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 resident is admitted after a minor stroke to a long-term care
facility for rehabilitation and long-term assistance. The nursing
assistant understands the primary purpose of this type of
facility is to:
A nursing assistant will be caring for the resident daily. What
goal should guide the assistant’s care and reporting?
,Options
A. Provide short-term acute medical treatment and discharge
within 24–48 hours.
B. Support the resident’s maximum independence and provide
long-term care.
C. Offer only diagnostic testing and refer the resident
elsewhere.
D. Focus solely on administrative tasks, not direct patient care.
Correct answer
B
Rationales
Correct (B): Long-term care facilities support residents’ ongoing
needs and promote maximum independence; NAs provide daily
direct care and report changes to licensed staff to support this
goal.
Incorrect (A): Short-term acute care with very short stays
describes an acute hospital, not long-term care.
Incorrect (C): Diagnostic testing is not the facility’s primary
purpose; ongoing care and rehabilitation are.
Incorrect (D): NAs provide direct care; focusing only on
administrative tasks violates scope of practice.
Teaching point
Long-term care promotes resident independence and ongoing
support.
,Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2
Reference
Ch. 1 — Health Care Agencies — Types of Agencies
Question stem
A patient is discharged from hospital and needs daily nursing
assistance at home. The case manager refers the patient to a
home health agency. As the nursing assistant assigned to visit
the patient, what is the NA’s primary role in this setting?
Options
A. Perform complex medical procedures independently.
B. Provide personal care, observe status, and report changes to
the nurse.
C. Make decisions about the patient’s medication adjustments.
D. Manage the agency’s scheduling and billing.
Correct answer
B
Rationales
Correct (B): In home health, NAs provide personal care, observe
clients, and report changes to licensed nurses—supporting
safety and continuity.
Incorrect (A): Complex medical procedures are outside the NA
, scope and require licensed personnel.
Incorrect (C): Medication adjustments are made by licensed
providers, not NAs.
Incorrect (D): Administrative tasks such as scheduling and
billing are not the NA’s primary patient-care role.
Teaching point
Provide care, observe, and promptly report changes to licensed
staff.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Health Care Agencies — Organization
Question stem
During orientation, an NA is shown the facility’s chain of
command. A confused family member asks who the NA should
report to about a skin tear observed on their relative. Whom
should the NA report this finding to first?
Options
A. The facility administrator (CEO).
B. The charge nurse or licensed nurse on duty.
C. The family member’s neighbor.
D. The housekeeping supervisor.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Health Care Agencies — Purposes
Question stem
A resident is admitted after a minor stroke to a long-term care
facility for rehabilitation and long-term assistance. The nursing
assistant understands the primary purpose of this type of
facility is to:
A nursing assistant will be caring for the resident daily. What
goal should guide the assistant’s care and reporting?
,Options
A. Provide short-term acute medical treatment and discharge
within 24–48 hours.
B. Support the resident’s maximum independence and provide
long-term care.
C. Offer only diagnostic testing and refer the resident
elsewhere.
D. Focus solely on administrative tasks, not direct patient care.
Correct answer
B
Rationales
Correct (B): Long-term care facilities support residents’ ongoing
needs and promote maximum independence; NAs provide daily
direct care and report changes to licensed staff to support this
goal.
Incorrect (A): Short-term acute care with very short stays
describes an acute hospital, not long-term care.
Incorrect (C): Diagnostic testing is not the facility’s primary
purpose; ongoing care and rehabilitation are.
Incorrect (D): NAs provide direct care; focusing only on
administrative tasks violates scope of practice.
Teaching point
Long-term care promotes resident independence and ongoing
support.
,Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2
Reference
Ch. 1 — Health Care Agencies — Types of Agencies
Question stem
A patient is discharged from hospital and needs daily nursing
assistance at home. The case manager refers the patient to a
home health agency. As the nursing assistant assigned to visit
the patient, what is the NA’s primary role in this setting?
Options
A. Perform complex medical procedures independently.
B. Provide personal care, observe status, and report changes to
the nurse.
C. Make decisions about the patient’s medication adjustments.
D. Manage the agency’s scheduling and billing.
Correct answer
B
Rationales
Correct (B): In home health, NAs provide personal care, observe
clients, and report changes to licensed nurses—supporting
safety and continuity.
Incorrect (A): Complex medical procedures are outside the NA
, scope and require licensed personnel.
Incorrect (C): Medication adjustments are made by licensed
providers, not NAs.
Incorrect (D): Administrative tasks such as scheduling and
billing are not the NA’s primary patient-care role.
Teaching point
Provide care, observe, and promptly report changes to licensed
staff.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Health Care Agencies — Organization
Question stem
During orientation, an NA is shown the facility’s chain of
command. A confused family member asks who the NA should
report to about a skin tear observed on their relative. Whom
should the NA report this finding to first?
Options
A. The facility administrator (CEO).
B. The charge nurse or licensed nurse on duty.
C. The family member’s neighbor.
D. The housekeeping supervisor.
