CNA Certification (Written Exam)Activities of Daily LivingHard

A CNA is helping a resident with a weak left side to put on a pull-over shirt. What is the correct sequence for applying the shirt?

  1. APull over head, then right arm, then left arm.
  2. BLeft arm, then right arm, then pull over head.
  3. CRight arm, then left arm, then pull over head.
  4. DPull over head, then left arm, then right arm.
Show answer & explanation

Correct answer: B. Left arm, then right arm, then pull over head.

When dressing a resident with one-sided weakness, the general rule is to dress the weaker side first. For a pull-over shirt, this means inserting the weak left arm into the sleeve first, then the stronger right arm, and finally pulling the shirt over the head.

Why the other options are wrong

  • A. This option also goes against the principle of dressing the weaker side first and may be difficult with a pull-over.
  • C. Dressing the stronger arm first goes against the principle of dressing the weaker side first.
  • D. Pulling over the head first would make it difficult to guide the arms through the sleeves, especially the weak one.

Dressing with Hemiparesis

The specific order of dressing a resident with one-sided paralysis or weakness to promote ease, comfort, and prevent injury.

  • Dress the affected (weaker) side first.
  • Undress the unaffected (stronger) side first.
  • Work slowly and allow resident participation.

Memory trick: Weak Arm First, then Strong, then Over the Top.

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