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Under Ohio Department of Health (ODH) Chapter 3701-18 regulations, what is the minimum training requirement to become a certified nurse aide in Ohio?

50 hours of classroom instruction only

75 hours total (50 classroom + 25 clinical)

100 hours total (60 classroom + 40 clinical)

120 hours of combined instruction and clinical practice

to track

2026 Statistics

Key Facts: Ohio CNA (STNA) Exam

$104

Exam Fee (OH)

Headmaster ($26+$78)

Written Questions

Headmaster

70%

Written Passing Score

~55/79 questions

90 min

Written Time Limit

Headmaster

75 hrs

Min. Training Required

Ohio ODH NATCEP

2 years

Renewal Cycle

Ohio ODH

Ohio uses the STNA (State Tested Nursing Assistant) designation instead of CNA. The exam is administered by Headmaster and costs $104 total ($26 written + $78 skills) or $120 with oral exam ($42 oral + $78 skills). Ohio requires a minimum 75-hour ODH-approved NATCEP training program. The written test has 79 questions in 90 minutes with a 70% passing score. All Ohio test sites use electronic TMU testing. The Ohio Nurse Aide Registry is maintained by ODH. Certification renews every 2 years and requires at least 7.5 consecutive hours or 8 hours in a 48-hour period of paid CNA work every 24 months.

Sample Ohio CNA (STNA) Practice Questions

Try these sample questions to test your Ohio CNA (STNA) exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 197+ question experience with AI tutoring.

1Under Ohio Department of Health (ODH) Chapter 3701-18 regulations, what is the minimum training requirement to become a certified nurse aide in Ohio?

A.50 hours of classroom instruction only

B.75 hours total (50 classroom + 25 clinical)

C.100 hours total (60 classroom + 40 clinical)

D.120 hours of combined instruction and clinical practice

Explanation: Ohio requires a minimum of 75 hours of training for nurse aide certification, consisting of at least 50 hours of classroom instruction and 25 hours of supervised clinical practice in a long-term care facility. This requirement is established under Ohio Administrative Code Chapter 3701-18 and enforced by the Ohio Department of Health (ODH). Training programs must be approved by ODH before students can sit for the Headmaster/D&S certification examination.

2A nurse aide in Ohio discovers that a resident has been verbally abused by another staff member. According to Ohio mandated reporter requirements, the nurse aide must:

A.Report the incident to the facility administrator within 24 hours

B.Report immediately to the nurse in charge or designated supervisor

C.Document the incident and wait for the next staff meeting to discuss

D.Confront the abusive staff member directly and warn them to stop

Explanation: Ohio law requires nurse aides to report suspected abuse, neglect, or exploitation immediately to the nurse in charge or designated supervisor. Under Ohio Revised Code Section 5101.61, nurse aides are mandated reporters and must report any reasonable suspicion of abuse or neglect without delay. The report should be made to the appropriate supervisor who will then follow facility protocols for investigating and reporting to the Ohio Department of Health and/or local authorities as required.

3In Ohio, how often must a certified nurse aide complete in-service education to maintain certification on the Ohio Nurse Aide Registry?

A.6 hours every year

B.12 hours every 2 years

C.24 hours every 2 years

D.No in-service requirements for recertification

Explanation: Ohio requires certified nurse aides to complete at least 12 hours of in-service education every 2 years to maintain active status on the Ohio Nurse Aide Registry. This requirement is overseen by the Ohio Department of Health. Nurse aides must also have worked as a nurse aide for at least 7.5 hours during the 24-month period. Failure to meet these requirements results in expiration of certification, requiring retesting to regain active status.

4A CNA in Ohio is asked by a family member to share information about another resident who was recently discharged. The CNA should:

A.Share the information since the resident is no longer in the facility

B.Refuse and explain that resident information is confidential even after discharge

C.Share only general information without specific details

D.Ask the supervisor for permission before sharing

Explanation: Resident confidentiality continues even after discharge under HIPAA (Health Insurance Portability and Accountability Act). Ohio nurse aides are bound by federal HIPAA regulations and Ohio state privacy laws. The CNA must refuse to share any protected health information (PHI) about any resident, current or former, without proper authorization. Sharing such information could result in civil and criminal penalties under federal law and disciplinary action by the Ohio Board of Nursing.

5According to Ohio NATCEP (Nurse Aide Training and Competency Evaluation Program) regulations, which of the following tasks is outside the scope of practice for a nurse aide?

