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

When feeding a resident, where should the nursing assistant sit?

  1. ABehind the resident so the resident is not distracted
  2. BStanding over the resident to reach the tray easily
  3. CBeside the bed, facing the television
  4. DAt the resident's eye level, facing the resident
2.Nursing assistant (CNA) knowledgeHard

A resident with an ileostomy has red, sore skin around the stoma. Why is the skin around an ileostomy at special risk?

  1. AThe pouch is changed too often and pulls off the skin
  2. BThe resident's skin is allergic to the stoma itself
  3. CThe output is hard and dry and scrapes the skin as it passes
  4. DIts liquid output contains enzymes that irritate the skin
3.Nursing math & unit conversionsMedium
164 cm1 in = 2.54 cmh = ? in

Practice exercise (made-up values, not clinical guidance). A patient is 164 cm tall. Using 1 in = 2.54 cm, find the height h in inches. Round to one decimal place.

164 cm1 in = 2.54 cm
h = in
4.Nursing math & unit conversionsHard
00:0023:4504:55t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 23:45 and finishes at 04:55 the next morning (24-hour clock). How many minutes t did it run?

23:4504:55
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · At the resident's eye level, facing the resident

Why this is the answer

Sitting at eye level facing the resident is respectful, allows conversation and lets the nursing assistant watch for chewing and swallowing problems. Standing over a resident can feel rushed and controlling.

Answer

D · At the resident's eye level, facing the resident
2.Nursing assistant (CNA) knowledge

Answer: D · Its liquid output contains enzymes that irritate the skin

Why this is the answer

Stool from the small intestine is liquid and contains digestive enzymes, which can quickly damage the skin. A well-fitting pouch, prompt emptying and reporting skin changes protect the skin.

Answer

D · Its liquid output contains enzymes that irritate the skin
3.Nursing math & unit conversions

Answer: h = 64.6 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 = 164/2.54 = 64.57 ≈ 64.6 in

Answer

h = 64.6 in
4.Nursing math & unit conversions

Answer: t = 310 min

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

23:45 → 24:00 = 15 min

After midnight

00:00 → 04:55 = 295 min

Total

t = 15 + 295 = 310 min

Answer

t = 310 min

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