Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes of Health Care Agencies
Question stem
A resident asks the nursing assistant why the skilled nursing
facility has registered nurses, therapists, and social workers on-
site. Which explanation is best for the assistant to give that
matches the facility’s purpose?
A. “We provide only food and housing; nurses are here for
paperwork.”
B. “This facility offers medical and rehabilitative services to help
,residents stay as independent as possible.”
C. “We mainly take care of people until they can move back
home the next day.”
D. “This place only gives long-term housing; medical care is
rare.”
Correct answer
B
Rationales
Correct (B): The facility’s purpose includes providing medical,
nursing, and rehabilitative services to promote independence
and meet health needs; explaining this is accurate and patient-
centered.
Incorrect (A): Minimizes the agency’s role and is factually
wrong, which misleads the resident.
Incorrect (C): Implies short-term stay only; some residents need
long-term or skilled care beyond a day.
Incorrect (D): Suggests medical care is rare, which is incorrect
for skilled nursing facilities.
Teaching point
Skilled facilities provide nursing and rehabilitative care to
support independence.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
,2
Reference
Ch. 1 — Types of Agencies — Acute Care (Hospitals)
Question stem
During report, an NA is told a new patient was admitted from
the emergency department for tests and close monitoring.
Which task should the nursing assistant prioritize on the first
shift?
A. Teach the patient detailed home care procedures.
B. Take and record the patient’s vital signs and report any
abnormal values.
C. Decide the patient’s discharge date with the nurse.
D. Adjust the patient’s medication schedule independently.
Correct answer
B
Rationales
Correct (B): Taking and reporting vital signs is within the NA
scope, helps identify changes, and supports safety during acute
monitoring.
Incorrect (A): Teaching detailed home care exceeds NA
education and is a nursing responsibility.
Incorrect (C): Setting discharge plans is outside NA scope and is
the nurse’s role.
Incorrect (D): NAs must never adjust medications; that is a
licensed nurse or prescriber's duty.
, Teaching point
Observe and report vital signs; never change medications or
care plans.
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 notices a medication error but the charge nurse is busy.
The NA’s next step should be to:
A. Report the error to the charge nurse or other supervisor
immediately following the chain of command.
B. Tell the patient’s family and let them decide what to do.
C. Fix the error by giving the correct medication yourself.
D. Ignore it since the nurse is busy and probably will not mind.
Correct answer
A
Rationales
Correct (A): Reporting immediately to the charge nurse or next
supervisor follows chain of command and ensures timely
corrective action for patient safety.
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1
Reference
Ch. 1 — Purposes of Health Care Agencies
Question stem
A resident asks the nursing assistant why the skilled nursing
facility has registered nurses, therapists, and social workers on-
site. Which explanation is best for the assistant to give that
matches the facility’s purpose?
A. “We provide only food and housing; nurses are here for
paperwork.”
B. “This facility offers medical and rehabilitative services to help
,residents stay as independent as possible.”
C. “We mainly take care of people until they can move back
home the next day.”
D. “This place only gives long-term housing; medical care is
rare.”
Correct answer
B
Rationales
Correct (B): The facility’s purpose includes providing medical,
nursing, and rehabilitative services to promote independence
and meet health needs; explaining this is accurate and patient-
centered.
Incorrect (A): Minimizes the agency’s role and is factually
wrong, which misleads the resident.
Incorrect (C): Implies short-term stay only; some residents need
long-term or skilled care beyond a day.
Incorrect (D): Suggests medical care is rare, which is incorrect
for skilled nursing facilities.
Teaching point
Skilled facilities provide nursing and rehabilitative care to
support independence.
Citation
Remmert, L. (2025). Mosby’s Textbook for Nursing Assistants
(11th ed.). Ch. 1.
,2
Reference
Ch. 1 — Types of Agencies — Acute Care (Hospitals)
Question stem
During report, an NA is told a new patient was admitted from
the emergency department for tests and close monitoring.
Which task should the nursing assistant prioritize on the first
shift?
A. Teach the patient detailed home care procedures.
B. Take and record the patient’s vital signs and report any
abnormal values.
C. Decide the patient’s discharge date with the nurse.
D. Adjust the patient’s medication schedule independently.
Correct answer
B
Rationales
Correct (B): Taking and reporting vital signs is within the NA
scope, helps identify changes, and supports safety during acute
monitoring.
Incorrect (A): Teaching detailed home care exceeds NA
education and is a nursing responsibility.
Incorrect (C): Setting discharge plans is outside NA scope and is
the nurse’s role.
Incorrect (D): NAs must never adjust medications; that is a
licensed nurse or prescriber's duty.
, Teaching point
Observe and report vital signs; never change medications or
care plans.
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 notices a medication error but the charge nurse is busy.
The NA’s next step should be to:
A. Report the error to the charge nurse or other supervisor
immediately following the chain of command.
B. Tell the patient’s family and let them decide what to do.
C. Fix the error by giving the correct medication yourself.
D. Ignore it since the nurse is busy and probably will not mind.
Correct answer
A
Rationales
Correct (A): Reporting immediately to the charge nurse or next
supervisor follows chain of command and ensures timely
corrective action for patient safety.
