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

How can a nursing assistant make daily weights as accurate as possible?

  1. ASame time, same scale, similar clothing, after urinating
  2. BWearing shoes and a coat, so the clothing is always the same
  3. CAny time of day, as long as the scale is checked beforehand
  4. DRight after breakfast, so the resident has more energy
2.Nursing assistant (CNA) knowledgeHard

During a transfer, a nursing assistant notices a small new skin tear on the resident's forearm. What should the nursing assistant do?

  1. ALeave it, because small skin tears heal on their own
  2. BCover it with adhesive tape so the resident does not notice it
  3. CMention it only if the family asks about it
  4. DReport it to the nurse and handle the arm more gently
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C104.6 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 104.6 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

104.6 °F
T = °C
4.Nursing math & unit conversionsHard
2 tsp · 4/day · 7 d? × 150 mL1 tsp = 5 mL

Practice exercise (made-up values, not clinical guidance). A prescription reads 2 tsp of an oral suspension four times a day for 7 days. The suspension comes in 150 mL bottles. Using 1 tsp = 5 mL, how many whole bottles N must be supplied so the course is complete?

2 tspfour times a day7 days150 mL1 tsp = 5 mL
N =

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · Same time, same scale, similar clothing, after urinating

Why this is the answer

Weight is measured at the same time of day, on the same scale, in similar clothing and after the resident has emptied the bladder. A sudden change is reported because it may mean fluid gain or loss.

Answer

A · Same time, same scale, similar clothing, after urinating
2.Nursing assistant (CNA) knowledge

Answer: D · Report it to the nurse and handle the arm more gently

Why this is the answer

Skin tears are injuries that are reported and documented, and the nurse decides how to treat them. Older skin is fragile: lift rather than drag, support the limbs and avoid adhesive tape on the skin.

Answer

D · Report it to the nurse and handle the arm more gently
3.Nursing math & unit conversions

Answer: T = 40.3 °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

104.6 − 32 = 72.6

Multiply by 5/9

T = 72.6·5/9 = 40.33 ≈ 40.3 °C

Answer

T = 40.3 °C
4.Nursing math & unit conversions

Answer: N = 2

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.

Total volume

10 mL × 4 × 7 = 280 mL

Bottles

280/150 = 1.867 → N = 2

Answer

N = 2

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