Linton and Matteson's Medical-Surgical
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Linton and Matteson's Medical-Surgical Practical Nursing in
Canada
(Questions below are built from Chapter 1 — “Aspects of
Medical-Surgical Nursing” — of the book cited.)
Below are 20 concise, PN-level MCQs (A–D), each followed
immediately by the correct answer, a focused rationale, and the
required textbook citation.
, 1. A practical nurse (PN) is caring for a post-op client and
notes the surgeon’s order for ambulation q4h but the
client requests assistance with walking only once daily.
Which action best reflects the PN’s professional
responsibility?
A. Ignore the client’s request and ambulate per the
surgeon’s order.
B. Ambulate the client once daily to respect client
autonomy.
C. Notify the registered nurse (RN) or surgeon that the
client is refusing scheduled ambulation.
D. Ask a family member to ambulate the client instead.
Answer: C
Rationale: The PN must report and clarify deviations from
orders and client refusals with the RN or prescriber to protect
safety and maintain the plan of care.
Citation: Linton & Matteson, Medical-Surgical Practical Nursing
in Canada, 1st ed., Ch. 1 — Aspects of Medical-Surgical Nursing.
2. Which activity is within the Canadian PN/LPN scope and
may be delegated to the PN by the RN?
A. Writing and initiating a new nursing care plan.
B. Administering routine oral medications by pill cup.
C. Ordering laboratory tests for diagnosis.
D. Prescribing discharge medications.
,Answer: B
Rationale: PNs may perform medication administration within
their scope and agency policies; initiating orders, diagnosing, or
prescribing are beyond basic PN scope.
Citation: Linton & Matteson, 1st ed., Ch. 1.
3. A PN notices a medication error that did not reach the
patient (near miss). The best immediate action is to:
A. Document the near miss in the client chart and leave it
at that.
B. Report the near miss through the facility’s
incident/quality reporting system.
C. Discuss the near miss informally with a coworker only.
D. Destroy any evidence to avoid disciplinary action.
Answer: B
Rationale: Near misses must be reported via formal systems to
support safety improvement and risk reduction. Documentation
and reporting policies guide specifics.
Citation: Linton & Matteson, 1st ed., Ch. 1.
4. Which communication approach is most appropriate when
giving a bedside handover that supports client safety and
continuity?
A. A quick verbal summary outside the room without
verifying the client’s identity.
, B. A detailed bedside review using client identifiers and
opportunity for client questions.
C. Reading the entire chart aloud in the hallway.
D. Leaving the handover until rounds with the physician.
Answer: B
Rationale: Bedside handover with verification of identity and
client involvement enhances safety and allows clarification.
Citation: Linton & Matteson, 1st ed., Ch. 1.
5. A client with limited English speaks through an untrained
family member. What should the PN do to ensure accurate
communication?
A. Use the family member as the interpreter — it’s quicker.
B. Use gestures and hope for understanding.
C. Request a professional medical interpreter per facility
policy.
D. Ask another nurse who “knows a few words” to
interpret.
Answer: C
Rationale: Professional interpreters ensure accurate,
confidential communication and reduce errors; family members
are not reliable interpreters.
Citation: Linton & Matteson, 1st ed., Ch. 1.
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
Linton and Matteson's Medical-Surgical Practical Nursing in
Canada
(Questions below are built from Chapter 1 — “Aspects of
Medical-Surgical Nursing” — of the book cited.)
Below are 20 concise, PN-level MCQs (A–D), each followed
immediately by the correct answer, a focused rationale, and the
required textbook citation.
, 1. A practical nurse (PN) is caring for a post-op client and
notes the surgeon’s order for ambulation q4h but the
client requests assistance with walking only once daily.
Which action best reflects the PN’s professional
responsibility?
A. Ignore the client’s request and ambulate per the
surgeon’s order.
B. Ambulate the client once daily to respect client
autonomy.
C. Notify the registered nurse (RN) or surgeon that the
client is refusing scheduled ambulation.
D. Ask a family member to ambulate the client instead.
Answer: C
Rationale: The PN must report and clarify deviations from
orders and client refusals with the RN or prescriber to protect
safety and maintain the plan of care.
Citation: Linton & Matteson, Medical-Surgical Practical Nursing
in Canada, 1st ed., Ch. 1 — Aspects of Medical-Surgical Nursing.
2. Which activity is within the Canadian PN/LPN scope and
may be delegated to the PN by the RN?
A. Writing and initiating a new nursing care plan.
B. Administering routine oral medications by pill cup.
C. Ordering laboratory tests for diagnosis.
D. Prescribing discharge medications.
,Answer: B
Rationale: PNs may perform medication administration within
their scope and agency policies; initiating orders, diagnosing, or
prescribing are beyond basic PN scope.
Citation: Linton & Matteson, 1st ed., Ch. 1.
3. A PN notices a medication error that did not reach the
patient (near miss). The best immediate action is to:
A. Document the near miss in the client chart and leave it
at that.
B. Report the near miss through the facility’s
incident/quality reporting system.
C. Discuss the near miss informally with a coworker only.
D. Destroy any evidence to avoid disciplinary action.
Answer: B
Rationale: Near misses must be reported via formal systems to
support safety improvement and risk reduction. Documentation
and reporting policies guide specifics.
Citation: Linton & Matteson, 1st ed., Ch. 1.
4. Which communication approach is most appropriate when
giving a bedside handover that supports client safety and
continuity?
A. A quick verbal summary outside the room without
verifying the client’s identity.
, B. A detailed bedside review using client identifiers and
opportunity for client questions.
C. Reading the entire chart aloud in the hallway.
D. Leaving the handover until rounds with the physician.
Answer: B
Rationale: Bedside handover with verification of identity and
client involvement enhances safety and allows clarification.
Citation: Linton & Matteson, 1st ed., Ch. 1.
5. A client with limited English speaks through an untrained
family member. What should the PN do to ensure accurate
communication?
A. Use the family member as the interpreter — it’s quicker.
B. Use gestures and hope for understanding.
C. Request a professional medical interpreter per facility
policy.
D. Ask another nurse who “knows a few words” to
interpret.
Answer: C
Rationale: Professional interpreters ensure accurate,
confidential communication and reduce errors; family members
are not reliable interpreters.
Citation: Linton & Matteson, 1st ed., Ch. 1.
