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:
a bed alarm.
four point restraints.
a vest restraint.
Which of the following would NOT be an appropriate food item for a 3-year-old patient?
Sandwich cut up into bite-size pieces.
Hotdog 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?
“I’m sorry, sir, but that’s just not possible.”
“All right. I guess we were just trying to be extra careful.”
“Do you want to fall?”
“I’ll get you a urinal to use.”
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 95°F and 110°F
Between 105°F and 120°F
Between 80°F and 93°F
Between 65°F and 80°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.
Restraint straps that are safely secured to the side rails.
A safety knot in the restraint straps.
A typical blood pressure around the upper arm should NOT be taken when the patient:
had lymph nodes removed around the axilla of the left arm.
complains that “this is the fifth time today.”
has heart failure.
has IV catheters in both the left and right arms.
A nursing assistant enters a client’s room and finds a fire burning in a trashcan. The nursing assistant’s first action is to:
pull the fire alarm.
try to put out the fire.
remove the patient.
call the nurse for help.
Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan?
History of a heart condition.
Any previous refusal of ADLs.
Presence of the resident’s razor from home.
Shaving instructions related to problems or issues clotting.
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:
Place the bed in the lowest position and lock the wheels.
Place the chair on the resident’s strong side.
Assist the resident to put on a robe and non skid slippers.
Encourage the resident to pivot themselves with minimal assistance.
A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client?
Eating his lunch.
Talking with visitors.
Use of cotton bedclothes.
Shaving using an electric razor.
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 toilet seat.
IV drug use.
Dirty eating utensils.
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 resistant strain of bacteria that is difficult to treat with antibiotics.
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.
What is the best way for a nursing assistant to prevent infection?
Apply an antiseptic hand rub before and after caring for residents.
Use standard precautions when 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:
ask the nurse to confirm this order.
raise the bag above the bladder level.
keep the bag below the bladder level.
have the patient cover the bag with a pillow sleeve.
Which action is incorrect when flossing the client’s teeth?
Hold the floss between the middle fingers of each hand.
Move the floss gently up and down between the teeth.
Use a new piece of floss for each tooth.
Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth.
Which of the following is a key part of care when administering a bath to a resident?
Perform all care for the resident in order to conserve their energy.
Allow participation in care to promote a sense of independence.
Use cool water when bathing the patient to promote better circulation.
Clean the perinea area of a patient before assisting them to clean their face.
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 a prescription ointment as ordered.
The nursing assistant applies talcum powder beneath the abdominal folds of the resident.
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:
Privacy, rest, and warmth.
Safety, warmth, and cleanliness.
Safety, security, and privacy.
Comfort, rest, and security.
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 client’s blood glucose before cutting her toe nails.
Report to the nurse that the client needs her toenails trimmed.
Retrieve a safety clipper and hand it to the client.
Check the chart for physician orders regarding nail trimming.
Which is correct about ostomy care?
It is done under sterile technique.
It needs doctor’s order for changing of ostomy pouches.
Able clients can perform this procedure by themselves once they have been taught by the nurse.
The client can still defecate normally.
Which of the following most addresses a client’s needs in regard to spirituality?
Treat any religious objects in the client’s room as if they were any other.
Assist the client to the facility’s chapel every Sunday.
Ask the client why he or she is of a particular faith.
Provide the client with warm water, soap, and towels every morning.
Which of the following statements is true about Alzheimer’s residents?
It is important to maintain a routine to avoid confusion and overstimulation.
The resident may become confused, but hallucinations are never a part of Alzheimer’s.
An increased appetite is common as Alzheimer’s progresses.
Residents can never be reoriented because they will immediately forget it.
Which of the following aspects of care is important for a confused client?
Keeping the client contained in their room.
Reorienting the client frequently with clocks, calendars, and family mementos.
Asking the client their name.
Checking the client’s blood sugar every hour.
The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should:
use the television to distract the client.
use restraints to ensure the client’s safety.
provide care only when absolutely necessary.
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:
dries all areas of the penis thoroughly.
avoids retracting the foreskin if not circumcised.
washes from the base of the shaft to the tip.
uses warm water without soap.
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.
on the right side.
away from the client.
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.
Allow the patient to perform as much of the bath as possible.
Encourage the patient to do the best he can to clean himself.
Ask the patient what he wants to do.
Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should:
turn the client every 2 hours and encourage coughing and deep breathing.
provide only passive range of motion and decrease stimulation.
have the client lie as still as possible and give adequate massage.
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?
Buttoned clothing, slip-on shoes, and rubber grippers.
Velcro clothing, slip-on shoes, and rubber grippers.
Tied shoes to promote stability.
Which of the following would be considered an example of battery toward a patient?
The nursing assistant asks for permission before touching the resident to assist them to the bathroom.
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 bathes the resident without his or her permission.
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?
Notify the nurse assigned to care for the patient about the bruises.
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.
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:
“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?”
“I’m not sure. Let me take a look at her chart.”
