Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference: Ch. 1 — Purposes of Health Care Agencies
Question: A new resident arrives at a long-term care facility
after hospitalization. During orientation the resident asks
you, the nursing assistant, what services the agency provides
and whether meals and help with bathing are included. What
is your best response?
Options:
A. Explain the agency’s services and tell the resident which
meals and personal care are provided.
B. Give a brief, general description of services and offer to
notify the nurse or social worker for specific questions.
C. Tell the resident to call their family to ask about services
,and refuse to assist with orientation.
D. Say you don’t know anything and walk away.
Correct answer: B
Rationales
Correct (B): A short, general description is within scope;
referring specific questions to nurse/social worker ensures
accurate billing/plan information and promotes resident
safety and rights.
Incorrect (A): Giving detailed policy or billing specifics may be
beyond NA scope and could be inaccurate.
Incorrect (C): Refusing orientation denies needed information
and support; family contact is not a substitute for staff
assistance.
Incorrect (D): Abandoning the resident is neglectful and
unsafe.
Teaching point: Give general info; refer policy/billing
questions to nurse or social worker.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies
Question: A patient recovering from major surgery will need
daily skilled therapy for several weeks but not hospital-level
monitoring. The nurse asks you where this patient might
,receive appropriate services. As an NA, which answer is most
appropriate to give?
Options:
A. Recommend a skilled rehabilitation facility and tell the
nurse the patient should arrange it alone.
B. Suggest home health is always best and tell the patient to
refuse transfer.
C. Tell the nurse that a rehabilitation center may be
appropriate and offer to help prepare the patient for transfer
as instructed.
D. Tell the patient to go to an assisted living facility because
it’s cheaper.
Correct answer: C
Rationales
Correct (C): A rehab facility is appropriate for daily skilled
therapy; offering practical help to prepare the patient is
within NA role and supports safe transfer.
Incorrect (A): Recommending without coordinating with the
team (nurse, case manager) and telling patient to arrange
alone exceeds NA scope.
Incorrect (B): Saying home health is always best is inaccurate
and could be unsafe.
Incorrect (D): Assisted living is not appropriate for skilled
rehab and advising based on cost alone is outside NA
responsibilities.
, Teaching point: Suggest appropriate settings; coordinate with
nurse/case manager.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Organization (Chain of Command)
Question: During your shift you notice a patient’s dressing is
saturated with bright red blood. You are uncertain whether
the bleeding is new. What should you do first?
Options:
A. Change the dressing yourself and chart that you did.
B. Call the physician immediately and describe the situation.
C. Remain with the patient, apply pressure if trained and
instructed, and notify the nurse at once.
D. Wait until the next shift so the day nurse can assess it.
Correct answer: C
Rationales
Correct (C): Staying with the patient, using only skills you are
trained to perform (apply pressure if trained) and notifying
the nurse follows chain of command and ensures immediate
safety.
Incorrect (A): Changing a bleeding dressing without nurse
instruction may exceed NA scope and risk harm.
Incorrect (B): Contacting the physician directly bypasses chain
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
Reference: Ch. 1 — Purposes of Health Care Agencies
Question: A new resident arrives at a long-term care facility
after hospitalization. During orientation the resident asks
you, the nursing assistant, what services the agency provides
and whether meals and help with bathing are included. What
is your best response?
Options:
A. Explain the agency’s services and tell the resident which
meals and personal care are provided.
B. Give a brief, general description of services and offer to
notify the nurse or social worker for specific questions.
C. Tell the resident to call their family to ask about services
,and refuse to assist with orientation.
D. Say you don’t know anything and walk away.
Correct answer: B
Rationales
Correct (B): A short, general description is within scope;
referring specific questions to nurse/social worker ensures
accurate billing/plan information and promotes resident
safety and rights.
Incorrect (A): Giving detailed policy or billing specifics may be
beyond NA scope and could be inaccurate.
Incorrect (C): Refusing orientation denies needed information
and support; family contact is not a substitute for staff
assistance.
Incorrect (D): Abandoning the resident is neglectful and
unsafe.
Teaching point: Give general info; refer policy/billing
questions to nurse or social worker.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies
Question: A patient recovering from major surgery will need
daily skilled therapy for several weeks but not hospital-level
monitoring. The nurse asks you where this patient might
,receive appropriate services. As an NA, which answer is most
appropriate to give?
Options:
A. Recommend a skilled rehabilitation facility and tell the
nurse the patient should arrange it alone.
B. Suggest home health is always best and tell the patient to
refuse transfer.
C. Tell the nurse that a rehabilitation center may be
appropriate and offer to help prepare the patient for transfer
as instructed.
D. Tell the patient to go to an assisted living facility because
it’s cheaper.
Correct answer: C
Rationales
Correct (C): A rehab facility is appropriate for daily skilled
therapy; offering practical help to prepare the patient is
within NA role and supports safe transfer.
Incorrect (A): Recommending without coordinating with the
team (nurse, case manager) and telling patient to arrange
alone exceeds NA scope.
Incorrect (B): Saying home health is always best is inaccurate
and could be unsafe.
Incorrect (D): Assisted living is not appropriate for skilled
rehab and advising based on cost alone is outside NA
responsibilities.
, Teaching point: Suggest appropriate settings; coordinate with
nurse/case manager.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Organization (Chain of Command)
Question: During your shift you notice a patient’s dressing is
saturated with bright red blood. You are uncertain whether
the bleeding is new. What should you do first?
Options:
A. Change the dressing yourself and chart that you did.
B. Call the physician immediately and describe the situation.
C. Remain with the patient, apply pressure if trained and
instructed, and notify the nurse at once.
D. Wait until the next shift so the day nurse can assess it.
Correct answer: C
Rationales
Correct (C): Staying with the patient, using only skills you are
trained to perform (apply pressure if trained) and notifying
the nurse follows chain of command and ensures immediate
safety.
Incorrect (A): Changing a bleeding dressing without nurse
instruction may exceed NA scope and risk harm.
Incorrect (B): Contacting the physician directly bypasses chain
