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 signs are typical of Parkinson's disease?

  1. AA fast heartbeat, sweating and shakiness from low blood sugar
  2. BSudden weakness on one side and slurred speech
  3. CTremor, stiff muscles, slow movement and a shuffling walk
  4. DHigh fever, stiff neck and a rash
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant is assigned to a resident on airborne precautions but has never been fit-tested for an N95 respirator. What should the nursing assistant do?

  1. AWear a surgical mask instead and keep the visit short
  2. BWear two surgical masks, one over the other, for extra protection
  3. CTell the nurse before entering the room
  4. DEnter without a mask if the care takes less than 5 minutes
3.Nursing math & unit conversionsMedium
160 cm1 in = 2.54 cmh = ? in

Practice exercise (made-up values, not clinical guidance). A patient is 160 cm tall. Using 1 in = 2.54 cm, find the height h in inches. Round to one decimal place.

160 cm1 in = 2.54 cm
h = in
4.Nursing math & unit conversionsHard
00:0019:0002:55t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 19:00 and finishes at 02:55 the next morning (24-hour clock). How many minutes t did it run?

19:0002:55
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: C · Tremor, stiff muscles, slow movement and a shuffling walk

Why this is the answer

Parkinson's disease causes tremor (often at rest), rigidity, slow movement and a shuffling gait with poor balance. Residents are at high risk of falls and may have swallowing problems.

Answer

C · Tremor, stiff muscles, slow movement and a shuffling walk
2.Nursing assistant (CNA) knowledge

Answer: C · Tell the nurse before entering the room

Why this is the answer

An N95 respirator protects only when it fits and seals, so workers must be fit-tested before using one. Surgical masks, even doubled, do not filter airborne particles well enough. The nursing assistant tells the nurse before entering the room.

Answer

C · Tell the nurse before entering the room
3.Nursing math & unit conversions

Answer: h = 63 in

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.

Centimetres to inches

h = 160/2.54 = 62.99 ≈ 63 in

Answer

h = 63 in
4.Nursing math & unit conversions

Answer: t = 475 min

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

19:00 → 24:00 = 300 min

After midnight

00:00 → 02:55 = 175 min

Total

t = 300 + 175 = 475 min

Answer

t = 475 min

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