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

While measuring blood pressure with a stethoscope, which sound gives the systolic reading?

  1. AThe first clear sound heard as the cuff deflates
  2. BThe sound heard when the cuff is fully inflated
  3. CThe last sound heard before silence
  4. DThe loudest sound heard during deflation
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant wakes up with a fever and a cough before a shift. What is the best action?

  1. ATake a fever reducer at home so the fever does not show, and work
  2. BCall the supervisor before the shift, following facility policy
  3. CGo to work and tell no one
  4. DGo to work and wear gloves and a mask all day
3.Nursing math & unit conversionsMedium
1234567891011127:05 AM?08:0507:0519:0506:05

Practice exercise (made-up values, not clinical guidance). A dose is charted at 7:05 AM. Which entry is the same time on the 24-hour clock? Click it.

7:05 AM
  1. 108:05
  2. 207:05
  3. 319:05
  4. 406:05
4.Nursing math & unit conversionsHard
25 mcg/min? mg/h1 h = 60 min1 mg = 1000 mcg

Practice exercise (made-up values, not clinical guidance). An infusion delivers 25 mcg/min. Express this dose rate D in mg/h.

25 mcg/min1 h = 60 min1 mg = 1000 mcg
D = mg/h

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · The first clear sound heard as the cuff deflates

Why this is the answer

As the cuff deflates, the first clear tapping sound is the systolic pressure. The point where the sounds disappear is the diastolic pressure.

Answer

A · The first clear sound heard as the cuff deflates
2.Nursing assistant (CNA) knowledge

Answer: B · Call the supervisor before the shift, following facility policy

Why this is the answer

Staff who are ill can spread infection to residents, who are often frail. The nursing assistant follows the facility's illness policy and tells the supervisor before the shift so care can be covered.

Answer

B · Call the supervisor before the shift, following facility policy
3.Nursing math & unit conversions

Answer: 07:05

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

7 AM → 07

Answer

07:05

Answer

07:05
4.Nursing math & unit conversions

Answer: D = 1.5 mg/h

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.

Set up the chain

D = 25 mcg/min × (60 min/1 h) × (1 mg/1000 mcg)

Calculate

D = 25·60/1000 = 1.5 mg/h

Answer

D = 1.5 mg/h

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