CNAP + HHA Exam Study Guide
(NA 309) Exam 2025 Questions and
Answers 100% Pass
With an autoimmune illness the body/s ___________ system attacks normal tissue -
✔✔Immune system
What does osteoporosis cause? - ✔✔A common type of arthritis that affects the elderly.
It may occur with aging or as the result of joint injury. Hips and knees, which are
weight-bearing joints, are usually affected. Joints of the fingers, thumbs, and spine can
also be affected. Pain and stiffness seem to increase in cold or damp weather.
Read Guidelines for caring for resident who have had hip replacements - ✔✔Keep
often-used items, such as medications, telephone, tissues, call light, and water, within
easy reach. Avoid placing items in high places.
Dress starting with the affected side first. Never rush the resident. Use praise and
encouragement often. Do this even for small tasks.
Ask the nurse to give pain medication prior to moving and positioning if needed.
Have the resident sit to do tasks if allowed. This saves energy. Follow the care plan
exactly, even if the resident wants to do more. Follow orders for weight-bearing.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,An order may be written as partial weight bearing (PWB) or non-weight bearing
(NWB).
Partial weight bearing means the resident is able to support some weight on one or both
legs.
Non-weight bearing means the resident is unable to support any weight on one or both
legs.
Full weight bearing (FWB) means that one or both legs can bear 100 percent of the body
weight on a step. Assist resident as needed with cane, walker, or crutches. Never
perform range of motion exercises on a leg on the side of a hip replacement unless
directed by the nurse. Caution the resident not to sit with his or her legs crossed or turn
toes inward. The hip cannot be bent or flexed more than 90 degrees. It cannot be turned
inward or outward
When preparing to transfer the resident from the bed, a pillow should be used between
the thighs to keep the legs separated. The head of the bed can be raised to allow the
resident to move her legs over the side of the bed with the thighs still separated. It is
better to transfer from the bed on the side where the unaffected hip is so that the strong
side leads in standing, pivoting, and sitting. With chair or toilet transfers, the operative
leg/knee should be straightened. The strong leg should stand first (with a walker or
crutches) before bringing the foot of the affected leg back to the
What does an anti-embolic stocking do? - ✔✔They aid circulation
What is a phantom sensation? - ✔✔After amputation, some people feel that the limb is
still there. They may feel pain in the part that has been amputated. It may last for a
short time or for several years - the pain is real from remaining nerve endings - never
ignore or ridicule.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
, For a resident who has had a stroke - know what side should lead, what side to stand
on, how to refer to the weaker side, and if use of a gait belt is helpful to transfer resident
- ✔✔Weaknesses on the right side show that the left side of the brain was affected.
Weaknesses on the left side show that the right side of the brain was affected.
Assist the resident on their weaker side, Never use the term 'bad' but use weaker or
involved.
Always use a gait belt for safety.
Stand on the weaker side. Support the weaker (involved) side. Lead with the stronger
(uninvolved) side
Read Guidelines: Multiple Sclerosis - ✔✔A progressive disease that affects the central
nervous system.
Assist with ADLs as needed.
Be patient with self-care and movement. Allow enough time for tasks. Offer rest periods
as necessary. Give resident plenty of time to communicate. People with MS may have
trouble forming their thoughts. Be patient. Do not rush him or her.
Prevent falls, which may due to a lack of coordination, fatigue, or vision problems.
Stress can worsen the effects of MS. Be calm. Listen to residents when they want to talk.
Encourage a healthy diet with plenty of fluids.
Give excellent skin care to prevent pressure sores.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
(NA 309) Exam 2025 Questions and
Answers 100% Pass
With an autoimmune illness the body/s ___________ system attacks normal tissue -
✔✔Immune system
What does osteoporosis cause? - ✔✔A common type of arthritis that affects the elderly.
It may occur with aging or as the result of joint injury. Hips and knees, which are
weight-bearing joints, are usually affected. Joints of the fingers, thumbs, and spine can
also be affected. Pain and stiffness seem to increase in cold or damp weather.
Read Guidelines for caring for resident who have had hip replacements - ✔✔Keep
often-used items, such as medications, telephone, tissues, call light, and water, within
easy reach. Avoid placing items in high places.
Dress starting with the affected side first. Never rush the resident. Use praise and
encouragement often. Do this even for small tasks.
Ask the nurse to give pain medication prior to moving and positioning if needed.
Have the resident sit to do tasks if allowed. This saves energy. Follow the care plan
exactly, even if the resident wants to do more. Follow orders for weight-bearing.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,An order may be written as partial weight bearing (PWB) or non-weight bearing
(NWB).
Partial weight bearing means the resident is able to support some weight on one or both
legs.
Non-weight bearing means the resident is unable to support any weight on one or both
legs.
Full weight bearing (FWB) means that one or both legs can bear 100 percent of the body
weight on a step. Assist resident as needed with cane, walker, or crutches. Never
perform range of motion exercises on a leg on the side of a hip replacement unless
directed by the nurse. Caution the resident not to sit with his or her legs crossed or turn
toes inward. The hip cannot be bent or flexed more than 90 degrees. It cannot be turned
inward or outward
When preparing to transfer the resident from the bed, a pillow should be used between
the thighs to keep the legs separated. The head of the bed can be raised to allow the
resident to move her legs over the side of the bed with the thighs still separated. It is
better to transfer from the bed on the side where the unaffected hip is so that the strong
side leads in standing, pivoting, and sitting. With chair or toilet transfers, the operative
leg/knee should be straightened. The strong leg should stand first (with a walker or
crutches) before bringing the foot of the affected leg back to the
What does an anti-embolic stocking do? - ✔✔They aid circulation
What is a phantom sensation? - ✔✔After amputation, some people feel that the limb is
still there. They may feel pain in the part that has been amputated. It may last for a
short time or for several years - the pain is real from remaining nerve endings - never
ignore or ridicule.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 2
, For a resident who has had a stroke - know what side should lead, what side to stand
on, how to refer to the weaker side, and if use of a gait belt is helpful to transfer resident
- ✔✔Weaknesses on the right side show that the left side of the brain was affected.
Weaknesses on the left side show that the right side of the brain was affected.
Assist the resident on their weaker side, Never use the term 'bad' but use weaker or
involved.
Always use a gait belt for safety.
Stand on the weaker side. Support the weaker (involved) side. Lead with the stronger
(uninvolved) side
Read Guidelines: Multiple Sclerosis - ✔✔A progressive disease that affects the central
nervous system.
Assist with ADLs as needed.
Be patient with self-care and movement. Allow enough time for tasks. Offer rest periods
as necessary. Give resident plenty of time to communicate. People with MS may have
trouble forming their thoughts. Be patient. Do not rush him or her.
Prevent falls, which may due to a lack of coordination, fatigue, or vision problems.
Stress can worsen the effects of MS. Be calm. Listen to residents when they want to talk.
Encourage a healthy diet with plenty of fluids.
Give excellent skin care to prevent pressure sores.
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 3
