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 wears a nasal cannula. Where should the nursing assistant check for skin irritation?

  1. AOn the soles of the feet and the heels
  2. BUnder the arms and around the neck
  3. COn the back of the hands
  4. DBehind the ears and around the nostrils
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. AStay with the resident and get the nurse at once
  2. BLeave the resident alone in the room while finding a snack
  3. CLet the resident sleep until lunch arrives
  4. DTake the resident's temperature and record it at the end of the shift
3.Nursing math & unit conversionsMedium
1234567891011129:50 PM?21:5022:5020:5009:50

Practice exercise (made-up values, not clinical guidance). A dose is charted at 9:50 PM. Which entry is the same time on the 24-hour clock? Click it.

9:50 PM
  1. 121:50
  2. 222:50
  3. 320:50
  4. 409:50
4.Nursing math & unit conversionsHard
00:0023:0500:15t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 23:05 and finishes at 00:15 the next morning (24-hour clock). How many minutes t did it run?

23:0500:15
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · Behind the ears and around the nostrils

Why this is the answer

Cannula tubing presses on the skin behind the ears, on the cheeks and in and around the nostrils. These areas can become sore and are checked often, with any irritation reported.

Answer

D · Behind the ears and around the nostrils
2.Nursing assistant (CNA) knowledge

Answer: A · 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

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

Answer: 21:50

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.

Convert the hour

9 PM → 9 + 12 = 21

Answer

21:50

Answer

21:50
4.Nursing math & unit conversions

Answer: t = 70 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

23:05 → 24:00 = 55 min

After midnight

00:00 → 00:15 = 15 min

Total

t = 55 + 15 = 70 min

Answer

t = 70 min

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