Linton and Matteson's Medical-Surgical
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Chapter 1 — Aspects of Medical-Surgical Nursing
Advanced Fast-Revision / Exam-Prep MCQs
EXACTLY 20 Questions
1. (Priority)
A PN is assigned four adult clients on a medical unit. Which
client should the PN assess first?
,A. Client awaiting discharge teaching for insulin administration
B. Client with COPD reporting increased sputum production
C. Client 24 hours post-operative with decreasing urine output
D. Client with chronic pain requesting breakthrough medication
Correct Answer: C
Rationale: Decreasing urine output post-operatively may
indicate hypovolemia or acute kidney injury, requiring
immediate assessment. This reflects early recognition of
deterioration, a core medical-surgical nursing responsibility.
Citation: Linton & Matteson, Ch. 1
2. (Standard)
Which statement best reflects the primary focus of medical-
surgical nursing practice?
A. Managing acute illness only
B. Supporting recovery across the health–illness continuum
C. Providing physician-directed technical care
D. Treating chronic disease exclusively
Correct Answer: B
Rationale: Medical-surgical nursing emphasizes holistic care
across wellness, acute illness, chronic disease, and
rehabilitation.
Citation: Linton & Matteson, Ch. 1
,3. (SATA)
Which nursing actions demonstrate clinical judgment in
medical-surgical nursing? (Select all that apply.)
A. Interpreting abnormal assessment findings
B. Following orders without analysis
C. Recognizing patterns of deterioration
D. Anticipating potential complications
E. Performing tasks efficiently
Correct Answers: A, C, D
Rationale: Clinical judgment involves interpretation, pattern
recognition, and anticipation—not task completion alone.
Citation: Linton & Matteson, Ch. 1
4. (Standard)
A client asks the PN why multiple assessments are repeated
during a shift. Which response is most appropriate?
A. “It is required for documentation purposes.”
B. “Changes can occur quickly and early signs must be
identified.”
C. “Physicians need frequent updates.”
D. “Hospital policy requires it.”
Correct Answer: B
Rationale: Ongoing assessment allows early identification of
clinical changes, a foundational concept in medical-surgical
, nursing.
Citation: Linton & Matteson, Ch. 1
5. (Priority)
Which situation requires the PN to immediately communicate
findings to the RN?
A. Stable vital signs with mild anxiety
B. New onset confusion in an older adult
C. Client refusing a scheduled bath
D. Controlled nausea after medication
Correct Answer: B
Rationale: Acute confusion may signal hypoxia, infection, or
metabolic imbalance and requires prompt escalation.
Citation: Linton & Matteson, Ch. 1
6. (Standard)
Which factor most significantly influences safe medical-surgical
nursing care?
A. Number of tasks completed
B. Accurate assessment and monitoring
C. Speed of intervention
D. Use of advanced technology
Correct Answer: B
Rationale: Safe care is grounded in accurate assessment and
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Chapter 1 — Aspects of Medical-Surgical Nursing
Advanced Fast-Revision / Exam-Prep MCQs
EXACTLY 20 Questions
1. (Priority)
A PN is assigned four adult clients on a medical unit. Which
client should the PN assess first?
,A. Client awaiting discharge teaching for insulin administration
B. Client with COPD reporting increased sputum production
C. Client 24 hours post-operative with decreasing urine output
D. Client with chronic pain requesting breakthrough medication
Correct Answer: C
Rationale: Decreasing urine output post-operatively may
indicate hypovolemia or acute kidney injury, requiring
immediate assessment. This reflects early recognition of
deterioration, a core medical-surgical nursing responsibility.
Citation: Linton & Matteson, Ch. 1
2. (Standard)
Which statement best reflects the primary focus of medical-
surgical nursing practice?
A. Managing acute illness only
B. Supporting recovery across the health–illness continuum
C. Providing physician-directed technical care
D. Treating chronic disease exclusively
Correct Answer: B
Rationale: Medical-surgical nursing emphasizes holistic care
across wellness, acute illness, chronic disease, and
rehabilitation.
Citation: Linton & Matteson, Ch. 1
,3. (SATA)
Which nursing actions demonstrate clinical judgment in
medical-surgical nursing? (Select all that apply.)
A. Interpreting abnormal assessment findings
B. Following orders without analysis
C. Recognizing patterns of deterioration
D. Anticipating potential complications
E. Performing tasks efficiently
Correct Answers: A, C, D
Rationale: Clinical judgment involves interpretation, pattern
recognition, and anticipation—not task completion alone.
Citation: Linton & Matteson, Ch. 1
4. (Standard)
A client asks the PN why multiple assessments are repeated
during a shift. Which response is most appropriate?
A. “It is required for documentation purposes.”
B. “Changes can occur quickly and early signs must be
identified.”
C. “Physicians need frequent updates.”
D. “Hospital policy requires it.”
Correct Answer: B
Rationale: Ongoing assessment allows early identification of
clinical changes, a foundational concept in medical-surgical
, nursing.
Citation: Linton & Matteson, Ch. 1
5. (Priority)
Which situation requires the PN to immediately communicate
findings to the RN?
A. Stable vital signs with mild anxiety
B. New onset confusion in an older adult
C. Client refusing a scheduled bath
D. Controlled nausea after medication
Correct Answer: B
Rationale: Acute confusion may signal hypoxia, infection, or
metabolic imbalance and requires prompt escalation.
Citation: Linton & Matteson, Ch. 1
6. (Standard)
Which factor most significantly influences safe medical-surgical
nursing care?
A. Number of tasks completed
B. Accurate assessment and monitoring
C. Speed of intervention
D. Use of advanced technology
Correct Answer: B
Rationale: Safe care is grounded in accurate assessment and
