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

Before a nursing assistant helps a resident with one-sided weakness move from the bed to a wheelchair, where is the wheelchair placed?

  1. ANext to the bed on the resident's weaker side, with the brakes locked
  2. BBehind the resident, so they can sit back into it
  3. COn the stronger side, with the brakes off so it can be adjusted
  4. DOn the stronger side, next to the bed, brakes locked
2.Nursing assistant (CNA) knowledgeHard

While eating, a resident suddenly has a drooping face on one side and slurred speech. What should the nursing assistant do?

  1. AGet the nurse immediately and note the time the signs started
  2. BHelp the resident lie down for a nap
  3. CHelp the resident finish the meal first, then go and tell the nurse
  4. DWait 15 minutes to see whether it passes
3.Nursing math & unit conversionsMedium
94969810010210410635363738394041°F°C103 °F? °C

Practice exercise (made-up values, not clinical guidance). A patient’s temperature is 103 °F. Convert it to degrees Celsius T with °C = (°F − 32) × 5/9. Round to one decimal place.

103 °F
T = °C
4.Nursing math & unit conversionsHard
00:0018:4003:00t = ?

Practice exercise (made-up values, not clinical guidance). An infusion starts at 18:40 and finishes at 03:00 the next morning (24-hour clock). How many minutes t did it run?

18:4003:00
t = min

3Solutions

1.Nursing assistant (CNA) knowledge

Answer: D · On the stronger side, next to the bed, brakes locked

Why this is the answer

The chair goes on the stronger side so the resident can stand and pivot on the strong leg. The brakes are locked, the footrests moved out of the way and the resident wears non-slip footwear and a gait belt.

Answer

D · On the stronger side, next to the bed, brakes locked
2.Nursing assistant (CNA) knowledge

Answer: A · Get the nurse immediately and note the time the signs started

Why this is the answer

Face drooping, arm weakness and speech problems are signs of a stroke (FAST). Treatment depends on time, so the nursing assistant calls the nurse at once, stays with the resident, stops the meal because swallowing may be affected and notes when the signs began.

Answer

A · Get the nurse immediately and note the time the signs started
3.Nursing math & unit conversions

Answer: T = 39.4 °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

103 − 32 = 71

Multiply by 5/9

T = 71·5/9 = 39.44 ≈ 39.4 °C

Answer

T = 39.4 °C
4.Nursing math & unit conversions

Answer: t = 500 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

18:40 → 24:00 = 320 min

After midnight

00:00 → 03:00 = 180 min

Total

t = 320 + 180 = 500 min

Answer

t = 500 min

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