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

Before a nursing assistant helps a resident with one-sided weakness move from the bed to a wheelchair, where is the wheelchair placed?

  1. ANext to the bed on the resident's weaker side, with the brakes locked
  2. BOn the stronger side, next to the bed, brakes locked
  3. CBehind the resident, so they can sit back into it
  4. DOn the stronger side, with the brakes off so it can be adjusted
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant finds a pill on the floor of a resident's room. What should the nursing assistant do?

  1. AGive it to the nurse and say where it was found
  2. BPut it in the resident's drawer for later
  3. CGive it to the resident with a glass of water
  4. DThrow it in the trash can
3.Nursing math & unit conversionsMedium
150 cm1 in = 2.54 cmh = ? in

Practice exercise (made-up values, not clinical guidance). A patient is 150 cm tall. Using 1 in = 2.54 cm, find the height h in inches. Round to one decimal place.

150 cm1 in = 2.54 cm
h = in
4.Nursing math & unit conversionsHard
00:0023:1003:25t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 23:10 and finishes at 03:25 the next morning (24-hour clock). How many hours t did it run? Give the answer in hours as a decimal, rounded to two decimal places.

23:1003:25
t = h

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: B · On the stronger side, next to the bed, brakes locked

Why this is the answer

The chair goes on the stronger side so the resident can stand and pivot on the strong leg. The brakes are locked, the footrests moved out of the way and the resident wears non-slip footwear and a gait belt.

Answer

B · On the stronger side, next to the bed, brakes locked
2.Nursing assistant (CNA) knowledge

Answer: A · Give it to the nurse and say where it was found

Why this is the answer

A pill on the floor may mean a dose was missed or dropped. The nurse needs to know in order to check which medicine it is and what to do. Nursing assistants do not give or throw away medicines.

Answer

A · Give it to the nurse and say where it was found
3.Nursing math & unit conversions

Answer: h = 59.1 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 = 150/2.54 = 59.06 ≈ 59.1 in

Answer

h = 59.1 in
4.Nursing math & unit conversions

Answer: t = 4.25 h

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

23:10 → 24:00 = 50 min

After midnight

00:00 → 03:25 = 205 min

Total

50 + 205 = 255 min
t = 255/60 = 4.25 h

Answer

t = 4.25 h

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