselves their own bath, even if they perform it poorly.
Lotion the client’s feet after bathing and be sure to get in between the toes.
Clean the perineal area by gently wiping with the washcloth from back to front.
Ensure any areas not being currently washed are covered by a sheet or towel.
During a bath, the three most important things for the resident are:
Comfort, rest, and security.
Safety, security, and privacy.
Safety, warmth, and cleanliness.
Privacy, rest, and warmth.
The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type 2 diabetes. Which of the following actions is best?
Check the chart for physician orders regarding nail trimming.
Retrieve a safety clipper and hand it to the client.
Check the client’s blood glucose before cutting her toe nails.
Report to the nurse that the client needs her toenails trimmed.
Which is correct about ostomy care?
Able clients can perform this procedure by themselves once they have been taught by the nurse.
It is done under sterile technique.
The client can still defecate normally.
It needs doctor’s order for changing of ostomy pouches.
Which of the following most addresses a client’s needs in regard to spirituality?
Ask the client why he or she is of a particular faith.
Treat any religious objects in the client’s room as if they were any other.
Provide the client with warm water, soap, and towels every morning.
Assist the client to the facility’s chapel every Sunday.
Which of the following statements is true about Alzheimer’s residents?
It is important to maintain a routine to avoid confusion and overstimulation.
Residents can never be reoriented because they will immediately forget it.
The resident may become confused, but hallucinations are never a part of Alzheimer’s.
An increased appetite is common as Alzheimer’s progresses.
Which of the following aspects of care is important for a confused client?
Asking the client their name.
Keeping the client contained in their room.
Checking the client’s blood sugar every hour.
Reorienting the client frequently with clocks, calendars, and family mementos.
The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should:
provide care only when absolutely necessary.
use restraints to ensure the client’s safety.
use the television to distract the client.
speak calmly in an authoritative and neutral manner to the client.
The nurse's assistant is correctly providing penile hygiene to an unconscious client if she:
uses warm water without soap.
avoids retracting the foreskin if not circumcised.
washes from the base of the shaft to the tip.
dries all areas of the penis thoroughly.
When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client’s cane:
on the left side.
away from the client.
on the right side.
in front of the client.
Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?
The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient’s independence?
Complete the entire bath for him to conserve his energy.
Ask the patient what he wants to do.
Encourage the patient to do the best he can to clean himself.
Allow the patient to perform as much of the bath as possible.
Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should:
provide only passive range of motion and decrease stimulation.
have the client lie as still as possible and give adequate massage.
turn the client every 2 hours and encourage coughing and deep breathing.
encourage coughing and deep breathing and limit fluid intake.
Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?
Velcro clothing, slip-on shoes, and rubber grippers.
Tied shoes to promote stability.
Buttoned clothing, slip-on shoes, and rubber grippers.
Which of the following would be considered an example of battery toward a patient?
The nursing assistant bathes the resident without his or her permission.
The nursing assistant keeps a resident isolated from others as a form of punishment.
The nursing assistant cleans the resident’s glasses.
The nursing assistant asks for permission before touching the resident to assist them to the bathroom.
The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next?
Ask the resident repeatedly to identify an abuser.
Wait for more proof in order to identify the abuser.
Report the suspected situation to the nursing assistant’s immediate supervisor.
Notify the nurse assigned to care for the patient about the bruises.
A client at the facility receives a new roommate. While the roommate is in the bathroom, the client leans toward the nurse and whispers, “Why is she here anyway? Is she sick?” The best response by the nursing assistant is:
“I’m not sure. Let me take a look at her chart.”
“She’s here for the same thing as you!”
“I’m afraid I can’t share that information with you.”
“Why don’t you ask her yourself?”
Which of the following items is necessary in order to place a patient in restraints?
The charge nurse’s approval.
The hospital administrator’s approval.
A physician’s order.
The Omnibus Budget and Reconciliation Act (OBRA) requires all facilities to do what for their clients?
Help residents to transfer to other nursing homes if they want.
Help residents reach their highest level of psychological and mental functioning.
Help residents write wills and choose power of attorneys.
Help residents perform ADLs and avoid neglect.
The term grievance refers to which aspect included in the Patient Bill of Rights?
Patients have the right to file a complaint without fear or penalty.
There is no lifetime monetary limit on essential care.
Patients have access to their health information at all times.
Patients are not allowed to call doctors at home.
The nursing assistant speaks with the nursing facility’s ombudsman. The role of this position is to:
care for patients as if they were their own family.
make residents as happy as possible.
investigate residents’ complaints and bring them to the attention of the correct authorities.
assist residents to set up insurance and policy claims.
Which of the following is an example of nonverbal communication?
Minimizing facial expression.
Choose the observation that should be reported to the nurse STAT.
Blood pressure of 102 over 75.
Temperature of 98.9 degrees F.
A pulse of 72.
32 respirations per minute.
A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should:
record the vital sign in the chart.
take the client’s pulse next.
report the finding to the nurse.
instruct the client to drink more fluids.
The nursing assistant should tell the nurse if the client with diabetes...
Combs their hair without being prompted.
Decides not to finalize a will.
Reports numbness in their feet sometimes.
Does not touch their lunch tray.
Which of the following is an example of a pulse rate that should be reported to the nurse?
The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?
A bowel movement.
Refusal to eat dessert.
When caring for a patient, the nursing assistant notices that the patient is bleeding around an IV site. Which of the following is the most appropriate action to take?
