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 a new resident is admitted, which task is often done by the nursing assistant?

  1. AExplaining the resident's diagnosis to the family
  2. BDeciding which medicines the resident will take each day
  3. CWriting the resident's care plan and the first nursing assessment
  4. DMeasuring height, weight and vital signs and listing belongings
2.Nursing assistant (CNA) knowledgeHard

A nursing assistant finds a resident unresponsive and not breathing normally. There is no DNR order. What should the nursing assistant do first?

  1. ALeave the resident to look for the resident's chart
  2. BWait a few minutes to see if breathing returns
  3. CGive the resident a glass of water
  4. DCall for help and start CPR if trained
3.Nursing math & unit conversionsMedium
14.9894 mL? mLround to 0.1 mL

Practice exercise (made-up values, not clinical guidance). A dose calculation for an injection gives 14.9894 mL. The rule in this exercise is that volumes of 1 mL or more are rounded to the nearest tenth of a mL. What value x do you record?

14.9894 mL
x = mL
4.Nursing math & unit conversionsHard
00:0023:2007:15t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 23:20 and finishes at 07:15 the next morning (24-hour clock). How many minutes t did it run?

23:2007:15
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · Measuring height, weight and vital signs and listing belongings

Why this is the answer

On admission, nursing assistants often take baseline measurements, list belongings on an inventory form and help the resident settle in. The nurse assesses the resident and plans care.

Answer

D · Measuring height, weight and vital signs and listing belongings
2.Nursing assistant (CNA) knowledge

Answer: D · Call for help and start CPR if trained

Why this is the answer

For an unresponsive person who is not breathing normally, the rescuer calls for help, activates the emergency system and, if trained, begins CPR right away. An AED is used as soon as it is available.

Answer

D · Call for help and start CPR if trained
3.Nursing math & unit conversions

Answer: x = 15 mL

Rounding: look at the digit just after the place you round to: 5 or more rounds up, 4 or less leaves the digit as it is. Round only the final answer, never the steps. Typical exam rules: volumes of 1 mL or more to the nearest tenth, volumes below 1 mL to the nearest hundredth, drip rates to whole drops and weights to one decimal place; always follow the rule the question states.

Digit in the tenths place

14.9894 → 9

Only the next digit decides

14.9894 → 8
8 is 5 or more, so round 9 up.
The digits after it (94) are ignored: round once, never step by step.

Round

x = 15 mL

Answer

x = 15 mL
4.Nursing math & unit conversions

Answer: t = 475 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

23:20 → 24:00 = 40 min

After midnight

00:00 → 07:15 = 435 min

Total

t = 40 + 435 = 475 min

Answer

t = 475 min

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