Medical-Surgical Nursing MCQ Study Guide & Practice Test Bank (Fast 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




FAST-REVISION NURSING MCQs
Harrison’s Principles of Internal Medicine, 22nd ed.


1. The primary goal of evidence-based medicine is to:
A. Replace clinical judgment with guidelines
B. Integrate best research evidence with clinical expertise and
patient values
C. Standardize care to reduce variability
D. Prioritize cost containment
Answer: B
Rationale: Evidence-based medicine combines scientific
evidence, clinician expertise, and patient preferences to guide
care decisions.
Citation: Harrison’s 22nd ed., Ch. 1 – The Practice of Medicine

,2. Which factor most strongly influences long-term population
health outcomes?
A. Access to specialty care
B. Genetic predisposition
C. Social and environmental determinants
D. Advanced diagnostic technology
Answer: C
Rationale: Social, economic, and environmental conditions
account for a major proportion of health outcomes.
Citation: Harrison’s 22nd ed., Ch. 2 – Promoting Good Health


3. Vaccine hesitancy is most accurately described as:
A. Complete refusal of all vaccines
B. A lack of vaccine availability
C. Delay or reluctance despite vaccine access
D. Medical contraindication to immunization
Answer: C
Rationale: Vaccine hesitancy includes delay or selective
acceptance even when vaccines are accessible.
Citation: Harrison’s 22nd ed., Ch. 3 – Vaccine Opposition and
Hesitancy


4. A key nursing strategy to address vaccine hesitancy is:

, A. Providing statistical data only
B. Dismissing patient concerns
C. Using empathetic, trust-based communication
D. Mandating vaccination without discussion
Answer: C
Rationale: Trust, respectful dialogue, and addressing concerns
improve vaccine acceptance.
Citation: Harrison’s 22nd ed., Ch. 3 – Vaccine Opposition and
Hesitancy


5. Clinical decision-making under uncertainty relies most on:
A. Intuition alone
B. Bayesian reasoning
C. Trial-and-error
D. Protocol memorization
Answer: B
Rationale: Bayesian reasoning updates disease probability as
new clinical data emerge.
Citation: Harrison’s 22nd ed., Ch. 4 – Decision-Making in Clinical
Medicine


6. Precision medicine primarily aims to:
A. Eliminate population-based guidelines
B. Tailor care based on individual variability