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, 1st ed.
Unit I – Chapter 1: Aspects of Medical-Surgical Nursing
1.
Which action best reflects the practical nurse’s role in medical-
surgical nursing?
,A. Independently diagnosing complex medical conditions
B. Developing the overall medical treatment plan
C. Providing ongoing assessment and implementing prescribed
care
D. Prescribing pharmacologic therapy
Correct Answer: C
Rationale: The PN provides ongoing focused assessments,
implements prescribed treatments, and monitors client
responses within scope. Diagnosis and prescribing are outside
PN scope.
Citation: Linton & Matteson, Medical-Surgical Practical Nursing
in Canada, 1st ed., Ch. 1.
2.
Which factor most influences the nurse’s priority setting?
A. Physician preference
B. Client acuity and stability
C. Length of hospital stay
D. Availability of supplies
Correct Answer: B
Rationale: Client acuity and physiological stability determine
priority using clinical judgment and frameworks such as ABCs.
Citation: Linton & Matteson, Ch. 1.
,3.
A practical nurse identifies that a postoperative client has
increasing respiratory distress. What is the priority action?
A. Document findings
B. Notify dietary services
C. Assess airway and oxygen saturation
D. Complete routine medications
Correct Answer: C
Rationale: Airway and breathing take priority. Immediate
focused assessment is required before further actions.
Citation: Linton & Matteson, Ch. 1.
4.
Which principle guides safe delegation by the PN?
A. Delegate unstable clients to unregulated care providers
B. Delegate tasks requiring nursing judgment
C. Ensure task matches competence of delegatee
D. Delegate assessment responsibilities freely
Correct Answer: C
Rationale: Safe delegation requires matching task complexity
with the competency of the care provider and ensuring
appropriate supervision.
Citation: Linton & Matteson, Ch. 1.
, 5.
Which is an example of secondary prevention in medical-
surgical nursing?
A. Immunization clinic
B. Smoking cessation teaching
C. Blood pressure screening
D. Rehabilitation after stroke
Correct Answer: C
Rationale: Screening identifies disease early and is considered
secondary prevention.
Citation: Linton & Matteson, Ch. 1.
6.
Which communication technique promotes therapeutic nurse-
client relationships?
A. Giving advice
B. Changing the subject
C. Active listening
D. Providing false reassurance
Correct Answer: C
Rationale: Active listening fosters trust and therapeutic
communication. Advice and false reassurance are
nontherapeutic.
Citation: Linton & Matteson, Ch. 1.