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, 1st ed.
Unit I – Aspects of Medical-Surgical Nursing
1.
A practical nurse is caring for several clients. Which client
should be assessed first?
A. Client with postoperative pain rated 7/10
B. Client with oxygen saturation of 88% on room air
,C. Client requesting assistance to the bathroom
D. Client scheduled for discharge teaching
Answer: B
Rationale: Airway and oxygenation are the highest priorities. An
SpO₂ of 88% indicates hypoxemia requiring immediate
assessment.
Citation: Linton & Matteson, Unit I – Aspects of Medical-
Surgical Nursing (Priority setting/ABCs)
2.
Which action demonstrates the use of the nursing process?
A. Administering medications as ordered
B. Reassessing pain after giving analgesics
C. Documenting intake and output
D. Reporting abnormal lab results
Answer: B
Rationale: Reassessment evaluates the effectiveness of
interventions, which is part of the evaluation phase of the
nursing process.
Citation: Linton & Matteson, Unit I – Nursing Process
3.
Which finding requires the practical nurse to report
immediately?
,A. Blood pressure 138/84 mmHg
B. Temperature 37.6°C
C. Urine output 20 mL over 2 hours
D. Heart rate 92 bpm
Answer: C
Rationale: Urine output less than 30 mL/hr suggests decreased
renal perfusion or fluid imbalance and requires prompt
reporting.
Citation: Linton & Matteson, Unit I – Assessment and
Monitoring
4.
Which task is appropriate to delegate to unregulated care
personnel (UCP)?
A. Assessing a surgical incision
B. Teaching deep breathing exercises
C. Assisting a stable client with hygiene
D. Evaluating pain medication effectiveness
Answer: C
Rationale: Routine, non-assessment care for stable clients may
be delegated to UCP. Assessment and teaching remain the
nurse’s responsibility.
Citation: Linton & Matteson, Unit I – Delegation and Teamwork
, 5.
A client refuses a treatment. What is the nurse’s best action?
A. Notify security
B. Document refusal and notify the RN/provider
C. Ignore the refusal
D. Administer the treatment anyway
Answer: B
Rationale: Clients have the right to refuse care. The nurse
should document and report the refusal.
Citation: Linton & Matteson, Unit I – Legal and Ethical
Considerations
6.
Which intervention helps prevent hospital-acquired infection?
A. Wearing gloves for all care
B. Performing hand hygiene before and after client contact
C. Administering antibiotics routinely
D. Limiting client mobility
Answer: B
Rationale: Hand hygiene is the most effective method to
prevent infection transmission.
Citation: Linton & Matteson, Unit I – Infection Prevention
7.
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 – Aspects of Medical-Surgical Nursing
1.
A practical nurse is caring for several clients. Which client
should be assessed first?
A. Client with postoperative pain rated 7/10
B. Client with oxygen saturation of 88% on room air
,C. Client requesting assistance to the bathroom
D. Client scheduled for discharge teaching
Answer: B
Rationale: Airway and oxygenation are the highest priorities. An
SpO₂ of 88% indicates hypoxemia requiring immediate
assessment.
Citation: Linton & Matteson, Unit I – Aspects of Medical-
Surgical Nursing (Priority setting/ABCs)
2.
Which action demonstrates the use of the nursing process?
A. Administering medications as ordered
B. Reassessing pain after giving analgesics
C. Documenting intake and output
D. Reporting abnormal lab results
Answer: B
Rationale: Reassessment evaluates the effectiveness of
interventions, which is part of the evaluation phase of the
nursing process.
Citation: Linton & Matteson, Unit I – Nursing Process
3.
Which finding requires the practical nurse to report
immediately?
,A. Blood pressure 138/84 mmHg
B. Temperature 37.6°C
C. Urine output 20 mL over 2 hours
D. Heart rate 92 bpm
Answer: C
Rationale: Urine output less than 30 mL/hr suggests decreased
renal perfusion or fluid imbalance and requires prompt
reporting.
Citation: Linton & Matteson, Unit I – Assessment and
Monitoring
4.
Which task is appropriate to delegate to unregulated care
personnel (UCP)?
A. Assessing a surgical incision
B. Teaching deep breathing exercises
C. Assisting a stable client with hygiene
D. Evaluating pain medication effectiveness
Answer: C
Rationale: Routine, non-assessment care for stable clients may
be delegated to UCP. Assessment and teaching remain the
nurse’s responsibility.
Citation: Linton & Matteson, Unit I – Delegation and Teamwork
, 5.
A client refuses a treatment. What is the nurse’s best action?
A. Notify security
B. Document refusal and notify the RN/provider
C. Ignore the refusal
D. Administer the treatment anyway
Answer: B
Rationale: Clients have the right to refuse care. The nurse
should document and report the refusal.
Citation: Linton & Matteson, Unit I – Legal and Ethical
Considerations
6.
Which intervention helps prevent hospital-acquired infection?
A. Wearing gloves for all care
B. Performing hand hygiene before and after client contact
C. Administering antibiotics routinely
D. Limiting client mobility
Answer: B
Rationale: Hand hygiene is the most effective method to
prevent infection transmission.
Citation: Linton & Matteson, Unit I – Infection Prevention
7.
