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

What is a chemical restraint?

  1. AA drug used to control behavior for convenience, not as treatment
  2. BA soft belt that is treated with a chemical to keep it clean
  3. CA medicine that is given to relieve pain
  4. DA cleaning chemical that is kept locked away from the residents
2.Nursing assistant (CNA) knowledgeHard

A dying resident no longer wants to eat or drink. Her family urges the nursing assistant to make her eat. What should the nursing assistant do?

  1. AFeed her the whole meal even if she turns her head away from the spoon
  2. BStop offering any food or drink
  3. CTell the family that eating no longer matters and nothing can be done
  4. DOffer small amounts if she wants them, never force, and tell the nurse
3.Nursing math & unit conversionsMedium
12345678910111209:00?11:00 AM9:00 PM8:00 AM9:00 AM

Practice exercise (made-up values, not clinical guidance). A dose is charted at 09:00 (24-hour clock). Which entry is the same time on the 12-hour clock? Click it.

09:00
  1. 111:00 AM
  2. 29:00 PM
  3. 38:00 AM
  4. 49:00 AM
4.Nursing math & unit conversionsHard
1½ tsp · 3/day · 10 d? mL1 tsp = 5 mL

Practice exercise (made-up values, not clinical guidance). A prescription reads 1½ tsp of an oral suspension every 8 hours for 10 days. Using 1 tsp = 5 mL, how many mL V are needed for the whole course?

1½ tspevery 8 hours10 days1 tsp = 5 mL
V = mL

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · A drug used to control behavior for convenience, not as treatment

Why this is the answer

A chemical restraint is a drug given to control behavior or movement for discipline or convenience rather than to treat a medical condition. Like physical restraints, it is restricted by law and residents' rights.

Answer

A · A drug used to control behavior for convenience, not as treatment
2.Nursing assistant (CNA) knowledge

Answer: D · Offer small amounts if she wants them, never force, and tell the nurse

Why this is the answer

Near death, the body needs less food and fluid, and forcing it can cause choking and discomfort. The resident's wishes are respected, mouth care keeps her comfortable, and the nurse can talk with the family.

Answer

D · Offer small amounts if she wants them, never force, and tell the nurse
3.Nursing math & unit conversions

Answer: 9:00 AM

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.

Convert the hour

09 → 9 AM

Answer

9:00 AM

Answer

9:00 AM
4.Nursing math & unit conversions

Answer: V = 225 mL

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.

Volume per dose

1½ tsp = 1.5·5 = 7.5 mL

Whole course

V = 7.5 mL × 3/day × 10 = 225 mL

Answer

V = 225 mL

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