SOLUTIONS MANUAL FOR NURSING ASSISTANT:
A NURSING PROCESS APPROACH (12TH EDITION)
| ACCELLO | COMPLETE CHAPTERS | UPDATED
STUDY & EXAM PREP GUIDE 2026
• This exam prep guide is based on the Nursing Assistant: A Nursing Process
Approach, 12th Edition by Acello & Hegner, designed to help you master key
concepts across all chapters through structured multiple-choice practice.
• Use this material by reading each question carefully, selecting your answer before
checking the highlighted correct option and EXPERT RATIONALE below it — ideal
for self-testing, classroom review, and certification preparation.
NURSING ASSISTANT: A NURSING PROCESS APPROACH (12TH EDITION)
QUESTION COMPREHENSIVE EXAM
1. The nursing assistant's primary role in the nursing process is to:
A. Develop the nursing care plan independently
B. Diagnose patient conditions
C. Administer medications without supervision
D. Collect and report observations to the nurse
E. Perform surgical procedures
CORRECT ANSWER: D. Collect and report observations to the nurse
EXPERT RATIONALE: The nursing assistant supports the licensed nurse by gathering and
reporting patient observations, which feed into the nursing process. They do not
diagnose, prescribe, or independently plan care.
2. Which of the following best describes the nursing process?
A. A method used only by physicians
B. A five-step problem-solving approach used in patient care
,C. A documentation system for billing purposes
D. A set of physical therapy exercises
E. A hospital policy manual
CORRECT ANSWER: B. A five-step problem-solving approach used in patient
care
EXPERT RATIONALE: The nursing process consists of Assessment, Diagnosis, Planning,
Implementation, and Evaluation — a systematic framework guiding individualized
patient care.
3. What does the abbreviation "ADL" stand for?
A. Advanced Directive Listing
B. Activities of Daily Living
C. Automated Diagnostic Lab
D. Acute Disease Level
E. Assisted Delivery Limit
CORRECT ANSWER: B. Activities of Daily Living
EXPERT RATIONALE: ADLs include basic self-care tasks such as bathing, dressing,
grooming, eating, and toileting — areas where nursing assistants provide direct support.
4. Which law protects the rights of nursing home residents?
A. The Nurse Practice Act
B. HIPAA
C. The Omnibus Budget Reconciliation Act (OBRA)
D. The Americans with Disabilities Act
E. The Patient Self-Determination Act
, CORRECT ANSWER: C. The Omnibus Budget Reconciliation Act (OBRA)
EXPERT RATIONALE: OBRA 1987 established minimum standards for nursing home
care, including resident rights, staffing requirements, and nursing assistant training and
competency evaluations.
5. A patient's care plan is best described as:
A. A financial billing record
B. A physician's prescription pad
C. An individualized written guide directing patient care
D. A visitor log
E. A hospital admission form
CORRECT ANSWER: C. An individualized written guide directing patient
care
EXPERT RATIONALE: The care plan outlines specific goals, interventions, and expected
outcomes tailored to each patient, guiding all members of the healthcare team.
6. Which of the following is a resident right under OBRA?
A. The right to be restrained for safety at all times
B. The right to privacy and confidentiality
C. The right to refuse all healthcare workers
D. The right to select their own medications
E. The right to leave the facility permanently without notice
CORRECT ANSWER: B. The right to privacy and confidentiality
EXPERT RATIONALE: OBRA guarantees residents the right to privacy in treatment and
personal affairs, including confidential handling of medical records and personal
information.
, 7. When a nursing assistant observes a change in a patient's condition, the
correct action is to:
A. Document it and say nothing
B. Wait until the end of the shift to report it
C. Report it immediately to the supervising nurse
D. Contact the patient's family first
E. Administer treatment independently
CORRECT ANSWER: C. Report it immediately to the supervising nurse
EXPERT RATIONALE: Prompt reporting of changes in patient condition ensures timely
intervention. Delays can result in patient harm; the nurse determines the appropriate
response.
8. The chain of infection requires which of the following elements?
A. Sunlight, air, and water
B. Susceptible host, infectious agent, reservoir, portal of exit, mode of transmission,
portal of entry
C. Patient, nurse, and physician
D. Blood, urine, and saliva only
E. Heat, cold, and moisture
CORRECT ANSWER: B. Susceptible host, infectious agent, reservoir, portal
of exit, mode of transmission, portal of entry
EXPERT RATIONALE: All six links must be present for infection to spread. Breaking any
one link in the chain prevents transmission of disease.