Report it to the patient’s nurse immediately.
Clamp the IV catheter and tell the nurse.
Report it to the nursing supervisor.
Tell the nurse when she happens to see her.
The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?
The nursing assistant scolds the client for not letting her know beforehand.
The nursing assistants waits at least fifteen minutes before retaking the temperature.
The nursing assistant records the temperature in the chart.
The nursing assistant takes an axillary temperature instead.
Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?
A client eats a bagel and drinks one 16-ounce glass of orange juice. What is the correct way to record the amount of juice?
One hundred and twenty cc.
One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?
First thing in the morning.
Before a meal.
After a meal.
Last thing before the patient goes to sleep.
What is the difference between Sims position and left lateral position?
In Sims position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.
In lateral position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.
In lateral position, the patient’s head is elevated to 15 degrees on two pillows.
In Sims position, a pillow is placed between the patient’s knees to prevent them from touching.
The nursing assistant knows that residents on bedrest must be turned every:
A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position?
The patient’s bed is at a 60 degree angle with the feet propped up.
The patient's bed is at a 90 degree angle and the patient is positioned sitting up.
The patient lies on their stomach for twenty minutes prior to eating.
The patient’s bed is at a 30 degree angle with the patient slightly slumped over to the left.
Which of the following is a correct aspect of making an occupied bed?
Lower the bed to the lowest level when the procedure is complete.
Avoid raising the bed rails unless absolutely necessary.
Mitering the corners of the new sheet is no longer recommended.
Place soiled linen on the floor until the bed has been remade with clean sheets.
The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has an indwelling urinary catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?
To the lateral aspect of the patient’s thigh.
To the bed.
To the bed sheet.
To the medial aspect of the patient’s thigh.
When making the patient’s bed, the nursing assistant knows it is most important to:
straighten the sheets to reduce wrinkle formation.
change the pillow cover every four hours.
use linen that has only been in the client’s room.
inspect the sheets for softness.
A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up. The nursing assistant knows to suggest which of the following?
Drink plenty of fluids.
Turn and cough every hour.
Go outside and breathe the fresh air.
A patient has a fever and describes feeling very uncomfortable. Which of the following recommendations is best for the nursing assistant to provide?
Give the patient a backrub.
Give the patient a cool washcloth to be placed on the forehead.
Suggest the patient sit outside in the fresh air.
Administer Tylenol 500mg PO.
A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nurse's assistant is correct in performing this when she:
Applies the stockings while the client is sitting on the chair.
Applies the stockings while the client is in bed.
Applies the stockings while the client is standing.
Applies the stockings while the client is sitting on the bed and dangles her feet.
To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?
Apply the bandage while stretching it slightly.
Apply heavy pressure with each turn of the bandage.
Wrap the bandage around the arm loosely.
Start applying the bandage at the upper arm and work toward the lower arm.
The range of motion term “abduction” means:
moving the extremity below the body.
moving the extremity above the body.
moving the extremity toward the body.
moving the extremity away from the body.
The nursing assistant knows that the responsibilities of his/her position do not include:
Helping a resident to bathe.
Administering a medication.
Keeping a resident’s room tidy.
Applying an ice pack as ordered.
Which of the following procedures cannot be performed by a nursing assistant?
Assisting the client to the bathroom.
Inserting an indwelling urinary catheter.
Reporting a soiled dressing to the nurse.
Performing oral care on an unconscious patient.
A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to:
Continue working, but wear a mask.
Report herself to the nursing supervisor and be dismissed home.
Continue working, but wash hands every fifteen minutes.
Leave immediately for home.
The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying:
“Please let me know later how many mL.”
“If you do not fill it completely, I will empty it later.”
“Please ring me when you are finished and I will empty it for you.”
“If you need any more assistance, please ring the bell.”
A patient says that her visitor is unable to come during visitor hours and asks if she could be accommodated. The nursing assistant:
reviews the issue with the charge nurse before answering.
says, “Of course! That would be fine.”
reviews the issue with the patient’s nurse before answering.
says, “I’m sorry, that’s not our policy here.”
The nursing assistant receives her assignment for the shift and notices that she does not have a nurse assigned to her group. What action should she take next?
Begin gathering medications she must give.
Alert the charge nurse to the situation.
Offer to team up with another nursing assistant to give medications.
Loudly complain about the situation.
The nurse's aide was asked by the licensed nurse to change the non-sterile dressing of a client. Which of the following statements is best when pertaining to this situation?
Tactfully refuse the delegated task because you are limited in changing dressings on your own.
In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes.
In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.
After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage.
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can:
start the oxygen.
keep the connecting tubing secure and free of kinks.
turn the oxygen on and off.
decide what device to use.
The nursing assistant knows that signs of hypoglycemia include which of the following?
Hot and dry skin.
Diabetes is a disease of which primary body system?
Which of the following disorders are said to be irreversible?
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:
Restlessness, dizziness, and disorientation.
Cyanosis and increased pulse rate.
Increased temperature and decreased respiratory rate.
Breathing comfortably only when sitting.
Which of the following guidelines regarding residents who are hard of hearing would be considered correct?
Write down words rather than speaking.
Speak clearly and slowly as you face the resident.
Speak in a high-pitched voice to enhance understanding.
Encourage family participation to make sure they understand you.
Which of the following is the leading cause of accidental death in those 85 years of age and older?
Elderly patients are prone to stomach aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition?
Colas and sodas.
All of the following factors may interfere with elimination EXCEPT: