STNA Mock Test 2024 (50 Questions Answers with Explanation)

Last Updated on June 13, 2024

Prepare for the STNA Exam with our STNA Mock Test 2024 (50 Questions and Answers with Explanation). Get ready for the State Tested Nurse Aide certification with our comprehensive practice test.

Our mock test includes 50 real exam questions with detailed explanations to enhance your understanding and test-taking skills. Perfect for those looking to pass the STNA exam with confidence. Try it now and ensure you’re fully prepared for test day!

STNA Mock Test 2024

1.

1. A resident often carries a doll with her, treating it like her baby. One day, she wanders around, crying, and she can’t find her baby. The nurse aide should:

  • (A) Ask the resident where she last had her doll.
  • (B) Ask the activity department if they have any other doll.
  • (C) Offer comfort to the resident and help her look for her baby.
  • (D) Let the other staff know the resident is very confused and should be watched closely.
View Correct Answer
Answer: (C)
Explanation: Offering comfort to the resident and helping her look for her “baby” is the most appropriate response. It shows empathy and helps alleviate her distress.

2.

A nurse aide is asked to change a urinary bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The best response by the nurse aide is to:

(A) Change the indwelling catheter at the same time.
(B) Ask another nurse aide to change the urinary drainage bag.
(C) Change the bag asking for help only if the nurse aide has problems.
(D) Ask a nurse to watch the nurse aide change the bag since it is the first time.

View Correct Answer
Answer: (D)
Explanation: Asking a nurse to watch ensures the procedure is done correctly and safely for the first time.

3.

Before feeding a resident, what is the best reason to wash the resident’s hands?

(A) The resident may still touch his/her mouth or food.
(B) It reduces the risk of spreading airborne diseases.
(C) It improves resident morale and appetite.
(D) The resident needs to keep meal routines.

View Correct Answer
Answer: (A)
Explanation: Washing hands prevents the spread of germs and reduces the risk of contamination.

4.

Which of the following is a job task performed by the nurse aide?

(A) Participating in resident care planning conferences.
(B) Taking a telephone order from a physician.
(C) Giving medications to assigned residents.
(D) Changing sterile wound dressings.

View Correct Answer
Answer: (A)
Explanation: Nurse aides participate in care planning conferences to contribute to individualized care plans.

5.

Which of the following statements is true about range of motion (ROM) exercise?

(A) Done just once a day
(B) Help prevent strokes and paralysis
(C) Require at least ten repetitions of each exercise
(D) Are often performed during ADL’s such as bathing or dressing

View Correct Answer
Answer: (D)
Explanation: ROM exercises are often integrated into daily activities to maintain flexibility and strength.

6.

While the nurse aide tries to dress a confused resident, the resident keeps trying to grab a hairbrush. The nurse aide should:

(A) Put the hairbrush away and out of sight.
(B) Give the resident the hairbrush to hold.
(C) Try to dress the resident more quickly.
(D) Restrain the resident’s hand.

View Correct Answer
Answer: (B)
Explanation: Giving the resident the hairbrush can help distract and calm them, making it easier to dress them.

7.

A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide’s next action should be to:

(A) Ask the resident to take deep breaths.
(B) Take the resident’s vital signs.
(C) Raise the head of the bed.
(D) Elevate the resident’s feet.

View Correct Answer
Answer: (C)
Explanation: Raising the head of the bed helps improve breathing by allowing better lung expansion.

8.

A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on:

(A) Helping the resident through the stages of grief.
(B) Providing for the resident’s comfort.
(C) Keeping the resident’s care routine, such as for bathing.
(D) Giving the resident a lot of quiet time and privacy.

View Correct Answer
Answer: (B)
Explanation: Ensuring the resident’s comfort is the primary goal in end-of-life care.

9.

While giving a bed bath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should:

(A) Wait a few minutes to see if the alarm stops.
(B) Report the alarm to the charge nurse immediately.
(C) Make the resident being bathed safe and go check the door right away.
(D) Stop the bedbath and go check on the location of all assigned residents.

View Correct Answer
Answer: (C)
Explanation: Ensuring the safety of the resident being bathed before checking the alarm is crucial.

10.

Gloves should be worn for which of the following procedures?

(A) Emptying a urinary drainage bag
(B) Brushing a resident’s hair
(C) Ambulating a resident
(D) Feeding a resident

View Correct Answer
Answer: (A)
Explanation: Wearing gloves prevents the risk of infection and cross-contamination when handling bodily fluids.

11.

When walking a resident, a gait or transfer belt is often:

(A) Worn around the nurse aide’s waist for back support.
(B) Used to keep the resident positioned properly in the wheelchair.
(C) Used to help stand the resident, and then removed before walking.
(D) Put around the resident’s waist to provide a way to hold onto the resident.

View Correct Answer
Answer: (D)
Explanation: The gait belt provides a secure way to assist the resident while walking.

12.

Which of the following statements is true about residents who are restrained?

(A) They are at a greater risk of developing pressure sores.
(B) They are at lower risk of developing pneumonia.
(C) Their posture and alignment are improved.
(D) They are not at risk of falling.

View Correct Answer
Answer: (A)
Explanation: Restraints can limit movement, increasing the risk of pressure sores.

13.

A resident has diabetes. Which of the following is a common sign of low blood sugar?

(A) Fever
(B) Shakiness
(C) Thirst
(D) Vomiting

View Correct Answer
Answer: (B)
Explanation: Shakiness is a common symptom of hypoglycemia (low blood sugar).

14.

When providing foot care to a resident it is important for the nurse aide to:

(A) Remove calluses and corns.
(B) Check the feet for skin breakdown.
(C) Keep the water cool to prevent burns.
(D) Apply lotion, including between the toes.

View Correct Answer
Answer: (B)
Explanation: Checking for skin breakdown helps prevent pressure sores and infections.

15.

When feeding a resident, frequent coughing can be a sign that the resident is:

(A) Choking.
(B) Getting full.
(C) Needs to drink more fluids.
(D) Having difficulty swallowing.

View Correct Answer
Answer: (D)
Explanation: Frequent coughing indicates possible swallowing difficulties, which can lead to choking.

16.

When a person 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.

View Correct Answer
Answer: (C)
Explanation: Admitting to a nursing home often brings a sense of loss as residents adjust to changes.

17.

A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should:

(A) Tease the resident by complimenting the resident’s sense of style.
(B) Ask if the resident realizes that the shoes do not match.
(C) Remind the resident that the nurse aide can dress the resident.
(D) Ask if the resident lost some of his shoes.

View Correct Answer
Answer: (B)
Explanation: This approach acknowledges the resident’s independence while addressing the mismatched shoes.

18.

A resident’s wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to:

(A) Remind the resident to be thankful for the years he shared with his wife.
(B) Tell the resident that he needs to get out of his room at least once a day.
(C) Understand the resident is grieving and give him chances to talk.
(D) Avoid mentioning his wife when caring for him.

View Correct Answer
Answer: (C)
Explanation: Offering opportunities to talk about his feelings shows empathy and supports his grieving process.

19.

When a resident refuses a bedbath, the nurse aide should:

(A) Offer the resident a bribe.
(B) Wait a while and then ask the resident again.
(C) Remind the resident that people who smell don’t have friends.
(D) Tell the resident that the nursing home policy requires daily bathing.

View Correct Answer
Answer: (B)
Explanation: Waiting and asking again respects the resident’s autonomy and allows time for reconsideration.

20.

When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to:

(A) Show the resident that the nurse aide is in control.
(B) Call for help to make sure there are witnesses.
(C) Explain that if the resident is not calm a restraint may be applied.
(D) Step back to protect self from harm while speaking in a calm manner.

View Correct Answer
Answer: (D)
Explanation: Stepping back ensures the nurse aide’s safety and speaking calmly helps de-escalate the situation.

21.

During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to:

(A) Remain calm and ask what is upsetting the resident.
(B) Begin removing all the other residents from the dining room.
(C) Scold the resident and ask the resident to leave the dining room immediately.
(D) Remove the resident’s plate, fork, knife, and cup so there is nothing else to throw.

View Correct Answer
Answer: (A)
Explanation: Remaining calm and understanding the cause of the resident’s behavior helps manage the situation effectively.

22.

Which of the following questions asked to the resident is most likely to encourage conversation?

(A) Are you feeling tired today?
(B) Do you want to wear this outfit?
(C) What are your favorite foods?
(D) Is the water warm enough?

View Correct Answer
Answer: (C)
Explanation: Asking about favorite foods invites the resident to share personal preferences and experiences.

23.

When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should:

(A) Use pictures and gestures
(B) Face the resident and speak softly when talking.
(C) Repeat words often if the resident does not understand.
(D) Assume when the resident nods his/her head that the message is understood.

View Correct Answer
Answer: (A)
Explanation: Using visual aids like pictures and gestures can bridge the language barrier effectively.

24.

While walking down the hall, a nurse aide looks into a resident’s room and sees another nurse aide hitting a resident. The nurse aide is expected to:

(A) Contact the state agency that inspects the nursing facility.
(B) Enter the room immediately to provide for the resident’s safety.
(C) Wait to confront the nurse aide when he/she leaves the resident’s room.
(D) Check the resident for any signs of injury after the nurse aide leaves the room.

View Correct Answer
Answer: (B)
Explanation: Immediate intervention is necessary to stop the abuse and ensure the resident’s safety.

25.

Before touching a resident who is crying to offer comfort, the nurse aide should consider:

(A) The resident’s recent vital signs.
(B) The resident’s cultural background.
(C) Whether the resident has been sad recently.
(D) Whether the resident has family that visits routinely.

View Correct Answer
Answer: (B)
Explanation: Understanding cultural norms about physical comfort ensures the response is appropriate and respectful.

26.

When a resident is expressing anger, the nurse aide should consider:

(A) Correct the resident’s misperceptions.
(B) Ask the resident to speak in a kinder tone.
(C) Listen closely to the resident’s concerns.
(D) Remind the resident that everyone gets angry.

View Correct Answer
Answer: (C)
Explanation: Listening to the resident’s concerns validates their feelings and can help de-escalate anger.

27.

When giving a backrub, the nurse aide should:

(A) Apply lotion to the back directly from the bottle.
(B) Keep the resident covered as much as possible.
(C) Leave extra lotion on the skin when completing the procedure.
(D) Expect the resident to lie on his/her stomach.

View Correct Answer
Answer: (B)
Explanation: Maintaining the resident’s privacy and dignity is important during personal care procedures.

28.

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to:

(A) Help the resident back to his room into bed.
(B) Ask the resident about his job and if he is hungry.
(C) Tell him that residents are not allowed in the nurses’ station.
(D) Remind him that he is retired from his job and in a nursing home.

View Correct Answer
Answer: (B)
Explanation: Engaging the resident in conversation about his job and hunger acknowledges his feelings and gently redirects him.

29.

Which of the following is true about caring for a resident who wears a hearing aid?

(A) Apply hairspray after the hearing aid is in place.
(B) Remove the hearing aid before showering.
(C) Clean the earmold and battery case with water daily, drying completely.
(D) Replace batteries weekly.

View Correct Answer
Answer: (B)
Explanation: Removing the hearing aid before showering prevents water damage to the device.

30.

Residents with Parkinson’s disease often require assistance with walking because they:

(A) Become confused and forget how to take steps without help.
(B) Have poor attention skills and do not notice safety problems.
(C) Have visual problems that require special glasses.
(D) Have a shuffling walk and tremors.

View Correct Answer
Answer: (D)
Explanation: Parkinson’s disease affects motor function, leading to a shuffling gait and tremors that necessitate assistance.

31.

A resident who is inactive is at the risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation?

(A) Adequate fluid intake
(B) Regular mealtimes
(C) High protein diet
(D) Low fiber diet

View Correct Answer
Answer: (A)
Explanation: Adequate fluid intake keeps stools soft and helps prevent constipation.

32.

A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first:

(A) Ask the resident to try urinating.
(B) Offer the resident fluid intake.
(C) Check for kinks in the tubing.
(D) Obtain a new urinary drainage bag.

View Correct Answer
Answer: (C)
Explanation: Checking for kinks in the tubing addresses the most likely cause of obstructed urine flow.

33.

A resident who is incontinent of urine has an increased risk of developing:

(A) Dementia.
(B) Urinary tract infection.
(C) Pressure sores.
(D) Dehydration.

View Correct Answer
Answer: (B)
Explanation: Incontinence can lead to prolonged exposure to moisture, increasing the risk of urinary tract infections.

34.

When cleansing the genital area during perineal care, the nurse aide should:

(A) Cleanse the penis with a circular motion starting from the base and moving toward the tip.
(B) Replace the foreskin when pushed back to cleanse an uncircumcised penis.
(C) Cleanse the rectal area first, before cleansing the genital area.
(D) Use the same area on the washcloth for each washing and rinsing stroke for a female resident.

View Correct Answer
Answer: (B)
Explanation: Proper perineal care includes replacing the foreskin after cleaning to prevent complications.

35.

Which of the following is considered a normal age-related change?

(A) Dementia
(B) Contractures
(C) Bladder holding less urine
(D) Wheezing when breathing

View Correct Answer
Answer: (C)
Explanation: As people age, bladder capacity decreases, leading to more frequent urination.

36.

A resident is on a bladder retraining program. The nurse aide should expect the resident to:

(A) Have a fluid intake restriction to prevent sudden urges to urinate.
(B) Wear an incontinent brief in case of an accident.
(C) Have an indwelling urinary catheter.
(D) Have a schedule for toileting.

View Correct Answer
Answer: (D)
Explanation: Bladder retraining involves a toileting schedule to improve bladder control.

37.

A resident who has stress incontinence:

(A) Will have an indwelling urinary catheter.
(B) Should wear an incontinent brief at night.
(C) May leak urine when laughing or coughing.
(D) Needs toileting every 1-2 hours throughout the day.

View Correct Answer
Answer: (C)
Explanation: Stress incontinence causes urine leakage during activities that increase abdominal pressure, like laughing or coughing.

38.

The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should:

(A) Understand that denial is a normal reaction.
(B) Remind the resident the doctor would not lie.
(C) Suggest the resident ask for more tests.
(D) Ask if the resident is afraid of dying.

View Correct Answer
Answer: (A)
Explanation: Denial is a common initial reaction to bad news and should be acknowledged compassionately.

39.

A slipknot is used when securing a restraint so that:

(A) The restraint cannot be removed by the resident.
(B) The restraint can be removed quickly when needed.
(C) Body alignment is maintained while wearing the restraint.
(D) It can be easily observed whether the restraint is applied correctly.

View Correct Answer
Answer: (B)
Explanation: Slipknots allow quick release of restraints in case of emergencies.

40.

When using personal protective equipment (PPE) the nurse aide correctly follows standard precautions when wearing:

(A) Double gloves when providing perineal care to a resident.
(B) A mask and gown while feeding a resident that coughs.
(C) Gloves to remove a resident’s bedpan.
(D) Gloves while ambulating a resident.

View Correct Answer
Answer: (C)
Explanation: Wearing gloves when handling bedpans prevents contamination and infection.

41.

To help prevent resident falls, the nurse aide should:

(A) Always raise side rails when any resident is in his/her bed.
(B) Leave residents’ beds at the lowest level when care is complete.
(C) Encourage residents to wear larger-sized, loose-fitting clothing.
(D) Remind residents who use call lights that they need to wait patiently for staff.

