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1Formulas and methods
Nursing assistant (CNA) knowledge
Method
Check whether the resident is in danger right now (not breathing, choking, a fall, chest pain, stroke signs); if so, keep them safe and get the nurse at once.
Ask whether the task is within the nursing assistant’s scope and training; if not, decline politely and tell the nurse.
Respect the resident’s rights: privacy, choice, refusal of care, dignity and freedom from abuse and unneeded restraints.
Apply the basic rules: hand hygiene, body mechanics, bed low and call light within reach, weak side first when dressing.
Observe and report: compare with the resident’s usual state and report changes promptly and objectively.
Nursing math & unit conversions
Metric steps
1 kg = 1000 g, 1 g = 1000 mg, 1 mg = 1000 mcg, 1 L = 1000 mL
Weight and length
1 kg = 2.2 lb, 1 lb = 16 oz, 1 in = 2.54 cm, 1 ft = 12 in
Household measures
1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 8 fl oz = 240 mL
Write the given quantity with its unit and the unit you want.
Pick the equivalent: 1000 between kg, g, mg and mcg or L and mL; 1 kg = 2.2 lb; 1 tsp = 5 mL, 1 tbsp = 15 mL, 1 fl oz = 30 mL, 1 cup = 240 mL.
Write it as a fraction so that the unwanted unit cancels; for a rate, use one fraction per unit that changes.
Check the direction: a smaller unit gives a bigger number.
Round only the final answer, to the precision the question names.
2Practice problems
1.Nursing assistant (CNA) knowledgeMedium
When a new resident is admitted, which task is often done by the nursing assistant?
AExplaining the resident's diagnosis to the family
BMeasuring height, weight and vital signs and listing belongings
CWriting the resident's care plan and the first nursing assessment
DDeciding which medicines the resident will take each day
2.Nursing assistant (CNA) knowledgeHard
A resident with dementia accuses the nursing assistant of stealing her purse, which is in her closet. What is the best response?
ATell her firmly that she is wrong and you are not a thief
BLeave the room and refuse to care for her
CStay calm, do not argue and offer to help her look for it
DReport her to the police for making false accusations
3.Nursing math & unit conversionsMedium
Practice exercise (made-up values, not clinical guidance). A patient is 4 ft 4 in tall. Using 1 ft = 12 in and 1 in = 2.54 cm, find the height h in centimetres, to the nearest whole centimetre.
4 ft 4 in1 ft = 12 in1 in = 2.54 cm
h = cm
4.Nursing math & unit conversionsHard
Practice exercise (made-up values, not clinical guidance). An infusion starts at 20:25 and finishes at 02:45 the next morning (24-hour clock). How many minutes t did it run?
20:2502:45
t = min
3Solutions
1.Nursing assistant (CNA) knowledge
Answer: B · Measuring height, weight and vital signs and listing belongings
Why this is the answer
On admission, nursing assistants often take baseline measurements, list belongings on an inventory form and help the resident settle in. The nurse assesses the resident and plans care.
Answer
B · Measuring height, weight and vital signs and listing belongings
2.Nursing assistant (CNA) knowledge
Answer: C · Stay calm, do not argue and offer to help her look for it
Why this is the answer
Accusations of theft are common in dementia because the resident forgets where things are. Calmly helping her look avoids an argument and solves the problem. Real allegations of theft are still reported according to policy.
Answer
C · Stay calm, do not argue and offer to help her look for it
3.Nursing math & unit conversions
Answer: h = 132 cm
Household measures and weight: nursing exams use rounded equivalents: 1 teaspoon (tsp) = 5 mL, 1 tablespoon (tbsp) = 15 mL = 3 tsp, 1 fluid ounce (fl oz) = 30 mL = 2 tbsp, and 1 cup = 8 fl oz = 240 mL. For weight, 1 kg = 2.2 lb and 1 lb = 16 oz; for length, 1 inch = 2.54 cm. Set the conversion up so that the unit you do not want cancels out.
Height in inches
4·12 + 4 = 52 in
Inches to centimetres
h = 52·2.54 = 132.1 ≈ 132 cm
Answer
h = 132 cm
4.Nursing math & unit conversions
Answer: t = 380 min
24-hour clock: from 1 PM onwards add 12 to the hour (3:45 PM = 15:45). Midnight to 12:59 AM is 00:00–00:59, and 12:00–12:59 PM stays 12:00–12:59. Going back, subtract 12 from hours 13–23 and add PM; hours 00 become 12 AM. Count time across midnight in two parts: up to 24:00 (00:00), then from 00:00 on.
Before midnight
20:25 → 24:00 = 215 min
After midnight
00:00 → 02:45 = 165 min
Total
t = 215 + 165 = 380 min
Answer
t = 380 min
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