A.Assisting with range of motion exercises

B.Performing sterile dressing changes

C.Helping residents with feeding

D.Assisting with ambulation using a gait belt

Explanation: Performing sterile dressing changes is outside the scope of practice for Ohio nurse aides. Under ODH Chapter 3701-18 and Ohio Board of Nursing guidelines, sterile procedures requiring aseptic technique must be performed by licensed nurses. Nurse aides may assist with non-sterile dressing applications if specifically trained and delegated by a nurse, but sterile dressing changes require clinical judgment and training beyond the nurse aide scope. The other options (ROM, feeding, ambulation) are all within the standard nurse aide scope of practice.

6When taking the Ohio Headmaster/D&S CNA examination, a candidate who fails the knowledge test may retake it:

A.Immediately on the same day

B.After a mandatory 30-day waiting period

C.Up to two additional times before retraining is required

D.Only after completing the entire training program again

Explanation: Under Headmaster/D&S testing procedures used in Ohio, candidates who fail the knowledge test may retake it up to two additional times (for a total of three attempts) before being required to complete the training program again. If a candidate fails the third attempt, they must complete a new NATCEP training program before testing again. This policy ensures candidates have adequate knowledge while providing multiple opportunities for success.

7A nurse aide in Ohio observes a coworker taking money from a resident's wallet without permission. This is an example of:

A.Theft that must be reported immediately

B.A personal matter between the resident and coworker

C.Acceptable if the resident previously gave permission

D.A minor policy violation requiring only verbal warning

Explanation: Taking money from a resident without permission is theft and constitutes financial exploitation, which is a form of abuse under Ohio law. Ohio Revised Code Section 5101.61 mandates that nurse aides report any suspected abuse, neglect, or exploitation immediately. Financial exploitation of elderly or disabled residents is also a criminal offense in Ohio. The nurse aide must report the observation immediately to a supervisor and follow the facility's abuse reporting protocol.

8The primary purpose of the Ohio Nurse Aide Registry is to:

A.Track employment history of all healthcare workers in Ohio

B.Maintain a record of individuals who have met training and testing requirements

C.Provide job placement services for nurse aides

D.Collect dues for the nurse aide union

Explanation: The Ohio Nurse Aide Registry, maintained by the Ohio Department of Health, serves as the official record of individuals who have successfully completed an approved NATCEP training program and passed the Headmaster/D&S competency examination. The registry verifies that nurse aides are qualified to work in Medicare/Medicaid certified nursing facilities. Employers must check the registry before hiring to ensure certification is active and to review any findings of abuse, neglect, or misappropriation of property.

9Under Ohio's 3701-18 regulations, a nurse aide who has not worked as a nurse aide for more than 24 consecutive months:

A.Can continue working with a temporary permit

B.Must retake both the knowledge and skills tests to regain certification

C.Only needs to complete 8 hours of refresher training

D.Can have their certification reinstated automatically upon request

Explanation: Under Ohio ODH Chapter 3701-18, nurse aides who have not performed nursing-related services for monetary compensation for more than 24 consecutive months lose their certification. To regain active status on the Ohio Nurse Aide Registry, they must retake and pass both the knowledge test and skills evaluation. This requirement ensures that nurse aides returning to practice have maintained competency in both theory and practical skills.

10When transferring a resident from bed to wheelchair using a gait belt, the nurse aide should position the wheelchair:

A.At the foot of the bed facing away from the bed

B.At the head of the bed facing the wall

C.Alongside the bed at a 45-degree angle with wheels locked

D.At the foot of the bed with one wheel unlocked for easy movement

Explanation: The wheelchair should be positioned alongside the bed at a 45-degree angle (on the resident's stronger side if applicable) with the wheels locked. This positioning provides the safest and most efficient transfer path. Both wheels must be locked to prevent the chair from moving during transfer. The footrests should be swung out of the way or removed, and the armrest on the transferring side should be removed if possible.

About the Ohio CNA (STNA) Exam

The Ohio CNA exam certifies State Tested Nursing Assistants (STNAs) to provide basic patient care in Ohio. Administered by Headmaster (D&S Diversified Technologies) under the Ohio Department of Health (ODH), it includes a 79-question written knowledge test and a 5-skill clinical demonstration. Ohio uses the designation STNA (State Tested Nursing Assistant) rather than CNA.

