Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes — Health Care Agencies
Question Stem
A resident in a long-term care facility asks the nursing assistant
why people live in the facility instead of at home. Which answer
best explains the primary purpose of a long-term care agency in
terms a resident can understand?
A. “It provides short-term medical tests and same-day
treatments.”
B. “It offers help with daily living and skilled nursing for people
,who need ongoing care.”
C. “It is mainly for people who prefer group living and social
activities.”
D. “It offers only physical therapy and exercise programs.”
Correct Answer
B
Rationales
Correct (B): Long-term care agencies provide ongoing
assistance with activities of daily living and nursing care for
people who cannot live safely at home; this emphasizes safety
and daily support.
A: Describes outpatient/ambulatory care, not the ongoing daily
support central to long-term care.
C: Social activities may be offered but are not the primary
purpose; emphasizing only social aspects understates clinical
needs.
D: Physical therapy is a service available sometimes, but saying
“only” is misleading and outside the agency’s full purpose.
Teaching Point
Long-term care provides ongoing help with daily living and
nursing needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
,2
Reference
Ch. 1 — Types of Agencies — Acute Care (Hospitals) vs. Long-
Term Care
Question Stem
During orientation, a nursing assistant is told that a patient was
admitted for “acute care.” Which task should the NA expect to
perform more often for an acute-care patient than for a long-
term resident?
A. Assisting with daily living tasks like dressing each day.
B. Observing and reporting sudden changes in condition to the
nurse.
C. Helping the person fill out long-term care activity requests.
D. Providing routine monthly medication reminders.
Correct Answer
B
Rationales
Correct (B): Acute-care patients can change rapidly; the NA
must observe and promptly report sudden changes to maintain
safety.
A: Dressing help occurs in both settings and is not specific to
acute care.
C: Activity requests are typical in long-term care, not an acute-
care focus.
, D: Monthly medication reminders suggest long-term routine
care, not the frequent surveillance needed in acute settings.
Teaching Point
Report sudden changes in condition immediately in acute care.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization — Chain of Command
Question Stem
A nursing assistant witnesses a nurse giving a medication dose
that looks different than what the MAR indicates. According to
the facility’s chain of command, what should the NA do first?
A. Confront the nurse aggressively and demand an explanation.
B. Ignore it because medication administration is the nurse’s
responsibility.
C. Report the concern to the charge nurse or follow the chain of
command immediately.
D. Tell the patient to refuse the medication without notifying
staff.
Correct Answer
C
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes — Health Care Agencies
Question Stem
A resident in a long-term care facility asks the nursing assistant
why people live in the facility instead of at home. Which answer
best explains the primary purpose of a long-term care agency in
terms a resident can understand?
A. “It provides short-term medical tests and same-day
treatments.”
B. “It offers help with daily living and skilled nursing for people
,who need ongoing care.”
C. “It is mainly for people who prefer group living and social
activities.”
D. “It offers only physical therapy and exercise programs.”
Correct Answer
B
Rationales
Correct (B): Long-term care agencies provide ongoing
assistance with activities of daily living and nursing care for
people who cannot live safely at home; this emphasizes safety
and daily support.
A: Describes outpatient/ambulatory care, not the ongoing daily
support central to long-term care.
C: Social activities may be offered but are not the primary
purpose; emphasizing only social aspects understates clinical
needs.
D: Physical therapy is a service available sometimes, but saying
“only” is misleading and outside the agency’s full purpose.
Teaching Point
Long-term care provides ongoing help with daily living and
nursing needs.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
,2
Reference
Ch. 1 — Types of Agencies — Acute Care (Hospitals) vs. Long-
Term Care
Question Stem
During orientation, a nursing assistant is told that a patient was
admitted for “acute care.” Which task should the NA expect to
perform more often for an acute-care patient than for a long-
term resident?
A. Assisting with daily living tasks like dressing each day.
B. Observing and reporting sudden changes in condition to the
nurse.
C. Helping the person fill out long-term care activity requests.
D. Providing routine monthly medication reminders.
Correct Answer
B
Rationales
Correct (B): Acute-care patients can change rapidly; the NA
must observe and promptly report sudden changes to maintain
safety.
A: Dressing help occurs in both settings and is not specific to
acute care.
C: Activity requests are typical in long-term care, not an acute-
care focus.
, D: Monthly medication reminders suggest long-term routine
care, not the frequent surveillance needed in acute settings.
Teaching Point
Report sudden changes in condition immediately in acute care.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
3
Reference
Ch. 1 — Organization — Chain of Command
Question Stem
A nursing assistant witnesses a nurse giving a medication dose
that looks different than what the MAR indicates. According to
the facility’s chain of command, what should the NA do first?
A. Confront the nurse aggressively and demand an explanation.
B. Ignore it because medication administration is the nurse’s
responsibility.
C. Report the concern to the charge nurse or follow the chain of
command immediately.
D. Tell the patient to refuse the medication without notifying
staff.
Correct Answer
C
