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 resident's heels be protected while the resident lies on the back?

  1. APut a rubber ring under each heel to spread the pressure
  2. BPlace a soft pillow directly under both heels
  3. CPut a pillow under the calves so the heels are off the bed
  4. DTuck the top sheet tightly over the feet to keep them still
2.Nursing assistant (CNA) knowledgeHard

At lunch, a resident suddenly grabs her throat, cannot speak and is not coughing. What should the nursing assistant do?

  1. AWait to see whether she starts to cough
  2. BPat her back while giving her sips of water
  3. CLay her flat in bed to rest
  4. DCall for help and give abdominal thrusts
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C99 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 99 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

99 °F
T = °C
4.Nursing math & unit conversionsHard
00:0022:2502:10t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 22:25 and finishes at 02:10 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.

22:2502:10
t = h

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: C · Put a pillow under the calves so the heels are off the bed

Why this is the answer

A pillow lengthwise under the calves lifts the heels off the mattress and removes pressure. Tight top sheets push the feet down, and rings or donuts can reduce blood flow around the area.

Answer

C · Put a pillow under the calves so the heels are off the bed
2.Nursing assistant (CNA) knowledge

Answer: D · Call for help and give abdominal thrusts

Why this is the answer

Hands at the throat and an inability to speak or cough mean a severe airway obstruction. Ask "Are you choking?", call for help and give abdominal thrusts (in many courses, back blows are also taught) until the object comes out or she becomes unresponsive. Water could make it worse.

Answer

D · Call for help and give abdominal thrusts
3.Nursing math & unit conversions

Answer: T = 37.2 °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

99 − 32 = 67

Multiply by 5/9

T = 67·5/9 = 37.22 ≈ 37.2 °C

Answer

T = 37.2 °C
4.Nursing math & unit conversions

Answer: t = 3.75 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

22:25 → 24:00 = 95 min

After midnight

00:00 → 02:10 = 130 min

Total

95 + 130 = 225 min
t = 225/60 = 3.75 h

Answer

t = 3.75 h

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