View Correct Answer
Answer: (B)
Explanation: Keeping beds at the lowest level reduces the risk of falls and injuries.

42.

As the nurse aide begins his/her assignment, which of the following should the nurse aide do first?

(A) Collect linen supplies for the shift.
(B) Check all the nurse aide’s assigned residents.
(C) Assist a resident that has called for assistance to get off the toilet.
(D) Start bathing a resident that has physical therapy in one hour.

View Correct Answer
Answer: (C)
Explanation: Assisting a resident in immediate need takes priority to ensure safety and comfort.

43.

Which of the following would affect a nurse aide’s status on the state’s nurse aide registry and also cause the nurse to be ineligible to work in a nursing home?

(A) Having been terminated from another facility for repeated tardiness.
(B) Missing a mandatory infection control in-service training program.
(C) Failing to show for work without calling to report the absence.
(D) Having a finding for resident neglect.

View Correct Answer
Answer: (D)
Explanation: A finding of resident neglect is a serious offense that affects employment eligibility in nursing homes.

44.

To help prevent the spread of germs between patients, the nurse aide should:

(A) Wear gloves when touching residents.
(B) Hold supplies and linens away from their uniforms.
(C) Wash hands for at least two minutes after each resident contact.
(D) Warn residents that holding hands spreads germs.

View Correct Answer
Answer: (A)
Explanation: Wearing gloves minimizes the risk of germ transmission during patient care.

45.

When a sink has hand-control faucets, the nurse aide should use:

(A) A paper towel to turn the water on.
(B) A paper towel to turn the water off.
(C) An elbow, if possible, to turn the faucet controls on and off.
(D) Bare hands to turn the faucet controls both on and off.

View Correct Answer
Answer: (B)
Explanation: Using a paper towel to turn off the faucet prevents recontamination of clean hands.

46.

When moving a resident up in bed who is able to move with assistance, the nurse aide should:

(A) Position self with knees straight and bent at the waist.
(B) Use a gait or transfer belt to assist with the repositioning.
(C) Pull the resident up holding onto one side of the drawsheet at a time.
(D) Bend the resident’s knees and ask the resident to push with his/her feet.

View Correct Answer
Answer: (D)
Explanation: Engaging the resident in the movement by having them push with their feet helps reduce strain on both the resident and the nurse aide.

47.

The resident’s weight is obtained routinely as a way to check the resident’s:

(A) Growth and development.
(B) Adjustment to the facility.
(C) Nutrition and health.
(D) Activity level.

View Correct Answer
Answer: (C)
Explanation: Monitoring weight helps assess the resident’s nutritional status and detect health issues.

48.

Which of the following is a right that is included in the Resident’s Bill of Rights?

(A) To have staff available that speak different languages on each shift.
(B) To have payment plan options that are based on financial need.
(C) To have religious services offered at the facility daily.
(D) To make decisions and participate in own care.

View Correct Answer
Answer: (D)
Explanation: Residents have the right to participate in decisions regarding their own care, ensuring autonomy and respect.

49.

Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke?

(A) Dementia
(B) Contractures
(C) Slurred speech
(D) Irregular heartbeat

View Correct Answer
Answer: (C)
Explanation: Slurred speech is a common symptom of stroke, indicating a disruption in the brain’s language control centers.

50.

Considering the resident’s activity, which of the following sets of vital signs should be reported to the charge nurse immediately?

(A) Resting: 98.6°F, 98 bpm, 32 breaths/min
(B) After eating: 97.0°F, 64 bpm, 24 breaths/min
(C) After walking exercise: 98.2°F, 98 bpm, 28 breaths/min
(D) While watching television: 98.8°F, 72 bpm, 14 breaths/min

View Correct Answer
Answer: (A)
Explanation: A respiratory rate of 32 breaths per minute while resting is significantly high and indicates a possible respiratory issue that needs immediate attention.

See also:

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