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

Why are antibiotic-resistant germs such as MRSA a concern in care facilities?

  1. AThey are hard to treat and spread easily on hands and equipment
  2. BThey spread only through the air, so hand hygiene does not help
  3. CThey can be killed easily by any antibiotic the doctor orders
  4. DThey only cause illness in young, healthy adults
2.Nursing assistant (CNA) knowledgeHard

A resident spills hot coffee on her thigh. The skin is red and painful. What should the nursing assistant do?

  1. ACover it with a blanket and say nothing
  2. BCool it with cool water and tell the nurse right away
  3. CPut an ice pack directly on the skin for an hour
  4. DRub butter on the area to soothe the burned skin
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C105.2 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 105.2 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

105.2 °F
T = °C
4.Nursing math & unit conversionsHard
120 mL/h? L/day1 day = 24 h1 L = 1000 mL

Practice exercise (made-up values, not clinical guidance). A maintenance infusion runs at 120 mL/h without a break. How many litres V does it deliver in 24 hours?

120 mL/h24 h
V = L

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · They are hard to treat and spread easily on hands and equipment

Why this is the answer

Multidrug-resistant organisms such as MRSA do not respond to many antibiotics and can spread between residents on hands, equipment and surfaces. Hand hygiene and contact precautions help stop them.

Answer

A · They are hard to treat and spread easily on hands and equipment
2.Nursing assistant (CNA) knowledge

Answer: B · Cool it with cool water and tell the nurse right away

Why this is the answer

A burn is cooled promptly with cool water, and any clothing that is soaked with the hot drink but not stuck to the skin is removed. The nurse assesses the burn. Butter and ice can worsen the injury.

Answer

B · Cool it with cool water and tell the nurse right away
3.Nursing math & unit conversions

Answer: T = 40.7 °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

105.2 − 32 = 73.2

Multiply by 5/9

T = 73.2·5/9 = 40.67 ≈ 40.7 °C

Answer

T = 40.7 °C
4.Nursing math & unit conversions

Answer: V = 2.88 L

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 in a day

120 mL/h × 24 h = 2880 mL

In litres

V = 2880/1000 = 2.88 L

Answer

V = 2.88 L

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