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

Which care measure is common for a resident with heart failure?

  1. ARaising the head of the bed to make breathing easier
  2. BAdding extra salt to the resident's meals
  3. CEncouraging the resident to drink as much as possible
  4. DKeeping the resident lying flat at all times
2.Nursing assistant (CNA) knowledgeHard

While cleaning, a chemical splashes into the nursing assistant's eye. What should be done first?

  1. ACover the eye with a bandage and continue working until the break
  2. BFinish the cleaning, then rinse the eye
  3. CFlush the eye with plenty of running water, then report it
  4. DRub the eye to remove the chemical
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C96.4 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 96.4 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

96.4 °F
T = °C
4.Nursing math & unit conversionsHard
50 mL/h? L/day1 day = 24 h1 L = 1000 mL

Practice exercise (made-up values, not clinical guidance). A maintenance infusion runs at 50 mL/h without a break. How many litres V does it deliver in 24 hours?

50 mL/h24 h
V = L

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: A · Raising the head of the bed to make breathing easier

Why this is the answer

Residents with heart failure often breathe more easily with the head raised. Care may also include a low-sodium diet, fluid limits, daily weights and watching for swelling, as the care plan directs.

Answer

A · Raising the head of the bed to make breathing easier
2.Nursing assistant (CNA) knowledge

Answer: C · Flush the eye with plenty of running water, then report it

Why this is the answer

The eye is flushed right away with plenty of water, using the eyewash station if there is one, for as long as the SDS recommends. The injury is then reported and follow-up care obtained.

Answer

C · Flush the eye with plenty of running water, then report it
3.Nursing math & unit conversions

Answer: T = 35.8 °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

96.4 − 32 = 64.4

Multiply by 5/9

T = 64.4·5/9 = 35.78 ≈ 35.8 °C

Answer

T = 35.8 °C
4.Nursing math & unit conversions

Answer: V = 1.2 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

50 mL/h × 24 h = 1200 mL

In litres

V = 1200/1000 = 1.2 L

Answer

V = 1.2 L

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