Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Question stem: A new resident arrives at a long-term care
facility and tells you they want to return home as soon as
possible. As the nursing assistant assigned to admit them, what
is your best first action?
A. Promise the resident you will arrange discharge paperwork.
B. Ask the resident about prior home supports and note
concerns to report.
C. Tell the resident they must stay for at least 30 days before
discharge.
,D. Ignore the comment because discharge planning is the
nurse’s job.
Correct answer: B
Rationale — Correct: Asking about prior home supports and
reporting concerns gathers relevant information for the care
team and helps plan safe discharge. This action respects the
agency’s purpose to promote patient-centered care and is
within NA scope (observation and reporting).
Rationale — Incorrect A: Promising to arrange paperwork is
outside the NA’s scope and may create unrealistic expectations;
discharge planning is handled by licensed staff.
Rationale — Incorrect C: Telling the resident they must stay is
authoritative and inaccurate; it disregards patient rights and
agency processes.
Rationale — Incorrect D: Ignoring a resident’s expressed goals
fails to report essential information that affects care planning.
Teaching point: Report patient goals and home supports to the
nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies — Acute care vs. long-
term care
Question stem: While working on a hospital medical-surgical
,unit, a patient asks if they can move to a nursing home for daily
help after discharge. Which response by the nursing assistant is
appropriate?
A. Explain different types of facilities are available and tell the
nurse they want to discuss options.
B. Give the patient the name of one nearby nursing home and
help them call immediately.
C. Tell the patient hospitalization can last months, so they do
not need a nursing home.
D. Advise the patient that the hospital will not allow transfer to
a nursing home.
Correct answer: A
Rationale — Correct: Explaining broadly that different post-
acute and long-term options exist and reporting the request to
the nurse is within the NA role. It supports patient
understanding while ensuring licensed staff handle placement
decisions.
Rationale — Incorrect B: Giving a specific recommendation and
arranging calls is outside the NA’s role; placement requires
social work/nurse involvement.
Rationale — Incorrect C: Saying hospitalization duration is long
is misleading and not informative; it ignores the patient’s
request.
Rationale — Incorrect D: Saying transfer is not allowed is false
and may deny patient rights to explore options.
, Teaching point: Report discharge planning questions to the
nurse or social worker.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization — Chain of command
Question stem: You notice a medication cart left unlocked in an
empty hallway for a few minutes. You have reported it to the
charge nurse before but it continues to happen. Which action is
within your responsibility?
A. Move the cart into an occupied patient room and lock it
there.
B. Immediately lock the cart and document the incident in the
medical record.
C. Report the unsafe practice again to the charge nurse and to
your supervisor if it persists.
D. Ignore it because locking medication carts is the nurse’s duty.
Correct answer: C
Rationale — Correct: Re-reporting to charge nurse and
escalating to your supervisor if the unsafe practice continues
follows the chain of command and promotes safety; reporting is
within the NA’s responsibility.
Rationale — Incorrect A: Moving a medication cart into a
patient room and locking it could breach medication security
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Question stem: A new resident arrives at a long-term care
facility and tells you they want to return home as soon as
possible. As the nursing assistant assigned to admit them, what
is your best first action?
A. Promise the resident you will arrange discharge paperwork.
B. Ask the resident about prior home supports and note
concerns to report.
C. Tell the resident they must stay for at least 30 days before
discharge.
,D. Ignore the comment because discharge planning is the
nurse’s job.
Correct answer: B
Rationale — Correct: Asking about prior home supports and
reporting concerns gathers relevant information for the care
team and helps plan safe discharge. This action respects the
agency’s purpose to promote patient-centered care and is
within NA scope (observation and reporting).
Rationale — Incorrect A: Promising to arrange paperwork is
outside the NA’s scope and may create unrealistic expectations;
discharge planning is handled by licensed staff.
Rationale — Incorrect C: Telling the resident they must stay is
authoritative and inaccurate; it disregards patient rights and
agency processes.
Rationale — Incorrect D: Ignoring a resident’s expressed goals
fails to report essential information that affects care planning.
Teaching point: Report patient goals and home supports to the
nurse.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies — Acute care vs. long-
term care
Question stem: While working on a hospital medical-surgical
,unit, a patient asks if they can move to a nursing home for daily
help after discharge. Which response by the nursing assistant is
appropriate?
A. Explain different types of facilities are available and tell the
nurse they want to discuss options.
B. Give the patient the name of one nearby nursing home and
help them call immediately.
C. Tell the patient hospitalization can last months, so they do
not need a nursing home.
D. Advise the patient that the hospital will not allow transfer to
a nursing home.
Correct answer: A
Rationale — Correct: Explaining broadly that different post-
acute and long-term options exist and reporting the request to
the nurse is within the NA role. It supports patient
understanding while ensuring licensed staff handle placement
decisions.
Rationale — Incorrect B: Giving a specific recommendation and
arranging calls is outside the NA’s role; placement requires
social work/nurse involvement.
Rationale — Incorrect C: Saying hospitalization duration is long
is misleading and not informative; it ignores the patient’s
request.
Rationale — Incorrect D: Saying transfer is not allowed is false
and may deny patient rights to explore options.
, Teaching point: Report discharge planning questions to the
nurse or social worker.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization — Chain of command
Question stem: You notice a medication cart left unlocked in an
empty hallway for a few minutes. You have reported it to the
charge nurse before but it continues to happen. Which action is
within your responsibility?
A. Move the cart into an occupied patient room and lock it
there.
B. Immediately lock the cart and document the incident in the
medical record.
C. Report the unsafe practice again to the charge nurse and to
your supervisor if it persists.
D. Ignore it because locking medication carts is the nurse’s duty.
Correct answer: C
Rationale — Correct: Re-reporting to charge nurse and
escalating to your supervisor if the unsafe practice continues
follows the chain of command and promotes safety; reporting is
within the NA’s responsibility.
Rationale — Incorrect A: Moving a medication cart into a
patient room and locking it could breach medication security
