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 with dementia asks the same question many times. What should the nursing assistant do?

  1. AIgnore the question until she stops asking
  2. BRemind her she has already asked several times
  3. CTell her to write the answer down and stop asking
  4. DAnswer calmly each time, using the same simple words
2.Nursing assistant (CNA) knowledgeHard

A resident at high risk for falls keeps trying to get up alone at night to use the bathroom. Which plan is most helpful?

  1. AKeep the room completely dark so the resident sleeps through the night
  2. BOffer toileting on a regular schedule, including before bed
  3. CTie the resident to the bed with a sheet at night
  4. DRaise the bed to its highest position at night
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C102.5 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 102.5 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

102.5 °F
T = °C
4.Nursing math & unit conversionsHard
150 mL/h? L/day1 day = 24 h1 L = 1000 mL

Practice exercise (made-up values, not clinical guidance). A maintenance infusion runs at 150 mL/h without a break. How many litres V does it deliver in 24 hours?

150 mL/h24 h
V = L

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · Answer calmly each time, using the same simple words

Why this is the answer

Memory loss means the resident may not remember the earlier answer. Patiently answering in the same calm, simple way, or gently redirecting her, reduces frustration. Pointing out the repetition can cause embarrassment.

Answer

D · Answer calmly each time, using the same simple words
2.Nursing assistant (CNA) knowledge

Answer: B · Offer toileting on a regular schedule, including before bed

Why this is the answer

Regular toileting, a night light, a low bed and the call light within reach reduce the reason to get up alone and the chance of injury. Tying a resident down is an illegal restraint and raises the risk of harm.

Answer

B · Offer toileting on a regular schedule, including before bed
3.Nursing math & unit conversions

Answer: T = 39.2 °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

102.5 − 32 = 70.5

Multiply by 5/9

T = 70.5·5/9 = 39.17 ≈ 39.2 °C

Answer

T = 39.2 °C
4.Nursing math & unit conversions

Answer: V = 3.6 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.

Volume in a day

150 mL/h × 24 h = 3600 mL

In litres

V = 3600/1000 = 3.6 L

Answer

V = 3.6 L

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