Mosby's Textbook for Nursing
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference: Ch. 1 — Purposes — Long-term vs. acute care
purposes
Question stem: A resident in a long-term care facility asks the
nursing assistant about when they will return home after
their stroke. The assistant is not sure. What is the best
immediate action for the nursing assistant to take?
Options:
A. Tell the resident they will likely go home next week to
reassure them.
B. Ask the charge nurse for guidance and report the
resident’s question.
,C. Tell the resident to ask their physician during rounds.
D. Call the resident’s family to discuss discharge plans.
Correct answer: B
Rationales — Correct (B): Asking the charge nurse and
reporting the resident’s question keeps care within the
nursing team’s communication channel and ensures the
resident receives accurate, timely information. This protects
safety and dignity by avoiding speculation.
Rationales — Incorrect:
A. Speculation is inappropriate and may give false hope; NAs
must not make discharge predictions.
C. Telling the resident to ask the physician ignores the NA’s
role to report concerns to the nurse.
D. Calling family is outside the NA’s role unless authorized
and could breach privacy.
Teaching point: Always report resident concerns to the nurse
before advising.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies — Acute care (hospital)
vs. long-term care
Question stem: While working on the medical-surgical unit,
an NA is assigned to a patient admitted for short-term
treatment. Which routine task best reflects the focus of
,acute-care nursing assistants?
Options:
A. Assisting with rehabilitation activities scheduled over
months.
B. Performing frequent assessments and reporting rapid
changes to the nurse.
C. Planning long-term social activities for the patient.
D. Managing a resident’s long-term medication schedule
independently.
Correct answer: B
Rationales — Correct (B): Acute-care NAs focus on short-term
monitoring and promptly reporting rapid changes so the
team can intervene quickly. This aligns with safety and the
acute setting’s pace.
Rationales — Incorrect:
A. Long rehab planning is typical for long-term or rehab
settings, not primarily acute care.
C. Planning long-term activities is outside the acute-care NA’s
primary role.
D. NAs do not independently manage medications;
medication administration is outside typical NA scope.
Teaching point: In acute care, promptly report changes in
patient condition.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
, 3.
Reference: Ch. 1 — Organization — Chain of command and
reporting
Question stem: An NA witnesses a licensed nurse ignore a
physician’s order to change a dressing. The wound appears
red and draining. Which action should the NA take first?
Options:
A. Ignore it because it’s the nurse’s responsibility.
B. Document nothing and confront the nurse loudly in front
of the patient.
C. Report the observation to the charge nurse or supervisor
according to facility policy.
D. Change the dressing immediately without notifying
anyone.
Correct answer: C
Rationales — Correct (C): Reporting the observation up the
chain of command follows facility policy, maintains patient
safety, and respects scope; the supervisor can ensure
appropriate action.
Rationales — Incorrect:
A. Ignoring risks patient harm and violates duty to report
abnormal findings.
B. Confronting publicly is unprofessional and may escalate
conflict; documentation without reporting is inadequate.
D. Changing the dressing is beyond many NAs’ scope and
bypasses proper orders.
Teaching point: Follow chain of command; report unsafe care
Assistants
11th Edition
• Author(s)Leighann Remmert
TEST BANK
1.
Reference: Ch. 1 — Purposes — Long-term vs. acute care
purposes
Question stem: A resident in a long-term care facility asks the
nursing assistant about when they will return home after
their stroke. The assistant is not sure. What is the best
immediate action for the nursing assistant to take?
Options:
A. Tell the resident they will likely go home next week to
reassure them.
B. Ask the charge nurse for guidance and report the
resident’s question.
,C. Tell the resident to ask their physician during rounds.
D. Call the resident’s family to discuss discharge plans.
Correct answer: B
Rationales — Correct (B): Asking the charge nurse and
reporting the resident’s question keeps care within the
nursing team’s communication channel and ensures the
resident receives accurate, timely information. This protects
safety and dignity by avoiding speculation.
Rationales — Incorrect:
A. Speculation is inappropriate and may give false hope; NAs
must not make discharge predictions.
C. Telling the resident to ask the physician ignores the NA’s
role to report concerns to the nurse.
D. Calling family is outside the NA’s role unless authorized
and could breach privacy.
Teaching point: Always report resident concerns to the nurse
before advising.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
2.
Reference: Ch. 1 — Types of Agencies — Acute care (hospital)
vs. long-term care
Question stem: While working on the medical-surgical unit,
an NA is assigned to a patient admitted for short-term
treatment. Which routine task best reflects the focus of
,acute-care nursing assistants?
Options:
A. Assisting with rehabilitation activities scheduled over
months.
B. Performing frequent assessments and reporting rapid
changes to the nurse.
C. Planning long-term social activities for the patient.
D. Managing a resident’s long-term medication schedule
independently.
Correct answer: B
Rationales — Correct (B): Acute-care NAs focus on short-term
monitoring and promptly reporting rapid changes so the
team can intervene quickly. This aligns with safety and the
acute setting’s pace.
Rationales — Incorrect:
A. Long rehab planning is typical for long-term or rehab
settings, not primarily acute care.
C. Planning long-term activities is outside the acute-care NA’s
primary role.
D. NAs do not independently manage medications;
medication administration is outside typical NA scope.
Teaching point: In acute care, promptly report changes in
patient condition.
Citation: Remmert, L. (2025). Mosby’s Textbook for Nursing
Assistants (11th ed.). Ch. 1.
, 3.
Reference: Ch. 1 — Organization — Chain of command and
reporting
Question stem: An NA witnesses a licensed nurse ignore a
physician’s order to change a dressing. The wound appears
red and draining. Which action should the NA take first?
Options:
A. Ignore it because it’s the nurse’s responsibility.
B. Document nothing and confront the nurse loudly in front
of the patient.
C. Report the observation to the charge nurse or supervisor
according to facility policy.
D. Change the dressing immediately without notifying
anyone.
Correct answer: C
Rationales — Correct (C): Reporting the observation up the
chain of command follows facility policy, maintains patient
safety, and respects scope; the supervisor can ensure
appropriate action.
Rationales — Incorrect:
A. Ignoring risks patient harm and violates duty to report
abnormal findings.
B. Confronting publicly is unprofessional and may escalate
conflict; documentation without reporting is inadequate.
D. Changing the dressing is beyond many NAs’ scope and
bypasses proper orders.
Teaching point: Follow chain of command; report unsafe care