Which of the following items is necessary in order to place a patient in restraints?
The hospital administrator’s approval.
The charge nurse’s approval.
A physician’s order.
The Omnibus Budget and Reconciliation Act (OBRA) requires all facilities to do what for their clients?
Help residents write wills and choose power of attorneys.
Help residents to transfer to other nursing homes if they want.
Help residents reach their highest level of psychological and mental functioning.
Help residents perform ADLs and avoid neglect.
The term grievance refers to which aspect included in the Patient Bill of Rights?
Patients are not allowed to call doctors at home.
Patients have the right to file a complaint without fear or penalty.
Patients have access to their health information at all times.
There is no lifetime monetary limit on essential care.
The nursing assistant speaks with the nursing facility’s ombudsman. The role of this position is to:
assist residents to set up insurance and policy claims.
make residents as happy as possible.
investigate residents’ complaints and bring them to the attention of the correct authorities.
care for patients as if they were their own family.
Which of the following is an example of nonverbal communication?
Minimizing facial expression.
Choose the observation that should be reported to the nurse STAT.
32 respirations per minute.
A pulse of 72.
Temperature of 98.9 degrees F.
Blood pressure of 102 over 75.
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:
instruct the client to drink more fluids.
record the vital sign in the chart.
report the finding to the nurse.
take the client’s pulse next.
The nursing assistant should tell the nurse if the client with diabetes...
Decides not to finalize a will.
Reports numbness in their feet sometimes.
Does not touch their lunch tray.
Combs their hair without being prompted.
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 nursing supervisor.
Report it to the patient’s nurse immediately.
Clamp the IV catheter and tell the nurse.
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 takes an axillary temperature instead.
The nursing assistant scolds the client for not letting her know beforehand.
The nursing assistant records the temperature in the chart.
The nursing assistants waits at least fifteen minutes before retaking the temperature.
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.
Last thing before the patient goes to sleep.
After a meal.
Before a meal.
What is the difference between Sims position and left lateral position?
In Sims position, a pillow is placed between the patient’s knees to prevent them from touching.
In lateral position, the patient’s head is elevated to 15 degrees on two pillows.
In lateral position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.
In Sims position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.
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 30 degree angle with the patient slightly slumped over to the left.
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.
Which of the following is a correct aspect of making an occupied bed?
Mitering the corners of the new sheet is no longer recommended.
Lower the bed to the lowest level when the procedure is complete.
Avoid raising the bed rails unless absolutely necessary.
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 bed sheet.
To the medial aspect of the patient’s thigh.
To the lateral aspect of the patient’s thigh.
To the bed.
When making the patient’s bed, the nursing assistant knows it is most important to:
inspect the sheets for softness.
change the pillow cover every four hours.
use linen that has only been in the client’s room.
straighten the sheets to reduce wrinkle formation.
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?
Suggest the patient sit outside in the fresh air.
Give the patient a cool washcloth to be placed on the forehead.
Administer Tylenol 500mg PO.
Give the patient a backrub.
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 standing.
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 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 heavy pressure with each turn of the bandage.
Start applying the bandage at the upper arm and work toward the lower arm.
Wrap the bandage around the arm loosely.
Apply the bandage while stretching it slightly.
The range of motion term “abduction” means:
moving the extremity below the body.
moving the extremity away from the body.
moving the extremity toward the body.
moving the extremity above the body.
The nursing assistant knows that the responsibilities of his/her position do not include:
Applying an ice pack as ordered.
Keeping a resident’s room tidy.
Helping a resident to bathe.
Administering a medication.
Which of the following procedures cannot be performed by a nursing assistant?
Assisting the client to the bathroom.
Performing oral care on an unconscious patient.
Inserting an indwelling urinary catheter.
Reporting a soiled dressing to the nurse.
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.
Continue working, but wash hands every fifteen minutes.
Leave immediately for home.
Report herself to the nursing supervisor and be dismissed 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:
says, “Of course! That would be fine.”
says, “I’m sorry, that’s not our policy here.”
reviews the issue with the patient’s nurse before answering.
reviews the issue with the charge nurse before answering.
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?
Alert the charge nurse to the situation.
Begin gathering medications she must give.
Loudly complain about the situation.
Offer to team up with another nursing assistant to give medications.
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?
After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage.
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.
Tactfully refuse the delegated task because you are limited in changing dressings on your own.
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can:
decide what device to use.
start the oxygen.
turn the oxygen on and off.
keep the connecting tubing secure and free of kinks.
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:
Cyanosis and increased pulse rate.
Restlessness, dizziness, and disorientation.
Breathing comfortably only when sitting.
Increased temperature and decreased respiratory rate.
Which of the following guidelines regarding residents who are hard of hearing would be considered correct?
Encourage family participation to make sure they understand you.
Speak clearly and slowly as you face the resident.
Write down words rather than speaking.
Speak in a high-pitched voice to enhance understanding.
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: