Harrison-Based Nursing MCQ Test Bank — Fast-Revision Medical-Surgical Study Guide

Harrison's Principles of Internal Medicine
(Vol.1 & Vol.2)
22nd Edition
• Author(s)Joseph Loscalzo; Anthony S.
Fauci; Dennis L. Kasper; Stephen Hauser;
Dan Longo; J. Larry Jameson
Test Bank




Covered

PART 1: Foundations of Clinical Medicine

PART 2: Cardinal Symptoms & Clinical Presentations

PART 3: Clinical Pharmacology

PART 4: Oncology & Hematology

PART 5: Infectious Diseases

PART 6: Cardiovascular Disorders

PART 7: Respiratory Disorders

PART 8: Critical Care Medicine

PART 9: Kidney & Urinary Tract Disorders

PART 10: Gastrointestinal & Hepatobiliary Disorders

,PART 11: Immune-Mediated & Rheumatologic Disorders

PART 12: Endocrinology & Metabolism

PART 13: Neurologic & Psychiatric Disorders

PART 14: Toxicology & Environmental Injury

PART 15: Environmental & Occupational Medicine

PART 16: Genetics, Precision & Systems Medicine

PART 17–20: Special & Emerging Topics



1. A 60-year-old patient asks how physicians balance art and
science in patient care. Which statement best reflects the
enduring values of “The Practice of Medicine” chapter that
nurses should reinforce at bedside?
A. Emphasize technology over history and exam.
B. Prioritize the patient–physician relationship and
individualized clinical judgment.
C. Limit communication to disease specifics only.
D. Defer all decisions to specialists.
Answer: B.
Rationale: Harrison emphasizes the centrality of the patient–
physician relationship and applying individualized clinical
judgment (the “science and art” of medicine); nurses support
this by promoting rapport and patient-centered care.


2. When counseling a patient about lifestyle changes, which
nursing intervention aligns best with the “Promoting Good
Health” chapter?

, A. Provide a single printed handout and end discussion.
B. Use brief motivational interviewing to elicit patient goals
and readiness.
C. Set rigid goals without patient input.
D. Avoid follow-up to respect patient autonomy.
Answer: B.
Rationale: Harrison highlights practical, patient-centered
prevention strategies; motivational interviewing and
collaborative goal setting increase adherence to health-
promotion recommendations.


3. A parent expresses concern about childhood vaccines.
According to the “Vaccine Opposition and Hesitancy”
chapter, which approach is most effective for clinicians and
nurses?
A. Dismiss concerns and insist on vaccination.
B. Provide a neutral overview without recommendation.
C. Deliver an unambiguous, strong recommendation from
a trusted clinician and address specific concerns.
D. Refer the family to social media groups.
Answer: C.
Rationale: Harrison states that a clear, strong recommendation
from trusted healthcare providers and addressing specific
patient concerns is the most effective strategy to overcome
hesitancy.

, 4. A nurse preparing a patient for diagnostic testing should
apply the diagnostic principles from “Decision-Making in
Clinical Medicine.” Which principle is most important when
choosing tests?
A. Order all available tests to be thorough.
B. Base test selection on pre-test probability and how
results will change management.
C. Prefer invasive tests before noninvasive tests.
D. Always defer to the most expensive test.
Answer: B.
Rationale: Harrison emphasizes using clinical reasoning to
select tests guided by pretest probability and whether results
will alter patient management; this reduces unnecessary testing
and harms.


5. Which nursing activity best supports implementation of
precision medicine described in “Precision Medicine and
Clinical Care”?
A. Ignoring family history because genomics replaces it.
B. Collecting an accurate family and medication history and
ensuring informed consent for genetic testing.
C. Automatically changing medications based on a single
online report.
D. Sharing genomic data without privacy safeguards.