Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
edical-Surgical Practical Nursing in Canada
Unit I – Medical-Surgical Nursing
Chapter 1: Aspects of Medical-Surgical Nursing
Chapter 1 — Aspects of Medical-Surgical Nursing
(20 PN-Level MCQs | Exam-Ready Format)
1. Which factor most influences the delivery of medical-
surgical nursing care in Canada?
,A. Provincial health-care legislation
B. Hospital accreditation standards
C. Physician preference
D. Availability of advanced diagnostics
Correct Answer: A
Rationale: Provincial and territorial legislation defines scope of
practice, delegation, and accountability for PN/LPNs in Canada.
Citation: Linton & Matteson, Medical-Surgical Practical Nursing
in Canada, 1st ed., Ch. 1
2. The primary focus of medical-surgical practical nursing is to:
A. Diagnose medical conditions
B. Manage complex medical treatments independently
C. Provide holistic care to clients with acute and chronic illness
D. Prescribe pharmacologic therapy
Correct Answer: C
Rationale: Medical-surgical nursing emphasizes holistic, client-
centred care across acute and chronic conditions within scope.
Citation: Ch. 1
3. Which role is within the PN/LPN scope in medical-surgical
nursing?
A. Independent development of medical diagnoses
B. Ongoing assessment and monitoring of client responses
,C. Ordering diagnostic imaging
D. Adjusting medication dosages independently
Correct Answer: B
Rationale: PN/LPNs monitor, assess, and report client
responses; diagnosing and prescribing are outside scope.
Citation: Ch. 1
4. A key responsibility of the PN/LPN when providing medical-
surgical care is to:
A. Perform initial physician assessments
B. Implement components of the care plan
C. Prescribe treatments based on findings
D. Interpret complex diagnostic results independently
Correct Answer: B
Rationale: PN/LPNs implement and contribute to the plan of
care as directed and collaborate with the health-care team.
Citation: Ch. 1
5. Which statement best describes client-centred care?
A. Care based on standardized routines
B. Care focused on institutional efficiency
C. Care that respects client values, needs, and preferences
D. Care determined solely by medical diagnosis
, Correct Answer: C
Rationale: Client-centred care prioritizes individual preferences,
beliefs, and participation in care decisions.
Citation: Ch. 1
6. The PN/LPN’s accountability primarily includes:
A. Delegating tasks to physicians
B. Ensuring care aligns with personal judgment
C. Practicing within legislated scope and standards
D. Making independent clinical diagnoses
Correct Answer: C
Rationale: Accountability requires adherence to regulatory
standards and defined scope of practice.
Citation: Ch. 1
7. Which setting is considered part of medical-surgical nursing
practice?
A. Acute care only
B. Community care only
C. Long-term care only
D. Acute, community, and long-term care
Correct Answer: D
Rationale: Medical-surgical nursing occurs across multiple care