9. Hand hygiene should be performed:
A NURSING PROCESS APPROACH (12TH EDITION)
| ACCELLO | COMPLETE CHAPTERS | UPDATED
STUDY & EXAM PREP GUIDE 2026
• This exam prep guide is based on the Nursing Assistant: A Nursing Process
Approach, 12th Edition by Acello & Hegner, designed to help you master key
concepts across all chapters through structured multiple-choice practice.
• Use this material by reading each question carefully, selecting your answer before
checking the highlighted correct option and EXPERT RATIONALE below it — ideal
for self-testing, classroom review, and certification preparation.
NURSING ASSISTANT: A NURSING PROCESS APPROACH (12TH EDITION)
QUESTION COMPREHENSIVE EXAM
1. The nursing assistant's primary role in the nursing process is to:
A. Develop the nursing care plan independently
B. Diagnose patient conditions
C. Administer medications without supervision
D. Collect and report observations to the nurse
E. Perform surgical procedures
CORRECT ANSWER: D. Collect and report observations to the nurse
EXPERT RATIONALE: The nursing assistant supports the licensed nurse by gathering and
reporting patient observations, which feed into the nursing process. They do not
diagnose, prescribe, or independently plan care.
2. Which of the following best describes the nursing process?
A. A method used only by physicians
B. A five-step problem-solving approach used in patient care
,C. A documentation system for billing purposes
D. A set of physical therapy exercises
E. A hospital policy manual
CORRECT ANSWER: B. A five-step problem-solving approach used in patient
care
EXPERT RATIONALE: The nursing process consists of Assessment, Diagnosis, Planning,
Implementation, and Evaluation — a systematic framework guiding individualized
patient care.
3. What does the abbreviation "ADL" stand for?
A. Advanced Directive Listing
B. Activities of Daily Living
C. Automated Diagnostic Lab
D. Acute Disease Level
E. Assisted Delivery Limit
CORRECT ANSWER: B. Activities of Daily Living
EXPERT RATIONALE: ADLs include basic self-care tasks such as bathing, dressing,
grooming, eating, and toileting — areas where nursing assistants provide direct support.
4. Which law protects the rights of nursing home residents?
A. The Nurse Practice Act
B. HIPAA
C. The Omnibus Budget Reconciliation Act (OBRA)
D. The Americans with Disabilities Act
E. The Patient Self-Determination Act
, CORRECT ANSWER: C. The Omnibus Budget Reconciliation Act (OBRA)
EXPERT RATIONALE: OBRA 1987 established minimum standards for nursing home
care, including resident rights, staffing requirements, and nursing assistant training and
competency evaluations.
5. A patient's care plan is best described as:
A. A financial billing record
B. A physician's prescription pad
C. An individualized written guide directing patient care
D. A visitor log
E. A hospital admission form
CORRECT ANSWER: C. An individualized written guide directing patient
care
EXPERT RATIONALE: The care plan outlines specific goals, interventions, and expected
outcomes tailored to each patient, guiding all members of the healthcare team.
6. Which of the following is a resident right under OBRA?
A. The right to be restrained for safety at all times
B. The right to privacy and confidentiality
C. The right to refuse all healthcare workers
D. The right to select their own medications
E. The right to leave the facility permanently without notice
CORRECT ANSWER: B. The right to privacy and confidentiality
EXPERT RATIONALE: OBRA guarantees residents the right to privacy in treatment and
personal affairs, including confidential handling of medical records and personal
information.
, 7. When a nursing assistant observes a change in a patient's condition, the
correct action is to:
A. Document it and say nothing
B. Wait until the end of the shift to report it
C. Report it immediately to the supervising nurse
D. Contact the patient's family first
E. Administer treatment independently
CORRECT ANSWER: C. Report it immediately to the supervising nurse
EXPERT RATIONALE: Prompt reporting of changes in patient condition ensures timely
intervention. Delays can result in patient harm; the nurse determines the appropriate
response.
8. The chain of infection requires which of the following elements?
A. Sunlight, air, and water
B. Susceptible host, infectious agent, reservoir, portal of exit, mode of transmission,
portal of entry
C. Patient, nurse, and physician
D. Blood, urine, and saliva only
E. Heat, cold, and moisture
CORRECT ANSWER: B. Susceptible host, infectious agent, reservoir, portal
of exit, mode of transmission, portal of entry
EXPERT RATIONALE: All six links must be present for infection to spread. Breaking any
one link in the chain prevents transmission of disease.
9. Hand hygiene should be performed:
