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

A resident is receiving a tube feeding. How should the head of the bed be positioned?

  1. ARaised, usually at least 30 degrees
  2. BFlat, with the resident lying on the back
  3. CLowered below the level of the feet
  4. DRaised only during the night
2.Nursing assistant (CNA) knowledgeHard

A resident tells the nursing assistant that her tightly curled hair needs special care. What is the best approach?

  1. AAsk about her usual products and routine, and use a wide-tooth comb
  2. BWash it every day with strong shampoo
  3. CUse the same routine as for every other resident
  4. DBrush it hard each day with a fine-tooth comb to straighten out the curls
3.Nursing math & unit conversionsMedium
56.9122 kg? kground to 0.1 kg

Practice exercise (made-up values, not clinical guidance). A weight conversion gives 56.9122 kg. The rule in this exercise is that weights are rounded to the nearest tenth of a kilogram. What value x do you record?

56.9122 kg
x = kg
4.Nursing math & unit conversionsHard
40 mcg/min? mg/h1 h = 60 min1 mg = 1000 mcg

Practice exercise (made-up values, not clinical guidance). An infusion delivers 40 mcg/min. Express this dose rate D in mg/h.

40 mcg/min1 h = 60 min1 mg = 1000 mcg
D = mg/h

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · Raised, usually at least 30 degrees

Why this is the answer

The head of the bed is kept raised, usually 30 degrees or more, during the feeding and for a time afterward to reduce the risk of aspiration. The nursing assistant does not adjust the tube or the pump.

Answer

A · Raised, usually at least 30 degrees
2.Nursing assistant (CNA) knowledge

Answer: A · Ask about her usual products and routine, and use a wide-tooth comb

Why this is the answer

Hair care differs between people and cultures. Asking about the resident's preferences and products, and using a wide-tooth comb, respects her and prevents breakage and discomfort.

Answer

A · Ask about her usual products and routine, and use a wide-tooth comb
3.Nursing math & unit conversions

Answer: x = 56.9 kg

Rounding: look at the digit just after the place you round to: 5 or more rounds up, 4 or less leaves the digit as it is. Round only the final answer, never the steps. Typical exam rules: volumes of 1 mL or more to the nearest tenth, volumes below 1 mL to the nearest hundredth, drip rates to whole drops and weights to one decimal place; always follow the rule the question states.

Digit in the tenths place

56.9122 → 9

Only the next digit decides

56.9122 → 1
1 is 4 or less, so 9 stays.
The digits after it (22) are ignored: round once, never step by step.

Round

x = 56.9 kg

Answer

x = 56.9 kg
4.Nursing math & unit conversions

Answer: D = 2.4 mg/h

Dimensional analysis: write the given quantity, then multiply by conversion factors written as fractions (for example 60 min/1 h or 1 mg/1000 mcg) so that each unwanted unit appears once on top and once underneath and cancels. When only the wanted unit is left, calculate. Use the equivalents the question gives and round only the final answer.

Set up the chain

D = 40 mcg/min × (60 min/1 h) × (1 mg/1000 mcg)

Calculate

D = 40·60/1000 = 2.4 mg/h

Answer

D = 2.4 mg/h

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