Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1)
Reference
Ch. 1 — Purposes — Overall Purpose of Health Care Agencies
Question stem
A resident in a long-term care facility tells the nursing assistant
(NA) she feels isolated and wants more social activities. The NA
notes this on the care plan worksheet. Which statement best
reflects the primary purpose of the NA’s role in this situation?
A. Arrange and lead a new social activity for the resident.
B. Document the resident’s concern and report it to the nurse.
C. Tell the resident the facility schedules activities on weekends
,only.
D. Advise the resident to talk to other residents about forming a
group.
Correct answer
B
Rationales
Correct: The NA’s role is to observe, document, and report
changes or concerns about a resident’s well-being so the nurse
or care team can plan appropriate interventions. Reporting
preserves resident safety and dignity and follows the NA scope.
A: Leading activities may be outside the NA’s assigned duties
unless first directed; arranging programs is a staff responsibility.
C: Providing schedule information without reporting the
concern ignores the resident’s expressed need and may deny
further assessment.
D: Suggesting resident-led solutions without documenting or
reporting misses required communication and care planning
steps.
Teaching point
Report observed concerns to the nurse for care planning.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2)
,Reference
Ch. 1 — Types of Agencies — Hospitals vs. Long-Term Care
Question stem
An NA is assigned to a patient who was admitted to the hospital
for a short procedure but will need daily help with bathing and
eating for several weeks after discharge. When explaining
services to the patient, which statement by the NA is most
accurate?
A. “You will probably move to a long-term care facility right
away.”
B. “The hospital will arrange for home care or rehabilitation as
needed.”
C. “You must find a nursing home if you can’t care for yourself.”
D. “Hospital staff will give you all daily personal care after
discharge.”
Correct answer
B
Rationales
Correct: Hospitals often coordinate discharge planning and
arrange appropriate post-hospital services (home health or
rehab) based on patient needs; NAs should reinforce that
planning occurs and report needs to the nurse.
A: Moving to long-term care is not automatic; it depends on
assessed needs and planning.
C: Telling the patient they “must” find a nursing home is
alarmist and outside the NA’s role in care coordination.
, D: Hospital staff do not provide ongoing daily personal care
after discharge; community services or family usually help.
Teaching point
Hospitals coordinate discharge and referrals for post-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
An NA is asked by a family member for a change in the patient’s
medication schedule. The NA is unsure whether the request is
appropriate. What should the NA do first?
A. Change the medication schedule as requested to help the
family.
B. Ignore the request and tell the family to speak with the
doctor.
C. Report the family’s request to the nurse immediately.
D. Discuss the family’s request with another NA working the
same shift.
Correct answer
C
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1)
Reference
Ch. 1 — Purposes — Overall Purpose of Health Care Agencies
Question stem
A resident in a long-term care facility tells the nursing assistant
(NA) she feels isolated and wants more social activities. The NA
notes this on the care plan worksheet. Which statement best
reflects the primary purpose of the NA’s role in this situation?
A. Arrange and lead a new social activity for the resident.
B. Document the resident’s concern and report it to the nurse.
C. Tell the resident the facility schedules activities on weekends
,only.
D. Advise the resident to talk to other residents about forming a
group.
Correct answer
B
Rationales
Correct: The NA’s role is to observe, document, and report
changes or concerns about a resident’s well-being so the nurse
or care team can plan appropriate interventions. Reporting
preserves resident safety and dignity and follows the NA scope.
A: Leading activities may be outside the NA’s assigned duties
unless first directed; arranging programs is a staff responsibility.
C: Providing schedule information without reporting the
concern ignores the resident’s expressed need and may deny
further assessment.
D: Suggesting resident-led solutions without documenting or
reporting misses required communication and care planning
steps.
Teaching point
Report observed concerns to the nurse for care planning.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
2)
,Reference
Ch. 1 — Types of Agencies — Hospitals vs. Long-Term Care
Question stem
An NA is assigned to a patient who was admitted to the hospital
for a short procedure but will need daily help with bathing and
eating for several weeks after discharge. When explaining
services to the patient, which statement by the NA is most
accurate?
A. “You will probably move to a long-term care facility right
away.”
B. “The hospital will arrange for home care or rehabilitation as
needed.”
C. “You must find a nursing home if you can’t care for yourself.”
D. “Hospital staff will give you all daily personal care after
discharge.”
Correct answer
B
Rationales
Correct: Hospitals often coordinate discharge planning and
arrange appropriate post-hospital services (home health or
rehab) based on patient needs; NAs should reinforce that
planning occurs and report needs to the nurse.
A: Moving to long-term care is not automatic; it depends on
assessed needs and planning.
C: Telling the patient they “must” find a nursing home is
alarmist and outside the NA’s role in care coordination.
, D: Hospital staff do not provide ongoing daily personal care
after discharge; community services or family usually help.
Teaching point
Hospitals coordinate discharge and referrals for post-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
An NA is asked by a family member for a change in the patient’s
medication schedule. The NA is unsure whether the request is
appropriate. What should the NA do first?
A. Change the medication schedule as requested to help the
family.
B. Ignore the request and tell the family to speak with the
doctor.
C. Report the family’s request to the nurse immediately.
D. Discuss the family’s request with another NA working the
same shift.
Correct answer
C
