Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference: Ch. 1 — Purposes of Health Care Agencies
Stem: You’re assigned to a patient in a long-term care facility
who needs help with bathing every morning. A visitor asks you
why this facility is different from a hospital and whether
residents have doctors too. Which response is best for you to
give?
A. “This facility helps people who need long-term daily care;
doctors still visit, but staff provide daily support.”
B. “We’re just like a hospital, but people stay here longer; you
can talk to the doctor anytime.”
C. “We only give baths and feed people; the doctor is not
,involved here.”
D. “Residents don’t need doctors — family handles most
doctor's decisions.”
Correct Answer: A
Rationale — Correct: Option A accurately describes long-term
care: ongoing personal care with licensed providers and
physician involvement. It’s within the NA’s role to explain facility
purpose and reassure visitors.
Rationale — Incorrect: B overstates access and equates to
acute care, which can mislead. C minimizes the care team and is
false. D wrongly implies absence of medical oversight and
places inappropriate responsibility on family.
Teaching Point: Long-term care = daily support plus visiting
licensed clinicians.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies
Stem: A coworker asks whether a patient should be transferred
to an acute care hospital or can stay at the skilled nursing unit
for continued rehab. What is the most appropriate action for
you as the nursing assistant?
A. Suggest transfer because the patient looks weak.
B. Ask the nurse to clarify the patient’s level of care and transfer
plan.
,C. Tell the family you will arrange the transfer yourself.
D. Refuse to help the patient until the transfer decision is made.
Correct Answer: B
Rationale — Correct: Asking the nurse to clarify is within NA
scope and ensures care follows agency and clinical decisions
made by licensed staff. It promotes safe, coordinated transitions
between agency types.
Rationale — Incorrect: A is speculation outside NA scope. C is
beyond NA authority. D is abandonment and unsafe.
Teaching Point: Report care-transition questions to the nurse.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Organization (Chain of Command)
Stem: You notice a new medication drawer is unlocked on the
nursing station. A medication aide is not present. What should
you do first?
A. Lock the drawer and report the finding to the charge nurse.
B. Ignore it — medication aides will return soon.
C. Take the medications to patients who need them.
D. Ask a patient’s family member to watch the drawer.
Correct Answer: A
Rationale — Correct: Locking the drawer secures medications
immediately and reporting to the charge nurse follows chain-of-
command and prevents medication errors or diversion.
, Rationale — Incorrect: B delays corrective action. C is unsafe
and outside NA role. D is inappropriate delegation and breaches
safety.
Teaching Point: Secure medications and notify the nurse
immediately.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — The Nursing Team (Roles)
Stem: A confused resident asks you about a change in the plan
of care that you weren’t told about. The resident wants to know
who decides the plan and why it changed. What is your best
response?
A. Explain that the nurse or doctor sets the plan and you will get
the nurse to explain it.
B. Give your opinion about what the doctor probably decided.
C. Tell the resident that plans don’t change and ignore the
question.
D. Tell the resident their family made the change without
checking.
Correct Answer: A
Rationale — Correct: Option A correctly identifies who is
responsible (nurse/doctor) and involves reporting to the nurse
so the resident receives accurate information. That respects
scope and communication lines.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference: Ch. 1 — Purposes of Health Care Agencies
Stem: You’re assigned to a patient in a long-term care facility
who needs help with bathing every morning. A visitor asks you
why this facility is different from a hospital and whether
residents have doctors too. Which response is best for you to
give?
A. “This facility helps people who need long-term daily care;
doctors still visit, but staff provide daily support.”
B. “We’re just like a hospital, but people stay here longer; you
can talk to the doctor anytime.”
C. “We only give baths and feed people; the doctor is not
,involved here.”
D. “Residents don’t need doctors — family handles most
doctor's decisions.”
Correct Answer: A
Rationale — Correct: Option A accurately describes long-term
care: ongoing personal care with licensed providers and
physician involvement. It’s within the NA’s role to explain facility
purpose and reassure visitors.
Rationale — Incorrect: B overstates access and equates to
acute care, which can mislead. C minimizes the care team and is
false. D wrongly implies absence of medical oversight and
places inappropriate responsibility on family.
Teaching Point: Long-term care = daily support plus visiting
licensed clinicians.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies
Stem: A coworker asks whether a patient should be transferred
to an acute care hospital or can stay at the skilled nursing unit
for continued rehab. What is the most appropriate action for
you as the nursing assistant?
A. Suggest transfer because the patient looks weak.
B. Ask the nurse to clarify the patient’s level of care and transfer
plan.
,C. Tell the family you will arrange the transfer yourself.
D. Refuse to help the patient until the transfer decision is made.
Correct Answer: B
Rationale — Correct: Asking the nurse to clarify is within NA
scope and ensures care follows agency and clinical decisions
made by licensed staff. It promotes safe, coordinated transitions
between agency types.
Rationale — Incorrect: A is speculation outside NA scope. C is
beyond NA authority. D is abandonment and unsafe.
Teaching Point: Report care-transition questions to the nurse.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
3.
Reference: Ch. 1 — Organization (Chain of Command)
Stem: You notice a new medication drawer is unlocked on the
nursing station. A medication aide is not present. What should
you do first?
A. Lock the drawer and report the finding to the charge nurse.
B. Ignore it — medication aides will return soon.
C. Take the medications to patients who need them.
D. Ask a patient’s family member to watch the drawer.
Correct Answer: A
Rationale — Correct: Locking the drawer secures medications
immediately and reporting to the charge nurse follows chain-of-
command and prevents medication errors or diversion.
, Rationale — Incorrect: B delays corrective action. C is unsafe
and outside NA role. D is inappropriate delegation and breaches
safety.
Teaching Point: Secure medications and notify the nurse
immediately.
Citation: Remmert, L. (2024). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
4.
Reference: Ch. 1 — The Nursing Team (Roles)
Stem: A confused resident asks you about a change in the plan
of care that you weren’t told about. The resident wants to know
who decides the plan and why it changed. What is your best
response?
A. Explain that the nurse or doctor sets the plan and you will get
the nurse to explain it.
B. Give your opinion about what the doctor probably decided.
C. Tell the resident that plans don’t change and ignore the
question.
D. Tell the resident their family made the change without
checking.
Correct Answer: A
Rationale — Correct: Option A correctly identifies who is
responsible (nurse/doctor) and involves reporting to the nurse
so the resident receives accurate information. That respects
scope and communication lines.
