Linton and Matteson's Medical-Surgical
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Linton & Matteson’s Medical-Surgical Practical Nursing in
Canada
Below are 20 exam-ready MCQs for UNIT I — Aspects of
Medical-Surgical Nursing. Each item includes four options (A–
D), the correct answer, a focused rationale, and the required
citation to the chapter.
1. A practical nurse is using the nursing process to organize
care. Which step requires the nurse to cluster subjective
, and objective data to identify problems?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis (Nursing diagnosis)
Answer: D
Rationale: Problem identification (nursing diagnosis) is
formed by analyzing and clustering assessment data to
determine client problems.
Citation: Linton & Matteson’s Medical-Surgical Practical
Nursing in Canada, 1st ed. — Chapter: Aspects of Medical-
Surgical Nursing
2. Which action best demonstrates the PN’s role in client
advocacy?
A. Telling the physician how to treat the client
B. Reporting a noticed medication error and ensuring client
safety
C. Making independent changes to the medication regimen
D. Ignoring family concerns to follow unit routine
Answer: B
Rationale: Advocacy includes protecting the client’s rights
and safety — reporting errors and intervening
appropriately supports safe care.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
,3. When delegating a task to a nursing assistant, which
principle must the PN confirm before delegation?
A. The assistant has documented the task in the client’s
chart previously
B. The task requires clinical judgment
C. The assistant has the competency and training for the
task
D. The assistant is the only staff available on the unit
Answer: C
Rationale: Safe delegation depends on the delegatee’s
demonstrated competence to perform the specific task.
Tasks requiring clinical judgment should not be delegated.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
4. Which entry is the most appropriate in the client record for
a PN following an intervention?
A. “Administered medication — patient responded OK.”
B. “Gave 5 mg morphine IV at 0900 for pain; pain
decreased from 8/10 to 3/10 at 0915; vitals stable.
Notified RN.”
C. “Patient improved after meds.”
D. “Called doctor — no change noted.”
Answer: B
Rationale: Documentation should be specific, objective,
, include time, dose, response, and communication with
team members.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
5. A client refuses a recommended treatment. What is the
PN’s best immediate response?
A. Document refusal and notify the registered nurse or
physician
B. Force treatment because it’s in the client’s best interest
C. Tell the client they will lose access to services
D. Ignore the refusal and proceed later
Answer: A
Rationale: Respecting client autonomy requires
documenting refusal and informing appropriate team
members while ensuring informed refusal is addressed.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
6. Which nursing action most directly reduces the risk of
hospital-acquired infection?
A. Double-checking medication orders with a colleague
B. Performing hand hygiene before and after client contact
C. Delegating vital signs to a nursing assistant
D. Restricting visiting hours for family
Answer: B
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Linton & Matteson’s Medical-Surgical Practical Nursing in
Canada
Below are 20 exam-ready MCQs for UNIT I — Aspects of
Medical-Surgical Nursing. Each item includes four options (A–
D), the correct answer, a focused rationale, and the required
citation to the chapter.
1. A practical nurse is using the nursing process to organize
care. Which step requires the nurse to cluster subjective
, and objective data to identify problems?
A. Planning
B. Assessment
C. Implementation
D. Diagnosis (Nursing diagnosis)
Answer: D
Rationale: Problem identification (nursing diagnosis) is
formed by analyzing and clustering assessment data to
determine client problems.
Citation: Linton & Matteson’s Medical-Surgical Practical
Nursing in Canada, 1st ed. — Chapter: Aspects of Medical-
Surgical Nursing
2. Which action best demonstrates the PN’s role in client
advocacy?
A. Telling the physician how to treat the client
B. Reporting a noticed medication error and ensuring client
safety
C. Making independent changes to the medication regimen
D. Ignoring family concerns to follow unit routine
Answer: B
Rationale: Advocacy includes protecting the client’s rights
and safety — reporting errors and intervening
appropriately supports safe care.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
,3. When delegating a task to a nursing assistant, which
principle must the PN confirm before delegation?
A. The assistant has documented the task in the client’s
chart previously
B. The task requires clinical judgment
C. The assistant has the competency and training for the
task
D. The assistant is the only staff available on the unit
Answer: C
Rationale: Safe delegation depends on the delegatee’s
demonstrated competence to perform the specific task.
Tasks requiring clinical judgment should not be delegated.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
4. Which entry is the most appropriate in the client record for
a PN following an intervention?
A. “Administered medication — patient responded OK.”
B. “Gave 5 mg morphine IV at 0900 for pain; pain
decreased from 8/10 to 3/10 at 0915; vitals stable.
Notified RN.”
C. “Patient improved after meds.”
D. “Called doctor — no change noted.”
Answer: B
Rationale: Documentation should be specific, objective,
, include time, dose, response, and communication with
team members.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
5. A client refuses a recommended treatment. What is the
PN’s best immediate response?
A. Document refusal and notify the registered nurse or
physician
B. Force treatment because it’s in the client’s best interest
C. Tell the client they will lose access to services
D. Ignore the refusal and proceed later
Answer: A
Rationale: Respecting client autonomy requires
documenting refusal and informing appropriate team
members while ensuring informed refusal is addressed.
Citation: Linton & Matteson… — Chapter: Aspects of
Medical-Surgical Nursing
6. Which nursing action most directly reduces the risk of
hospital-acquired infection?
A. Double-checking medication orders with a colleague
B. Performing hand hygiene before and after client contact
C. Delegating vital signs to a nursing assistant
D. Restricting visiting hours for family
Answer: B
