Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Health Care Agencies — Purposes
Stem
Mrs. Lopez is admitted to a long-term care facility because she
needs help with daily activities and ongoing nursing care. As a
nursing assistant, which primary purpose of this type of agency
should guide how you help her day to day?
A. Provide short-term acute medical treatment and surgical
services.
B. Offer ongoing personal care, supervision, and rehabilitation
,support.
C. Perform diagnostic imaging and laboratory testing for acute
illness.
D. Deliver home-based care only in the patient’s own home.
Correct Answer: B
Rationales
Correct (B): Long-term care facilities exist to provide ongoing
personal care, supervision, and rehabilitation support; helping
with activities of daily living and promoting independence fits
the NA role and patient dignity.
A: Acute hospitals provide short-term medical and surgical care;
this is not the primary purpose of a long-term care facility.
C: Diagnostic testing is a hospital or outpatient service and not
the main focus of long-term care daily assistance.
D: Home-based care occurs in the patient’s home; a long-term
care facility provides on-site, not only home-based, services.
Teaching Point: Long-term care facilities focus on ongoing
personal care and rehabilitation.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference
Ch. 1 — Types of Agencies — Acute Care Hospitals
,Stem
You’re assigned to Mr. Brown in the medical-surgical unit of an
acute care hospital. He’s recovering after surgery and requires
frequent observation for signs of complications. Which patient-
centered action is within your nursing assistant scope and most
important right now?
A. Assess the incision for depth and decide whether to remove
sutures.
B. Report any increased drainage, redness, or pain at the
incision to the nurse immediately.
C. Change the physician’s postoperative orders to increase the
dressing changes.
D. Prescribe pain medication to manage his discomfort better.
Correct Answer: B
Rationales
Correct (B): Observing and reporting changes in incision
appearance or increased pain is within the NA’s role and helps
prevent complications by prompting nurse/physician
intervention.
A: Assessing for depth and removing sutures is beyond NA
scope—these are delegated nursing or physician tasks.
C: Changing physician orders is not permitted for NAs and
would be unsafe and outside scope.
D: Prescribing medications is a licensed practitioner’s
responsibility and outside NA scope.
, Teaching Point: Observe and report wound changes promptly;
do not alter orders or perform invasive tasks.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization — Chain of Command
Stem
On your shift, a family member asks you to give the patient an
extra bath, but the nurse in charge assigned you another
patient’s vital signs. The family insists it’s urgent. According to
the agency chain of command, what should you do?
A. Give the extra bath immediately and skip the other patient’s
assigned care.
B. Explain you must follow assignments and report the family’s
request to the nurse.
C. Tell the family you’ll handle both patients at once without
informing the nurse.
D. Ask the family to do the bath themselves because you are
too busy.
Correct Answer: B
Rationales
Correct (B): NAs must follow assignments and communicate
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Health Care Agencies — Purposes
Stem
Mrs. Lopez is admitted to a long-term care facility because she
needs help with daily activities and ongoing nursing care. As a
nursing assistant, which primary purpose of this type of agency
should guide how you help her day to day?
A. Provide short-term acute medical treatment and surgical
services.
B. Offer ongoing personal care, supervision, and rehabilitation
,support.
C. Perform diagnostic imaging and laboratory testing for acute
illness.
D. Deliver home-based care only in the patient’s own home.
Correct Answer: B
Rationales
Correct (B): Long-term care facilities exist to provide ongoing
personal care, supervision, and rehabilitation support; helping
with activities of daily living and promoting independence fits
the NA role and patient dignity.
A: Acute hospitals provide short-term medical and surgical care;
this is not the primary purpose of a long-term care facility.
C: Diagnostic testing is a hospital or outpatient service and not
the main focus of long-term care daily assistance.
D: Home-based care occurs in the patient’s home; a long-term
care facility provides on-site, not only home-based, services.
Teaching Point: Long-term care facilities focus on ongoing
personal care and rehabilitation.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference
Ch. 1 — Types of Agencies — Acute Care Hospitals
,Stem
You’re assigned to Mr. Brown in the medical-surgical unit of an
acute care hospital. He’s recovering after surgery and requires
frequent observation for signs of complications. Which patient-
centered action is within your nursing assistant scope and most
important right now?
A. Assess the incision for depth and decide whether to remove
sutures.
B. Report any increased drainage, redness, or pain at the
incision to the nurse immediately.
C. Change the physician’s postoperative orders to increase the
dressing changes.
D. Prescribe pain medication to manage his discomfort better.
Correct Answer: B
Rationales
Correct (B): Observing and reporting changes in incision
appearance or increased pain is within the NA’s role and helps
prevent complications by prompting nurse/physician
intervention.
A: Assessing for depth and removing sutures is beyond NA
scope—these are delegated nursing or physician tasks.
C: Changing physician orders is not permitted for NAs and
would be unsafe and outside scope.
D: Prescribing medications is a licensed practitioner’s
responsibility and outside NA scope.
, Teaching Point: Observe and report wound changes promptly;
do not alter orders or perform invasive tasks.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization — Chain of Command
Stem
On your shift, a family member asks you to give the patient an
extra bath, but the nurse in charge assigned you another
patient’s vital signs. The family insists it’s urgent. According to
the agency chain of command, what should you do?
A. Give the extra bath immediately and skip the other patient’s
assigned care.
B. Explain you must follow assignments and report the family’s
request to the nurse.
C. Tell the family you’ll handle both patients at once without
informing the nurse.
D. Ask the family to do the bath themselves because you are
too busy.
Correct Answer: B
Rationales
Correct (B): NAs must follow assignments and communicate