Questions

79 scored questions

Time Limit

90 min written + skills evaluation

Passing Score

70% written + 100% skills critical steps

Exam Fee

$104 (Written $26 + Skills $78) (Headmaster (D&S) / Ohio Department of Health (ODH))

Ohio CNA (STNA) Exam Content Outline

11%

Basic Nursing Skills

Vital signs, positioning, transfers, nutrition, I&O, wound observation, body mechanics

11%

Personal Care

Bathing, grooming, dressing, perineal care, oral hygiene, elimination, fluid management

10%

Safety

Fall prevention, fire safety, body mechanics, emergency response, restraint alternatives

Mental Health

Depression, dementia, Alzheimer's, grief, end-of-life care, behavioral approaches

Role and Responsibility

Ohio scope of practice, ODH registry, delegation, professional behavior, chain of command

Infection Control

Hand hygiene, PPE, standard/transmission-based precautions, bloodborne pathogens

Care of Cognitively Impaired

Alzheimer's behaviors, redirection techniques, validation therapy, wandering prevention

Communication

Therapeutic communication, documentation, SBAR, reporting changes, HIPAA

Older Adult Growth & Development

Normal aging changes, developmental stages, aging process

Resident Rights

Privacy, dignity, right to refuse, advance directives, HIPAA, ombudsman

Disease Process

CHF, COPD, diabetes, stroke, pressure injuries, DVT recognition

Data Collection

I&O measurement, objective vs. subjective data, vital sign recording

How to Pass the Ohio CNA (STNA) Exam

What You Need to Know

Passing score: 70% written + 100% skills critical steps
Exam length: 79 questions
Time limit: 90 min written + skills evaluation
Exam fee: $104 (Written $26 + Skills $78)

Keys to Passing

Complete 500+ practice questions
Score 80%+ consistently before scheduling
Focus on highest-weighted sections
Use our AI tutor for tough concepts

Ohio CNA (STNA) Study Tips from Top Performers

1Ohio calls CNAs 'STNAs' (State Tested Nursing Assistants) — use this terminology on the exam

2Schedule through Headmaster at hdmaster.com — all Ohio test sites use electronic TMU testing

3The exam has 79 questions in 90 minutes — practice pacing at about 68 seconds per question

4Know Ohio ODH regulations, mandatory reporting requirements, and the Nurse Aide Registry

5Study all 12 content domains — no single domain dominates, so you need broad knowledge

6Master clinical skills — handwashing is always tested, and missing critical steps means automatic failure

Frequently Asked Questions

Who administers the Ohio CNA (STNA) exam?

Ohio CNA exams are administered by Headmaster (D&S Diversified Technologies) under the Ohio Department of Health (ODH). Ohio uses the STNA (State Tested Nursing Assistant) designation. All Ohio test sites use electronic TMU testing. Schedule through hdmaster.com/testing/cnatesting/ohio/.

What is an STNA in Ohio?

STNA stands for State Tested Nursing Assistant, which is Ohio's official designation for certified nursing assistants. The STNA designation is unique to Ohio. To become an STNA, you must complete an ODH-approved NATCEP training program and pass both the written knowledge exam and clinical skills evaluation through Headmaster.

How much does the Ohio CNA (STNA) exam cost?

The Ohio CNA exam costs $104 total for written + skills ($26 written + $78 skills). If you choose the oral exam instead of written, the total is $120 ($42 oral + $78 skills). Payment is made through Headmaster when scheduling.

What score do I need to pass the Ohio STNA exam?

You need 70% on the written knowledge exam (approximately 55 out of 79 questions correct) and must pass all critical steps on the clinical skills evaluation. The written exam has 79 questions with a 90-minute time limit.

How do I renew my Ohio CNA (STNA) certification?

Ohio STNA certification renews every 2 years. You must perform at least 7.5 consecutive hours or 8 hours in a 48-hour period of paid nursing assistant work every 24 months. The Ohio Nurse Aide Registry is maintained by the Ohio Department of Health (ODH).

Can nursing students waive the Ohio STNA training requirement?

Yes, nursing students enrolled in pre-licensure nursing programs may waive the NATCEP training requirement with ODH approval. They must still pass both the knowledge exam and clinical skills evaluation through Headmaster to be listed on the Ohio Nurse Aide Registry.

What are the abuse reporting requirements for Ohio STNAs?

Ohio STNAs are mandatory reporters of abuse, neglect, and misappropriation of resident property. Reports must be made immediately to your supervisor and to the Ohio Department of Health. The Ohio Nurse Aide Registry maintains records of substantiated findings of abuse, neglect, or misappropriation.