Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident in a long-term care facility asks the nursing
assistant why the facility provides activities, meals, and
assistance with daily living. Which brief explanation is most
appropriate for the assistant to give?
A. “We provide services to help residents live safely and
maintain independence.”
B. “Our main goal is to reduce hospital stays by limiting care.”
C. “We only offer basic help; families are responsible for most
needs.”
D. “We focus mainly on medical treatment rather than daily
,living tasks.”
Correct answer: A
Rationale — Correct: This response accurately describes the
facility’s purpose: promoting safety, function, and quality of
life. It is appropriate, simple, and within the assistant’s role to
explain.
Rationale — Incorrect:
B. Incorrect — Suggests reducing hospital stays is the primary
aim; it is a partial and misleading description.
C. Incorrect — Minimizes facility responsibilities and misleads
the resident; not accurate.
D. Incorrect — Overemphasizes medical treatment and omits
daily living support provided by the agency.
Teaching Point: Long-term care supports safety, function, and
quality of life.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Health Care Agencies — Types of
Agencies
Stem: A patient is being discharged from a hospital and will
need daily wound checks but not 24-hour nursing. Which
type of health care agency is best to recommend to the nurse
for this arrangement?
A. Acute care hospital
,B. Home health agency
C. Long-term care facility
D. Assisted living center
Correct answer: B
Rationale — Correct: Home health agencies provide
intermittent skilled services (like wound checks) in the
patient’s home, fitting the described need. NA role: support
safe home visits and report changes.
Rationale — Incorrect:
A. Incorrect — Hospitals provide continuous acute care,
which exceeds the patient’s described needs.
C. Incorrect — Long-term care provides residential services;
not appropriate if patient returns home.
D. Incorrect — Assisted living offers help with ADLs but not
routine skilled wound care visits.
Teaching Point: Home health provides intermittent skilled
care at home.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Health Care Agencies — Organization
Stem: During orientation, a nursing assistant learns the chain
of command. A nurse asks the assistant to change a patient’s
medication dose. What should the assistant do?
A. Change the dose because the nurse requested it.
, B. Refuse and report the nurse to administration
immediately.
C. Explain that medication changes must be ordered by the
primary care provider or nurse.
D. Adjust the dose only if the patient asks for more relief.
Correct answer: C
Rationale — Correct: Nursing assistants must recognize
scope limits; medication changes require licensed staff
orders. Explaining this and asking the nurse to clarify respects
chain of command.
Rationale — Incorrect:
A. Incorrect — Assisting with medication changes is outside
the NA scope and unsafe.
B. Incorrect — Immediate reporting to administration is
extreme; first clarify with licensed staff.
D. Incorrect — Acting on patient requests to change doses is
unsafe and out of scope.
Teaching Point: Medication orders must come from licensed
staff; NAs do not change doses.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — Health Care Agencies — Nursing Team
Stem: A nursing assistant notices a new bruise on a non-
ambulatory resident’s hip during morning care. What is the
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference: Ch. 1 — Health Care Agencies — Purposes
Stem: A resident in a long-term care facility asks the nursing
assistant why the facility provides activities, meals, and
assistance with daily living. Which brief explanation is most
appropriate for the assistant to give?
A. “We provide services to help residents live safely and
maintain independence.”
B. “Our main goal is to reduce hospital stays by limiting care.”
C. “We only offer basic help; families are responsible for most
needs.”
D. “We focus mainly on medical treatment rather than daily
,living tasks.”
Correct answer: A
Rationale — Correct: This response accurately describes the
facility’s purpose: promoting safety, function, and quality of
life. It is appropriate, simple, and within the assistant’s role to
explain.
Rationale — Incorrect:
B. Incorrect — Suggests reducing hospital stays is the primary
aim; it is a partial and misleading description.
C. Incorrect — Minimizes facility responsibilities and misleads
the resident; not accurate.
D. Incorrect — Overemphasizes medical treatment and omits
daily living support provided by the agency.
Teaching Point: Long-term care supports safety, function, and
quality of life.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2
Reference: Ch. 1 — Health Care Agencies — Types of
Agencies
Stem: A patient is being discharged from a hospital and will
need daily wound checks but not 24-hour nursing. Which
type of health care agency is best to recommend to the nurse
for this arrangement?
A. Acute care hospital
,B. Home health agency
C. Long-term care facility
D. Assisted living center
Correct answer: B
Rationale — Correct: Home health agencies provide
intermittent skilled services (like wound checks) in the
patient’s home, fitting the described need. NA role: support
safe home visits and report changes.
Rationale — Incorrect:
A. Incorrect — Hospitals provide continuous acute care,
which exceeds the patient’s described needs.
C. Incorrect — Long-term care provides residential services;
not appropriate if patient returns home.
D. Incorrect — Assisted living offers help with ADLs but not
routine skilled wound care visits.
Teaching Point: Home health provides intermittent skilled
care at home.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3
Reference: Ch. 1 — Health Care Agencies — Organization
Stem: During orientation, a nursing assistant learns the chain
of command. A nurse asks the assistant to change a patient’s
medication dose. What should the assistant do?
A. Change the dose because the nurse requested it.
, B. Refuse and report the nurse to administration
immediately.
C. Explain that medication changes must be ordered by the
primary care provider or nurse.
D. Adjust the dose only if the patient asks for more relief.
Correct answer: C
Rationale — Correct: Nursing assistants must recognize
scope limits; medication changes require licensed staff
orders. Explaining this and asking the nurse to clarify respects
chain of command.
Rationale — Incorrect:
A. Incorrect — Assisting with medication changes is outside
the NA scope and unsafe.
B. Incorrect — Immediate reporting to administration is
extreme; first clarify with licensed staff.
D. Incorrect — Acting on patient requests to change doses is
unsafe and out of scope.
Teaching Point: Medication orders must come from licensed
staff; NAs do not change doses.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4
Reference: Ch. 1 — Health Care Agencies — Nursing Team
Stem: A nursing assistant notices a new bruise on a non-
ambulatory resident’s hip during morning care. What is the
