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

Which device helps a resident with a weak grip eat independently?

  1. AA drinking straw only
  2. BA blindfold to improve focus
  3. CUtensils with built-up, large handles
  4. DVery thin, lightweight plastic forks
2.Nursing assistant (CNA) knowledgeHard

Before lunch, a resident who has diabetes is pale, sweaty, shaky and confused. What should the nursing assistant do?

  1. ATake the resident's temperature and record it at the end of the shift
  2. BLeave the resident alone in the room while finding a snack
  3. CStay with the resident and get the nurse at once
  4. DLet the resident sleep until lunch arrives
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C97.3 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 97.3 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

97.3 °F
T = °C
4.Nursing math & unit conversionsHard
16.3 g/dL? g/L1 L = 10 dL

Practice exercise (made-up values, not clinical guidance). A haemoglobin result is 16.3 g/dL. Express it in g/L Hb.

16.3 g/dL1 L = 10 dL
Hb = g/L

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: C · Utensils with built-up, large handles

Why this is the answer

Built-up or padded handles are easier to grasp for residents with arthritis or weakness. Other aids include plate guards, scoop dishes and cups with handles. The occupational therapist often recommends them.

Answer

C · Utensils with built-up, large handles
2.Nursing assistant (CNA) knowledge

Answer: C · Stay with the resident and get the nurse at once

Why this is the answer

Shakiness, sweating, pallor and confusion suggest hypoglycemia, which can quickly become an emergency. The nursing assistant stays with the resident, calls the nurse immediately and follows the nurse's instructions, for example about giving a sugary drink.

Answer

C · Stay with the resident and get the nurse at once
3.Nursing math & unit conversions

Answer: T = 36.3 °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

97.3 − 32 = 65.3

Multiply by 5/9

T = 65.3·5/9 = 36.28 ≈ 36.3 °C

Answer

T = 36.3 °C
4.Nursing math & unit conversions

Answer: Hb = 163 g/L

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.

Convert

Hb = 16.3 g/dL × 10 dL/L = 163 g/L

Answer

Hb = 163 g/L

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