Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Purposes of Health Care Agencies
Question stem: A resident in a long-term care facility asks the
nursing assistant why the facility provides social activities and
rehabilitation services in addition to room and meals. Which
reply best explains the primary purpose of health care
agencies?
A. “We provide these services so residents have less to worry
about.”
B. “The goal is to help people reach and maintain their highest
level of health and independence.”
C. “They’re required so your family will visit more often.”
,D. “These programs exist only to meet state licensing rules.”
Correct answer: B
Rationale — Correct: This answer states the central purpose of
health care agencies: promoting health, function, and
independence, which guides care planning and services. It is
within the NA’s role to support those goals.
Rationale — Incorrect:
A. Vague and minimizes the professional goals of care.
C. Focuses on family visitation rather than resident-centered
goals.
D. Overemphasizes compliance; while licensing matters, it is not
the primary purpose.
Teaching point: Health care agencies promote health and
independence.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies (Acute vs. Long-term
care)
Question stem: A nursing assistant is assigned to a patient
recovering from surgery in a hospital. Which task is most
appropriate for the assistant in this acute-care setting?
A. Teach the patient how to manage home medications
independently.
B. Assist the patient with intake and output measurement and
,report changes.
C. Create the patient’s long-term care plan.
D. Order discharge equipment online.
Correct answer: B
Rationale — Correct: Measuring and recording intake and
output is a standard NA task in acute settings; accurate
reporting supports nursing assessment and safety.
Rationale — Incorrect:
A. Teaching complex medication management is outside NA
scope.
C. Care planning is the nurse’s responsibility.
D. Ordering equipment is not within the NA’s role.
Teaching point: Record and report intake/output accurately.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization (Chain of Command)
Question stem: During morning rounds, a nursing assistant
observes a bruise on a resident’s arm and is unsure how it
occurred. The assistant believes the bruise may be from a
recent transfer. What should the assistant do first?
A. Hide the bruise so the family won’t worry.
B. Report the finding to the charge nurse and document
objectively.
C. Tell the resident to explain how it happened and leave it at
, that.
D. Send the resident to the dining room and mention it later.
Correct answer: B
Rationale — Correct: Reporting to the nurse and documenting
objective observations follows chain of command and ensures
resident safety; NAs must report suspected injury.
Rationale — Incorrect:
A. Concealing is unethical and unsafe.
C. Relying solely on resident explanation without reporting fails
to follow policy.
D. Delaying report could compromise care and investigation.
Teaching point: Report and document suspected injuries
promptly.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — The Nursing Team (Roles)
Question stem: A new CNA asks whether it is acceptable to
perform a dressing change the nurse assigned earlier when the
nurse is running late. What is the nursing assistant’s best
response and action?
A. Begin the dressing change because it was already assigned.
B. Refuse and state “I never do wound care.”
C. Explain that dressing changes are a nursing task and report
the delay to the nurse.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Purposes of Health Care Agencies
Question stem: A resident in a long-term care facility asks the
nursing assistant why the facility provides social activities and
rehabilitation services in addition to room and meals. Which
reply best explains the primary purpose of health care
agencies?
A. “We provide these services so residents have less to worry
about.”
B. “The goal is to help people reach and maintain their highest
level of health and independence.”
C. “They’re required so your family will visit more often.”
,D. “These programs exist only to meet state licensing rules.”
Correct answer: B
Rationale — Correct: This answer states the central purpose of
health care agencies: promoting health, function, and
independence, which guides care planning and services. It is
within the NA’s role to support those goals.
Rationale — Incorrect:
A. Vague and minimizes the professional goals of care.
C. Focuses on family visitation rather than resident-centered
goals.
D. Overemphasizes compliance; while licensing matters, it is not
the primary purpose.
Teaching point: Health care agencies promote health and
independence.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Types of Agencies (Acute vs. Long-term
care)
Question stem: A nursing assistant is assigned to a patient
recovering from surgery in a hospital. Which task is most
appropriate for the assistant in this acute-care setting?
A. Teach the patient how to manage home medications
independently.
B. Assist the patient with intake and output measurement and
,report changes.
C. Create the patient’s long-term care plan.
D. Order discharge equipment online.
Correct answer: B
Rationale — Correct: Measuring and recording intake and
output is a standard NA task in acute settings; accurate
reporting supports nursing assessment and safety.
Rationale — Incorrect:
A. Teaching complex medication management is outside NA
scope.
C. Care planning is the nurse’s responsibility.
D. Ordering equipment is not within the NA’s role.
Teaching point: Record and report intake/output accurately.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Organization (Chain of Command)
Question stem: During morning rounds, a nursing assistant
observes a bruise on a resident’s arm and is unsure how it
occurred. The assistant believes the bruise may be from a
recent transfer. What should the assistant do first?
A. Hide the bruise so the family won’t worry.
B. Report the finding to the charge nurse and document
objectively.
C. Tell the resident to explain how it happened and leave it at
, that.
D. Send the resident to the dining room and mention it later.
Correct answer: B
Rationale — Correct: Reporting to the nurse and documenting
objective observations follows chain of command and ensures
resident safety; NAs must report suspected injury.
Rationale — Incorrect:
A. Concealing is unethical and unsafe.
C. Relying solely on resident explanation without reporting fails
to follow policy.
D. Delaying report could compromise care and investigation.
Teaching point: Report and document suspected injuries
promptly.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — The Nursing Team (Roles)
Question stem: A new CNA asks whether it is acceptable to
perform a dressing change the nurse assigned earlier when the
nurse is running late. What is the nursing assistant’s best
response and action?
A. Begin the dressing change because it was already assigned.
B. Refuse and state “I never do wound care.”
C. Explain that dressing changes are a nursing task and report
the delay to the nurse.
