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 entering the room of a resident who is blind, what should the nursing assistant do?

  1. ATouch the resident's shoulder silently so as not to startle them
  2. BTurn off the lights because the resident does not need them
  3. CRearrange the furniture to make more space
  4. DKnock, say the resident's name and identify themselves
2.Nursing assistant (CNA) knowledgeHard

While walking, a resident with Parkinson's disease suddenly "freezes" and cannot move his feet. What may help?

  1. AStay calm and give a cue, such as counting a rhythm
  2. BLet go of the gait belt so he can find his balance
  3. CTell him to hurry before he falls
  4. DPull him forward firmly by the arm to restart walking
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C96.9 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 96.9 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

96.9 °F
T = °C
4.Nursing math & unit conversionsHard
00:0018:0007:00t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 18:00 and finishes at 07:00 the next morning (24-hour clock). How many hours t did it run? Give the answer in hours as a decimal, rounded to two decimal places.

18:0007:00
t = h

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · Knock, say the resident's name and identify themselves

Why this is the answer

Saying who you are when you enter, and telling the resident when you leave, prevents fear and confusion. Furniture and belongings are kept in the same places so the resident can find them.

Answer

D · Knock, say the resident's name and identify themselves
2.Nursing assistant (CNA) knowledge

Answer: A · Stay calm and give a cue, such as counting a rhythm

Why this is the answer

Freezing is common in Parkinson's disease. Calm reassurance and cues such as counting, marching in place or stepping over a target can help restart movement. Pulling or rushing can cause a fall.

Answer

A · Stay calm and give a cue, such as counting a rhythm
3.Nursing math & unit conversions

Answer: T = 36.1 °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

96.9 − 32 = 64.9

Multiply by 5/9

T = 64.9·5/9 = 36.06 ≈ 36.1 °C

Answer

T = 36.1 °C
4.Nursing math & unit conversions

Answer: t = 13 h

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

18:00 → 24:00 = 360 min

After midnight

00:00 → 07:00 = 420 min

Total

360 + 420 = 780 min
t = 780/60 = 13 h

Answer

t = 13 h

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