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.

New problemsBack to the course

In the print window, choose “Save as PDF” to keep a copy on your device.

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

During postmortem care, how is the body usually positioned?

  1. ASitting upright in a chair
  2. BOn the left side, with the knees bent
  3. COn the back, with a pillow under the head and shoulders
  4. DOn the stomach, with the face turned down toward the mattress
2.Nursing assistant (CNA) knowledgeHard

A resident who is usually alert and oriented is suddenly confused today. Her urine is dark and has a strong smell. What should the nursing assistant report?

  1. ANothing, because these changes are part of normal aging
  2. BOnly the confusion, and only at the end of the shift
  3. CThe new confusion and the change in the urine, right away
  4. DOnly the change in the urine, because confusion is normal in older people
3.Nursing math & unit conversionsMedium
9.4788 mL? mLround to 0.1 mL

Practice exercise (made-up values, not clinical guidance). A dose calculation for an injection gives 9.4788 mL. The rule in this exercise is that volumes of 1 mL or more are rounded to the nearest tenth of a mL. What value x do you record?

9.4788 mL
x = mL
4.Nursing math & unit conversionsHard
½ tbsp · 2/day · 7 d? × 150 mL1 tbsp = 15 mL

Practice exercise (made-up values, not clinical guidance). A prescription reads ½ tbsp of an oral suspension every 12 hours for 7 days. The suspension comes in 150 mL bottles. Using 1 tbsp = 15 mL, how many whole bottles N must be supplied so the course is complete?

½ tbspevery 12 hours7 days150 mL1 tbsp = 15 mL
N =

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: C · On the back, with a pillow under the head and shoulders

Why this is the answer

The body is placed on the back with the head and shoulders raised on a pillow so blood does not pool in the face and discolor it. The eyes are gently closed and the body is handled with respect.

Answer

C · On the back, with a pillow under the head and shoulders
2.Nursing assistant (CNA) knowledge

Answer: C · The new confusion and the change in the urine, right away

Why this is the answer

Sudden confusion is never just "normal aging". Combined with dark, strong-smelling urine it may point to dehydration or a urinary tract infection. Both observations are reported to the nurse at once.

Answer

C · The new confusion and the change in the urine, right away
3.Nursing math & unit conversions

Answer: x = 9.5 mL

Rounding: look at the digit just after the place you round to: 5 or more rounds up, 4 or less leaves the digit as it is. Round only the final answer, never the steps. Typical exam rules: volumes of 1 mL or more to the nearest tenth, volumes below 1 mL to the nearest hundredth, drip rates to whole drops and weights to one decimal place; always follow the rule the question states.

Digit in the tenths place

9.4788 → 4

Only the next digit decides

9.4788 → 7
7 is 5 or more, so round 4 up.
The digits after it (88) are ignored: round once, never step by step.

Round

x = 9.5 mL

Answer

x = 9.5 mL
4.Nursing math & unit conversions

Answer: N = 1

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

7.5 mL × 2 × 7 = 105 mL

Bottles

105/150 = 0.7 → N = 1

Answer

N = 1

This is independent practice material. ExamProblems is not affiliated with or endorsed by the organisation that runs this exam, and the exam name is used only to describe the content.

ExamProblems · examproblems.com/courses/cna-practice-test