Medical-Surgical Nursing Study Guide & Practice MCQ Test Bank – Exam Revision

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




Nursing Exam Review MCQs (1–20)
1. A nurse recognizes that the core purpose of the practice of
medicine is to:
A. Reduce health care costs
B. Diagnose disease early
C. Improve patient outcomes through evidence-based care
D. Perform procedures efficiently
Correct Answer: C
Rationale: The practice of medicine centers on improving
patient outcomes using evidence-based approaches.
Citation: Harrison’s, The Practice of Medicine


2. Which intervention best exemplifies primary prevention?
A. Colonoscopy at age 50
B. Vaccination against influenza
C. Mammography for high-risk patients
D. Blood pressure monitoring

,Correct Answer: B
Rationale: Vaccination prevents disease before it occurs — a
primary prevention strategy.
Citation: Harrison’s, Promoting Good Health; Screening and
Prevention of Disease


3. A principal reason patients express vaccine hesitancy is:
A. Inability to afford vaccines
B. Misperceptions about risk
C. Lack of health insurance
D. Unavailability of vaccines
Correct Answer: B
Rationale: Vaccine opposition often stems from perceived risks
and misinformation.
Citation: Harrison’s, Vaccine Opposition and Hesitancy


4. Shared decision-making emphasizes:
A. Clinician authority in decision
B. Patient values and preferences
C. Minimizing patient involvement
D. Using only clinical guidelines
Correct Answer: B
Rationale: Shared decision-making integrates patient values
with clinical evidence.
Citation: Harrison’s, Decision-Making in Clinical Medicine

, 5. Precision medicine most directly uses:
A. Standardized therapies
B. Individual genetic profiles
C. Symptom checklists
D. Broad population data
Correct Answer: B
Rationale: Precision medicine tailors care based on genetic and
molecular patient characteristics.
Citation: Harrison’s, Precision Medicine and Clinical Care


6. A screening test’s value is highest when:
A. The disease is rare
B. Effective treatment is available
C. The test is expensive
D. No follow-up exists
Correct Answer: B
Rationale: Screening prioritization requires actionable disease
management.
Citation: Harrison’s, Screening and Prevention of Disease


7. A “never event” in health care refers to:
A. Common complications
B. Predictable reactions
C. Serious preventable errors