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

When a resident is discharged, what does the nursing assistant usually do?

  1. AKeep the resident's belongings at the facility until the family asks for them
  2. BDecide whether the resident is ready to go home and sign the discharge
  3. CHelp pack, check belongings against the list and help the resident out safely
  4. DGive the resident instructions about new medicines to take at home
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant wakes up with a fever and a cough before a shift. What is the best action?

  1. AGo to work and wear gloves and a mask all day
  2. BTake a fever reducer at home so the fever does not show, and work
  3. CCall the supervisor before the shift, following facility policy
  4. DGo to work and tell no one
3.Nursing math & unit conversionsMedium
9 lb 1 oz? kg1 lb = 16 oz1 kg = 2.2 lb

Practice exercise (made-up values, not clinical guidance). A newborn weighs 9 lb 1 oz. Using 1 lb = 16 oz and 1 kg = 2.2 lb, find the weight m in kilograms. Round to two decimal places.

9 lb 1 oz1 lb = 16 oz1 kg = 2.2 lb
m = kg
4.Nursing math & unit conversionsHard
½ cup? mL½ tbsp? mL3 tsp? mL6 fl oz? mLΣ = ? mL

Practice exercise (made-up values, not clinical guidance). During a shift a patient takes ½ cup of tea, ½ tbsp of liquid supplement, 3 tsp of cough syrup, 6 fl oz of juice. Using the equivalents given, find the total oral intake V in mL.

1 cup = 8 fl oz = 240 mL1 tbsp = 15 mL1 tsp = 5 mL1 fl oz = 30 mL
V = mL

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: C · Help pack, check belongings against the list and help the resident out safely

Why this is the answer

For discharge, the nursing assistant helps collect and check belongings and assists the resident out safely, often by wheelchair, following policy. The nurse gives medical instructions.

Answer

C · Help pack, check belongings against the list and help the resident out safely
2.Nursing assistant (CNA) knowledge

Answer: C · Call the supervisor before the shift, following facility policy

Why this is the answer

Staff who are ill can spread infection to residents, who are often frail. The nursing assistant follows the facility's illness policy and tells the supervisor before the shift so care can be covered.

Answer

C · Call the supervisor before the shift, following facility policy
3.Nursing math & unit conversions

Answer: m = 4.12 kg

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.

Ounces to pounds

1 oz/16 = 0.0625 lb
9 + 0.0625 = 9.063 lb

Pounds to kilograms

m = 9.063/2.2 = 4.119 ≈ 4.12 kg

Answer

m = 4.12 kg
4.Nursing math & unit conversions

Answer: V = 322.5 mL

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.

Each item in mL

½ cup = 0.5·240 = 120 mL
½ tbsp = 0.5·15 = 7.5 mL
3 tsp = 3·5 = 15 mL
6 fl oz = 6·30 = 180 mL

Add

V = 120 + 7.5 + 15 + 180 = 322.5 mL

Answer

V = 322.5 mL

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