Linton and Matteson's Medical-Surgical
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
1. The primary focus of medical-surgical practical
nursing practice is to:
A. Diagnose complex medical conditions
independently
B. Provide safe, evidence-based nursing care and
support clinical decision making within the PN scope
C. Prescribe and manage complex medication
, regimens
D. Perform advanced invasive procedures
Answer: B
Rationale: Practical nurses are responsible for safe,
competent care, supporting patient assessment,
interventions, and collaborating with the interprofessional
team within their regulated scope of practice.
Citation: Linton & Matteson’s Medical-Surgical Practical
Nursing in Canada, 1st ed.; Chapter 1: Aspects of Medical-
Surgical Nursing
2. When applying the Canadian PN scope of practice to
a patient with a new admission, the earliest nursing
action is to:
A. Teach discharge instructions
B. Complete a systematic initial assessment and safety
screening
C. Start all scheduled medications immediately
D. Delegate all assessments to unregulated staff
Answer: B
Rationale: A systematic initial assessment (including safety
screening) identifies immediate needs and risks informing
priorities; teaching and medication administration follow
,assessment and orders. Delegation must be appropriate
and cannot replace the PN’s assessment responsibilities.
Citation: Linton & Matteson… Chapter 1
3. Select all that apply. Components of clinical judgment
used by practical nurses include: (Select all that apply.)
A. Recognizing salient cues from the patient
presentation
B. Making medical diagnoses
C. Prioritizing nursing interventions based on safety
and urgency
D. Evaluating responses to interventions
E. Ignoring team input when making care decisions
F. Consulting policies, evidence, and colleagues when
uncertain
Answers: A, C, D, F
Rationale: Clinical judgment involves cue recognition,
prioritization, evaluation, and use of evidence and
consultation. Medical diagnosis (B) is outside PN scope
and ignoring team input (E) undermines safe care.
Citation: Linton & Matteson… Chapter 1
, 4. A hospitalized older adult patient is at increased fall
risk. Which nursing intervention is the highest priority
to reduce immediate fall risk?
A. Arrange a physiotherapy consult next week
B. Keep the bed in the lowest position and ensure a
call bell within reach
C. Wait for the family to arrive to assist with
ambulation
D. Remove all personal items from the bedside
Answer: B
Rationale: Immediate fall-prevention measures (bed low,
call bell within reach) reduce imminent risk; referrals and
family assistance are helpful but not immediate protective
actions.
Citation: Linton & Matteson… Chapter 1
5. A PN is delegating tasks to an unregulated assistive
person (UAP). Which task is appropriate to delegate?
A. Initial wound assessment and measurement of a
new surgical wound
B. Assisting with feeding and measuring intake and
output for a stable patient
C. Titrating IV vasoactive medication per protocol
Practical Nursing in Canada, 1st Edition
Authors:
Katherine Poser,Adrianne Dill Linton,Mary
Ann Matteson
TEST BANK.
1. The primary focus of medical-surgical practical
nursing practice is to:
A. Diagnose complex medical conditions
independently
B. Provide safe, evidence-based nursing care and
support clinical decision making within the PN scope
C. Prescribe and manage complex medication
, regimens
D. Perform advanced invasive procedures
Answer: B
Rationale: Practical nurses are responsible for safe,
competent care, supporting patient assessment,
interventions, and collaborating with the interprofessional
team within their regulated scope of practice.
Citation: Linton & Matteson’s Medical-Surgical Practical
Nursing in Canada, 1st ed.; Chapter 1: Aspects of Medical-
Surgical Nursing
2. When applying the Canadian PN scope of practice to
a patient with a new admission, the earliest nursing
action is to:
A. Teach discharge instructions
B. Complete a systematic initial assessment and safety
screening
C. Start all scheduled medications immediately
D. Delegate all assessments to unregulated staff
Answer: B
Rationale: A systematic initial assessment (including safety
screening) identifies immediate needs and risks informing
priorities; teaching and medication administration follow
,assessment and orders. Delegation must be appropriate
and cannot replace the PN’s assessment responsibilities.
Citation: Linton & Matteson… Chapter 1
3. Select all that apply. Components of clinical judgment
used by practical nurses include: (Select all that apply.)
A. Recognizing salient cues from the patient
presentation
B. Making medical diagnoses
C. Prioritizing nursing interventions based on safety
and urgency
D. Evaluating responses to interventions
E. Ignoring team input when making care decisions
F. Consulting policies, evidence, and colleagues when
uncertain
Answers: A, C, D, F
Rationale: Clinical judgment involves cue recognition,
prioritization, evaluation, and use of evidence and
consultation. Medical diagnosis (B) is outside PN scope
and ignoring team input (E) undermines safe care.
Citation: Linton & Matteson… Chapter 1
, 4. A hospitalized older adult patient is at increased fall
risk. Which nursing intervention is the highest priority
to reduce immediate fall risk?
A. Arrange a physiotherapy consult next week
B. Keep the bed in the lowest position and ensure a
call bell within reach
C. Wait for the family to arrive to assist with
ambulation
D. Remove all personal items from the bedside
Answer: B
Rationale: Immediate fall-prevention measures (bed low,
call bell within reach) reduce imminent risk; referrals and
family assistance are helpful but not immediate protective
actions.
Citation: Linton & Matteson… Chapter 1
5. A PN is delegating tasks to an unregulated assistive
person (UAP). Which task is appropriate to delegate?
A. Initial wound assessment and measurement of a
new surgical wound
B. Assisting with feeding and measuring intake and
output for a stable patient
C. Titrating IV vasoactive medication per protocol
