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 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. Diagnose medical conditions
B. Provide holistic care to adult clients with acute and chronic
,illness
C. Perform advanced invasive procedures
D. Prescribe pharmacologic therapies
Correct Answer: B
Rationale: Medical-surgical nursing focuses on holistic,
evidence-informed care of adults experiencing health
alterations across care settings. Diagnosis and prescribing are
not within the PN scope.
Reference: Linton & Matteson, Medical-Surgical Practical
Nursing in Canada, 1st ed., Ch. 1: Aspects of Medical-Surgical
Nursing
2. Which principle best reflects the practical nurse’s role in
evidence-informed practice?
A. Relying solely on physician directives
B. Following routines without questioning
C. Integrating current evidence with clinical judgment and client
preferences
D. Implementing interventions based only on past experience
Correct Answer: C
Rationale: Evidence-informed practice combines best evidence,
clinical expertise, and client preferences to guide safe nursing
care.
Reference: Linton & Matteson, Ch. 1
,3. When prioritizing care for multiple clients, the practical
nurse should first assess:
A. A client requesting discharge teaching
B. A client reporting new-onset chest pain
C. A stable client awaiting dressing change
D. A client asking for pain medication for chronic pain
Correct Answer: B
Rationale: New-onset chest pain may indicate life-threatening
cardiac compromise and requires immediate assessment.
Prioritization follows acuity and safety principles.
Reference: Linton & Matteson, Ch. 1
4. Which factor most influences safe delegation by a practical
nurse?
A. Personal preference
B. Availability of staff
C. Client stability and predictability
D. Length of hospital stay
Correct Answer: C
Rationale: Delegation decisions are based on client stability,
predictability of outcomes, and competency of the delegatee.
Reference: Linton & Matteson, Ch. 1
, 5. The nursing process begins with:
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Correct Answer: C
Rationale: Assessment is the foundational first step of the
nursing process and guides all subsequent care decisions.
Reference: Linton & Matteson, Ch. 1
6. A practical nurse demonstrates therapeutic communication
by:
A. Offering personal opinions
B. Providing false reassurance
C. Using active listening and open-ended questions
D. Changing the subject when emotions arise
Correct Answer: C
Rationale: Therapeutic communication involves active listening,
empathy, and open-ended questioning to support client
expression.
Reference: Linton & Matteson, Ch. 1
7. Which action reflects culturally safe nursing care?
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. Diagnose medical conditions
B. Provide holistic care to adult clients with acute and chronic
,illness
C. Perform advanced invasive procedures
D. Prescribe pharmacologic therapies
Correct Answer: B
Rationale: Medical-surgical nursing focuses on holistic,
evidence-informed care of adults experiencing health
alterations across care settings. Diagnosis and prescribing are
not within the PN scope.
Reference: Linton & Matteson, Medical-Surgical Practical
Nursing in Canada, 1st ed., Ch. 1: Aspects of Medical-Surgical
Nursing
2. Which principle best reflects the practical nurse’s role in
evidence-informed practice?
A. Relying solely on physician directives
B. Following routines without questioning
C. Integrating current evidence with clinical judgment and client
preferences
D. Implementing interventions based only on past experience
Correct Answer: C
Rationale: Evidence-informed practice combines best evidence,
clinical expertise, and client preferences to guide safe nursing
care.
Reference: Linton & Matteson, Ch. 1
,3. When prioritizing care for multiple clients, the practical
nurse should first assess:
A. A client requesting discharge teaching
B. A client reporting new-onset chest pain
C. A stable client awaiting dressing change
D. A client asking for pain medication for chronic pain
Correct Answer: B
Rationale: New-onset chest pain may indicate life-threatening
cardiac compromise and requires immediate assessment.
Prioritization follows acuity and safety principles.
Reference: Linton & Matteson, Ch. 1
4. Which factor most influences safe delegation by a practical
nurse?
A. Personal preference
B. Availability of staff
C. Client stability and predictability
D. Length of hospital stay
Correct Answer: C
Rationale: Delegation decisions are based on client stability,
predictability of outcomes, and competency of the delegatee.
Reference: Linton & Matteson, Ch. 1
, 5. The nursing process begins with:
A. Planning
B. Implementation
C. Assessment
D. Evaluation
Correct Answer: C
Rationale: Assessment is the foundational first step of the
nursing process and guides all subsequent care decisions.
Reference: Linton & Matteson, Ch. 1
6. A practical nurse demonstrates therapeutic communication
by:
A. Offering personal opinions
B. Providing false reassurance
C. Using active listening and open-ended questions
D. Changing the subject when emotions arise
Correct Answer: C
Rationale: Therapeutic communication involves active listening,
empathy, and open-ended questioning to support client
expression.
Reference: Linton & Matteson, Ch. 1
7. Which action reflects culturally safe nursing care?
