CNA practice test (nurse aide knowledge exam practice): cram pack

Formula sheets, the key method steps for every topic and 4 practice problems, with full solutions at the back.

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1Formulas and methods

Nursing assistant (CNA) knowledge

Method

  1. 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.
  2. Ask whether the task is within the nursing assistant’s scope and training; if not, decline politely and tell the nurse.
  3. Respect the resident’s rights: privacy, choice, refusal of care, dignity and freedom from abuse and unneeded restraints.
  4. Apply the basic rules: hand hygiene, body mechanics, bed low and call light within reach, weak side first when dressing.
  5. 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
Temperature
°C = (°F − 32)·5/9, °F = °C·9/5 + 32
24-hour clock
PM hours 1–11: add 12; 12 AM = 00:xx; 12 PM = 12:xx
Dose rate
mcg/min × 60/1000 = mg/h
Laboratory factors
glucose 1 mmol/L = 18 mg/dL; creatinine 1 mg/dL = 88.4 µmol/L; Hb 1 g/dL = 10 g/L

Method

  1. Write the given quantity with its unit and the unit you want.
  2. 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.
  3. Write it as a fraction so that the unwanted unit cancels; for a rate, use one fraction per unit that changes.
  4. Check the direction: a smaller unit gives a bigger number.
  5. Round only the final answer, to the precision the question names.

2Practice problems

1.Nursing assistant (CNA) knowledgeMedium

How should a resident's bedpan be stored?

  1. ACleaned and kept in its proper place, never on the overbed table
  2. BIn the bedside drawer with the resident's clothes
  3. COn the overbed table so that the resident can easily reach it
  4. DOn the floor under the bed without cleaning
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant told the nurse that a resident seemed more short of breath, but nothing was done, and the resident is getting worse. What should the nursing assistant do?

  1. AReport again, then follow the chain of command if nothing is done
  2. BCall the resident's family and ask them to complain
  3. CWait until the next shift to see if someone else notices the change
  4. DGive the resident extra oxygen without telling anyone
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C97.9 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 97.9 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

97.9 °F
T = °C
4.Nursing math & unit conversionsHard
00:0017:0003:15t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 17:00 and finishes at 03:15 the next morning (24-hour clock). How many minutes t did it run?

17:0003:15
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · Cleaned and kept in its proper place, never on the overbed table

Why this is the answer

Used bedpans are emptied, cleaned and stored in the proper place, such as the bathroom or bedside cabinet per policy. Placing them on the overbed table contaminates the area where the resident eats.

Answer

A · Cleaned and kept in its proper place, never on the overbed table
2.Nursing assistant (CNA) knowledge

Answer: A · Report again, then follow the chain of command if nothing is done

Why this is the answer

If a serious concern is not addressed, the nursing assistant reports again and then goes to the next level, such as the charge nurse or supervisor. Acting outside the role or waiting puts the resident at risk.

Answer

A · Report again, then follow the chain of command if nothing is done
3.Nursing math & unit conversions

Answer: T = 36.6 °C

Temperature: °C = (°F − 32) × 5/9 and °F = °C × 9/5 + 32. Subtract 32 before you multiply when going from °F, and add 32 after you multiply when going from °C. A quick check: 37 °C is 98.6 °F, and every 1 °C is 1.8 °F.

Subtract 32

97.9 − 32 = 65.9

Multiply by 5/9

T = 65.9·5/9 = 36.61 ≈ 36.6 °C

Answer

T = 36.6 °C
4.Nursing math & unit conversions

Answer: t = 615 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

17:00 → 24:00 = 420 min

After midnight

00:00 → 03:15 = 195 min

Total

t = 420 + 195 = 615 min

Answer

t = 615 min

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