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 Edition
Unit I: Medical-Surgical Nursing
Chapter 1: Aspects of Medical-Surgical Nursing
1. The primary focus of medical-surgical nursing practice is to:
A. Perform advanced diagnostic procedures
B. Promote health and manage responses to acute and chronic
,illness
C. Prescribe pharmacologic therapies
D. Independently diagnose medical conditions
Correct Answer: B
Rationale: Medical-surgical nursing focuses on assisting clients
in managing health conditions, promoting health, and
responding to illness within the PN scope.
Citation: Linton & Matteson, Ch. 1 – Aspects of Medical-Surgical
Nursing
2. Which action best reflects evidence-informed nursing
practice?
A. Performing skills based solely on routine
B. Following physician preference exclusively
C. Integrating research findings with clinical expertise
D. Avoiding policy review
Correct Answer: C
Rationale: Evidence-informed practice integrates current
research, clinical expertise, and client preferences to guide safe
nursing care.
Citation: Linton & Matteson, Ch. 1
3. When prioritizing care for multiple clients, the PN should
first assess the client who:
,A. Needs discharge teaching
B. Reports sudden shortness of breath
C. Requests pain medication rated 3/10
D. Is awaiting routine dressing change
Correct Answer: B
Rationale: Airway and breathing concerns are highest priority
under ABC principles and clinical judgment frameworks.
Citation: Linton & Matteson, Ch. 1 – Clinical Judgment &
Prioritization
4. The nursing process is best described as:
A. A medical treatment plan
B. A linear documentation tool
C. A systematic problem-solving approach to care
D. A discharge planning method
Correct Answer: C
Rationale: The nursing process (assessment, diagnosis,
planning, implementation, evaluation) provides systematic care
delivery.
Citation: Linton & Matteson, Ch. 1
5. Which factor most directly influences safe delegation by the
PN?
, A. Personal convenience
B. Client acuity and stability
C. Staff seniority
D. Unit routine
Correct Answer: B
Rationale: Delegation decisions depend on client stability,
predictability of outcomes, and scope of practice.
Citation: Linton & Matteson, Ch. 1 – Scope & Delegation
6. A client expresses cultural beliefs that differ from the
treatment plan. The PN should:
A. Insist on standard protocol
B. Document refusal only
C. Explore the client’s beliefs respectfully
D. Inform the client compliance is mandatory
Correct Answer: C
Rationale: Culturally competent care requires respectful inquiry
and collaboration.
Citation: Linton & Matteson, Ch. 1 – Cultural Considerations
7. Which assessment finding requires immediate reporting?
A. Mild postoperative nausea
B. Blood pressure 88/54 mmHg with dizziness