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

A resident with an IV line needs a clean gown. How is the old gown removed?

  1. AFrom the arm with the IV first, after clamping the tubing
  2. BAfter disconnecting the IV tubing from the bag
  3. CBy cutting the sleeve off the IV arm
  4. DFrom the arm without the IV first, then the bag and tubing are slid through the sleeve
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 resident's skin is allergic to the stoma itself
  2. BIts liquid output contains enzymes that irritate the skin
  3. CThe output is hard and dry and scrapes the skin as it passes
  4. DThe pouch is changed too often and pulls off the skin
3.Nursing math & unit conversionsMedium
1234567891011121:35 AM?00:3501:3502:3513:35

Practice exercise (made-up values, not clinical guidance). A dose is charted at 1:35 AM. Which entry is the same time on the 24-hour clock? Click it.

1:35 AM
  1. 100:35
  2. 201:35
  3. 302:35
  4. 413:35
4.Nursing math & unit conversionsHard
1½ tsp · 2/day · 7 d? × 50 mL1 tsp = 5 mL

Practice exercise (made-up values, not clinical guidance). A prescription reads 1½ tsp of an oral suspension twice a day for 7 days. The suspension comes in 50 mL bottles. Using 1 tsp = 5 mL, how many whole bottles N must be supplied so the course is complete?

1½ tsptwice a day7 days50 mL1 tsp = 5 mL
N =

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · From the arm without the IV first, then the bag and tubing are slid through the sleeve

Why this is the answer

The gown comes off the free arm first, then the sleeve is slid over the IV arm and the bag is passed through it, keeping the bag above the IV site. The new gown goes on the IV arm first. Report any problem with the IV to the nurse.

Answer

D · From the arm without the IV first, then the bag and tubing are slid through the sleeve
2.Nursing assistant (CNA) knowledge

Answer: B · 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

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

Answer: 01:35

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

1 AM → 01

Answer

01:35

Answer

01:35
4.Nursing math & unit conversions

Answer: N = 3

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

105/50 = 2.1 → N = 3

Answer

N = 3

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