Medical-Surgical Nursing MCQ Test Bank — Fast Revision 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




Principles of Internal Medicine, 22nd ed. (chapter number and
title).
1. The Practice of Medicine
Which principle best defines evidence-based clinical
practice?
A. Applying clinical guidelines regardless of patient
preferences
B. Integrating best research evidence with clinical expertise
and patient values
C. Prioritizing institutional policy over individual choice
D. Relying solely on physician experience
Correct Answer: B
Rationale: Evidence-based practice combines research,
clinician judgment, and patient preferences to optimize
care.

, Citation: Harrison’s 22nd ed., Ch. 1 — The Practice of
Medicine
2. The Practice of Medicine
When applying a guideline to an individual patient, the
most appropriate clinician action is to:
A. Apply it rigidly to every patient
B. Disregard it if it conflicts with provider preference
C. Use it as a framework, adapting to the patient’s context
and goals
D. Only use it if mandated by hospital policy
Correct Answer: C
Rationale: Guidelines inform care but must be
individualized to patient circumstances and goals.
Citation: Harrison’s 22nd ed., Ch. 1 — The Practice of
Medicine
3. Promoting Good Health
Which strategy yields the largest long-term population
health benefit?
A. Expanded tertiary care services
B. Individual genetic testing for everyone
C. Broad public health interventions (e.g., tobacco control,
vaccination programs)
D. Increased specialist referrals
Correct Answer: C
Rationale: Population-level public health measures
produce the greatest reductions in morbidity and

, mortality.
Citation: Harrison’s 22nd ed., Ch. 2 — Promoting Good
Health
4. Promoting Good Health
A nurse teaching healthy diet and exercise to an
asymptomatic adult is performing which level of
prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
Correct Answer: A
Rationale: Primary prevention aims to prevent disease
before it occurs through health promotion.
Citation: Harrison’s 22nd ed., Ch. 2 — Promoting Good
Health
5. Vaccine Opposition and Hesitancy
Which factor most commonly underlies vaccine hesitancy
in communities?
A. High vaccine cost
B. Limited clinic hours
C. Misinformation and lack of trust in sources
D. Lack of vaccine efficacy
Correct Answer: C
Rationale: Misinformation and mistrust are principal
drivers of hesitancy even when access exists.