TEAS-style math 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

Pre-nursing math (entrance exam)

Order of operations
parentheses → exponents → × ÷ (left to right) → + − (left to right)
Fractions
a/b + c/d = (ad + bc)/bd, a/b × c/d = ac/bd, a/b ÷ c/d = a/b × d/c
Percent
p% of N = (p/100)·N; percent = part/whole × 100
Percent change
(new − original)/original × 100
Discount, then tax
price × (1 − d/100) × (1 + t/100)
Proportion
a/b = c/d → ad = bc
Mean, median, mode, range
sum/count; middle of ordered list; most frequent; max − min
Length, capacity, time
1 km = 1000 m, 1 m = 100 cm, 1 ft = 12 in, 1 yd = 3 ft, 1 mi = 5280 ft, 1 gal = 4 qt = 16 cups, 1 h = 60 min
Temperature
°F = °C·9/5 + 32, °C = (°F − 32)·5/9; a change of 1 °C = 1.8 °F
Area
rectangle l·w, triangle ½·b·h, circle π·r²
Perimeter and circumference
rectangle 2l + 2w, circle π·d = 2π·r
Volume
box l·w·h, cylinder π·r²·h; 1000 cm³ = 1 L
Speed
distance ÷ time (time in hours for mph or km/h)

Method

  1. Read the last sentence first: what exactly is asked, and in which unit or form (lowest terms, nearest cent, one decimal place)?
  2. Write the numbers in one form: turn mixed numbers into improper fractions, percents into decimals, and hours and minutes into one unit.
  3. Pick the method: PEMDAS for expressions, a common denominator for adding fractions, part ÷ whole × 100 for percents, cross-multiplying for proportions, inverse operations for equations.
  4. Work one step at a time and write each line down; round only at the very end.
  5. Check the size of the answer with an estimate, and put an equation’s answer back in.

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.Pre-nursing math (entrance exam)Medium

Solve for x: 3x − 16 = −40.

3x − 16 = −40
x =
2.Pre-nursing math (entrance exam)Hard
1 1/432 2/91 1/3

A recipe needs 1 2/3 cups of flour. You make 1 1/3 times the recipe. How much do you need? Click the answer in lowest terms.

1 2/3× 1 1/3
  1. 11 1/4
  2. 23
  3. 32 2/9
  4. 41 1/3
3.Nursing math & unit conversionsMedium
49.3058 kg? kground to 0.1 kg

Practice exercise (made-up values, not clinical guidance). A weight conversion gives 49.3058 kg. The rule in this exercise is that weights are rounded to the nearest tenth of a kilogram. What value x do you record?

49.3058 kg
x = kg
4.Nursing math & unit conversionsHard
1½ tsp? mL2 tbsp? mL1½ fl oz? mL2 cups? mLΣ = ? mL

Practice exercise (made-up values, not clinical guidance). During a shift a patient takes 1½ tsp of cough syrup, 2 tbsp of liquid supplement, 1½ fl oz of juice, 2 cups of tea. Using the equivalents given, find the total oral intake V in mL.

1 tsp = 5 mL1 tbsp = 15 mL1 fl oz = 30 mL1 cup = 8 fl oz = 240 mL
V = mL

3Solutions

1.Pre-nursing math (entrance exam)

Answer: x = −8

Solving equations: do the same thing to both sides until x stands alone. Undo operations in reverse order: first undo addition or subtraction, then multiplication or division. Clear parentheses with the distributive property, a(x + b) = ax + ab, and collect the x terms on one side. Check the answer by substituting it back.

Add 16 to both sides.

3x = −24

Divide both sides by 3.

x = −8

Check

3·(−8) − 16 = −40

Answer

x = −8
2.Pre-nursing math (entrance exam)

Answer: 2 2/9

Multiplying and dividing fractions: first turn mixed numbers into improper fractions (2 1/3 = 7/3). To multiply, multiply the numerators and the denominators. To divide, keep the first fraction, change ÷ to ×, and flip the second fraction (multiply by its reciprocal). Cancel common factors and write the result in lowest terms as a mixed number.

Improper fractions

1 2/3 = 5/3
1 1/3 = 4/3

Multiply

5/3 × 4/3 = 20/9 = 2 2/9

Answer

2 2/9
3.Nursing math & unit conversions

Answer: x = 49.3 kg

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

49.3058 → 3

Only the next digit decides

49.3058 → 0
0 is 4 or less, so 3 stays.
The digits after it (58) are ignored: round once, never step by step.

Round

x = 49.3 kg

Answer

x = 49.3 kg
4.Nursing math & unit conversions

Answer: V = 562.5 mL

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.

Each item in mL

1½ tsp = 1.5·5 = 7.5 mL
2 tbsp = 2·15 = 30 mL
1½ fl oz = 1.5·30 = 45 mL
2 cups = 2·240 = 480 mL

Add

V = 7.5 + 30 + 45 + 480 = 562.5 mL

Answer

V = 562.5 mL

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