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

Where should the nursing assistant walk when helping a resident with one-sided weakness to walk?

  1. AIn front of the resident, pulling them gently by the hands
  2. BA few steps behind, without touching the resident
  3. CBeside the resident on the stronger side
  4. DSlightly behind the resident on the weaker side, holding the gait belt
2.Nursing assistant (CNA) knowledgeHard

A resident is confused, breathes through her mouth and has a history of seizures. Which temperature method is usually safest?

  1. AAn oral digital thermometer held in the teeth
  2. BSkipping her temperature for the whole day
  3. CAn oral glass thermometer under the tongue
  4. DA tympanic (ear) or temporal artery thermometer
3.Nursing math & unit conversionsMedium
12345678910111211:25 PM?23:2500:2522:2511:25

Practice exercise (made-up values, not clinical guidance). A dose is charted at 11:25 PM. Which entry is the same time on the 24-hour clock? Click it.

11:25 PM
  1. 123:25
  2. 200:25
  3. 322:25
  4. 411:25
4.Nursing math & unit conversionsHard
1 tbsp · 3/day · 5 d? mL1 tbsp = 15 mL

Practice exercise (made-up values, not clinical guidance). A prescription reads 1 tbsp of an oral suspension every 8 hours for 5 days. Using 1 tbsp = 15 mL, how many mL V are needed for the whole course?

1 tbspevery 8 hours5 days1 tbsp = 15 mL
V = mL

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · Slightly behind the resident on the weaker side, holding the gait belt

Why this is the answer

The nursing assistant walks slightly behind and to the weak side, with a hand on the gait belt. From there they can support the resident and guide a fall if needed.

Answer

D · Slightly behind the resident on the weaker side, holding the gait belt
2.Nursing assistant (CNA) knowledge

Answer: D · A tympanic (ear) or temporal artery thermometer

Why this is the answer

For a confused resident with seizures and mouth breathing, an oral thermometer is unsafe and inaccurate. An ear or temporal artery thermometer is safe and quick, as allowed by facility policy.

Answer

D · A tympanic (ear) or temporal artery thermometer
3.Nursing math & unit conversions

Answer: 23:25

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

11 PM → 11 + 12 = 23

Answer

23:25

Answer

23:25
4.Nursing math & unit conversions

Answer: V = 225 mL

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 per dose

1 tbsp = 1·15 = 15 mL

Whole course

V = 15 mL × 3/day × 5 = 225 mL

Answer

V = 225 mL

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