Oh don't worry, I'm with the pencil and graph paper generation too! Typewriters, books, I probably even have a slide rule somewhere (although to be honest, it was my dad's and I never used it). (omgoodness, and don't get me started how computers have massacred spelling and punctuation!)
The biggest change that you have to get used to, is that with pencil and paper, you typically start measuring things before you start to draw. In Inkscape, you draw something first, and then make it the right size. If there's some reason you need to measure first, there are ways to do it, but they aren't obvious for beginners.
So let me just clarify this. At first you said you needed to print on an a4 paper. Are you saying now that you don't need any output. You're not going to print, or send it to a cutter, or 3d printer or anything. You don't need any physical object as a result, and it will all be on the computer screen. Right?
In that case, does it really matter if the whole area is precisely, 550 mm x 210 mm in real world units? As long as everything is in the correct proportion, you can get what you need without the headache of creating real world sizes.
Given all the changes you mentioned trying earlier, it sounds like you might have changed something that would cause trouble. So I still suggest the process I outlined above, about closing Inkscape, deleting preferences.xml, and opening Inkscape again. Then don't touch the Display Units or the Scale settings. Everything is perfect for you already. The canvas and rulers, and all the tools are set for mm.
Then, just start drawing. Actually....did I already say this? I would suggest looking at Help menu > Tutorials > Basic. And also the 2nd one, Shapes. And maybe even the one titled "Advanced" although it really isn't all that advanced. It's a beginner's introduction to paths. Those 2 or 3 will get you familiar with most everything you will need.
Or you could also look on the Home tab (our huge lists of links to tutorials all over the internet) in the Beginner Skills block. Some videos there, if you prefer.