Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident tells you that she no longer wants to attend
recreational activities and seems withdrawn. As the nursing
assistant, what is your best first action?
A. Respect her wishes and stop inviting her to activities.
B. Ask her open-ended questions about why she feels
withdrawn and report findings to the nurse.
C. Encourage her to attend activities by telling her the staff will
watch her.
D. Tell other residents to include her more so she doesn't feel
lonely.
,Correct answer: B
Rationale — Correct: Asking open-ended questions and
reporting what you observe allows the care team to assess
causes (medical, psychosocial) while staying within NA scope.
This promotes resident-centered care and safety.
Rationale — Incorrect A: Stopping invitations without assessing
may ignore treatable causes and reduces the resident’s rights to
support.
Rationale — Incorrect C: Forcing attendance or coercion is
inappropriate and may violate resident autonomy.
Rationale — Incorrect D: Involving other residents without
assessment could breach privacy and is not a professional
intervention.
Teaching point: Observe, ask, and report—don’t diagnose or
decide treatment.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies — Long-Term Care vs.
Acute Care
Stem: You are assigned to a patient recently transferred from
the hospital to a skilled nursing facility for rehab. Which NA task
is MOST appropriate to prioritize during the first few days?
A. Teach the patient how to manage complex wound care
independently.
,B. Encourage and assist the patient with basic mobility and
ADLs while reporting progress.
C. Prescribe a daily exercise plan for the patient to follow at
home.
D. Change the patient’s IV dressing without asking the nurse.
Correct answer: B
Rationale — Correct: Assisting with mobility and ADLs and
reporting progress supports rehabilitation goals and is within
NA scope; it promotes safety and recovery.
Rationale — Incorrect A: Teaching complex wound care that
requires nursing judgment is outside NA scope.
Rationale — Incorrect C: Prescribing care plans is outside NA
scope—this is the nurse’s responsibility.
Rationale — Incorrect D: IV care is a nursing task; an NA should
not perform it.
Teaching point: Focus on safe ADL assistance and timely
reporting after transfers.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization — Chain of Command
Stem: You notice a medication error made by a student nurse.
You are unsure what to do. According to facility organization
and chain of command, what should you do first?
A. Confront the student nurse angrily in front of the patient.
, B. Ignore it; it was probably minor.
C. Report the observation promptly to the charge nurse.
D. Correct the medication yourself and document it.
Correct answer: C
Rationale — Correct: Reporting to the charge nurse follows the
chain of command and ensures patient safety; NAs must report
observations, not correct medication errors independently.
Rationale — Incorrect A: Confronting publicly is unprofessional
and may disrupt care.
Rationale — Incorrect B: Ignoring an error risks patient harm
and violates safety responsibilities.
Rationale — Incorrect D: Administering or altering medications
is outside an NA’s scope.
Teaching point: Report errors immediately to the nurse—don’t
act beyond scope.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — The Nursing Team — Roles and
Responsibilities
Stem: A patient asks you questions about changes to their
treatment plan that you overheard at report. What is the most
appropriate response?
A. Explain the new treatment in detail because you heard it.
B. Tell the patient to ask the nurse and offer to notify the nurse
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident tells you that she no longer wants to attend
recreational activities and seems withdrawn. As the nursing
assistant, what is your best first action?
A. Respect her wishes and stop inviting her to activities.
B. Ask her open-ended questions about why she feels
withdrawn and report findings to the nurse.
C. Encourage her to attend activities by telling her the staff will
watch her.
D. Tell other residents to include her more so she doesn't feel
lonely.
,Correct answer: B
Rationale — Correct: Asking open-ended questions and
reporting what you observe allows the care team to assess
causes (medical, psychosocial) while staying within NA scope.
This promotes resident-centered care and safety.
Rationale — Incorrect A: Stopping invitations without assessing
may ignore treatable causes and reduces the resident’s rights to
support.
Rationale — Incorrect C: Forcing attendance or coercion is
inappropriate and may violate resident autonomy.
Rationale — Incorrect D: Involving other residents without
assessment could breach privacy and is not a professional
intervention.
Teaching point: Observe, ask, and report—don’t diagnose or
decide treatment.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies — Long-Term Care vs.
Acute Care
Stem: You are assigned to a patient recently transferred from
the hospital to a skilled nursing facility for rehab. Which NA task
is MOST appropriate to prioritize during the first few days?
A. Teach the patient how to manage complex wound care
independently.
,B. Encourage and assist the patient with basic mobility and
ADLs while reporting progress.
C. Prescribe a daily exercise plan for the patient to follow at
home.
D. Change the patient’s IV dressing without asking the nurse.
Correct answer: B
Rationale — Correct: Assisting with mobility and ADLs and
reporting progress supports rehabilitation goals and is within
NA scope; it promotes safety and recovery.
Rationale — Incorrect A: Teaching complex wound care that
requires nursing judgment is outside NA scope.
Rationale — Incorrect C: Prescribing care plans is outside NA
scope—this is the nurse’s responsibility.
Rationale — Incorrect D: IV care is a nursing task; an NA should
not perform it.
Teaching point: Focus on safe ADL assistance and timely
reporting after transfers.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization — Chain of Command
Stem: You notice a medication error made by a student nurse.
You are unsure what to do. According to facility organization
and chain of command, what should you do first?
A. Confront the student nurse angrily in front of the patient.
, B. Ignore it; it was probably minor.
C. Report the observation promptly to the charge nurse.
D. Correct the medication yourself and document it.
Correct answer: C
Rationale — Correct: Reporting to the charge nurse follows the
chain of command and ensures patient safety; NAs must report
observations, not correct medication errors independently.
Rationale — Incorrect A: Confronting publicly is unprofessional
and may disrupt care.
Rationale — Incorrect B: Ignoring an error risks patient harm
and violates safety responsibilities.
Rationale — Incorrect D: Administering or altering medications
is outside an NA’s scope.
Teaching point: Report errors immediately to the nurse—don’t
act beyond scope.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — The Nursing Team — Roles and
Responsibilities
Stem: A patient asks you questions about changes to their
treatment plan that you overheard at report. What is the most
appropriate response?
A. Explain the new treatment in detail because you heard it.
B. Tell the patient to ask the nurse and offer to notify the nurse
