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
1. A nurse is contributing to interprofessional rounds. Which
action best reflects the modern practice of medicine?
A. Focusing only on the primary diagnosis
B. Deferring all decisions to the attending physician
C. Integrating patient values with clinical evidence
D. Prioritizing rapid discharge over shared planning
Answer: C
Rationale: Contemporary medical practice emphasizes patient-
centered care, combining best scientific evidence with patient
,preferences and values. Nurses play a key role in advocacy and
shared decision-making.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 1
The Practice of Medicine
2. Which nursing intervention most effectively promotes long-
term health maintenance?
A. Treating acute illness promptly
B. Encouraging lifestyle changes to reduce chronic disease risk
C. Ensuring adherence to hospital routines
D. Avoiding discussion of genetic risk factors
Answer: B
Rationale: Health promotion centers on modifiable risk factor
reduction (diet, exercise, tobacco cessation), which significantly
lowers chronic disease burden.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 2
Promoting Good Health
3. A parent expresses fear that vaccines cause chronic illness.
What is the nurse’s best initial response?
A. “That information is incorrect.”
B. “You must follow the immunization schedule.”
C. “Can you share your concerns about vaccines?”
D. “Unvaccinated children cannot attend school.”
,Answer: C
Rationale: Addressing vaccine hesitancy requires empathetic
listening, trust-building, and respectful dialogue before
providing evidence-based information.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 3
Vaccine Opposition and Hesitancy
4. During clinical deterioration, which principle best guides
urgent decision-making?
A. Waiting for complete diagnostic confirmation
B. Acting on the most likely life-threatening cause first
C. Consulting multiple committees
D. Avoiding treatment until lab values normalize
Answer: B
Rationale: Clinical decision-making in acute settings prioritizes
probability and severity, treating reversible life-threatening
conditions immediately.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 4
Decision-Making in Clinical Medicine
5. Precision medicine most directly influences nursing care by:
A. Eliminating the need for clinical assessment
B. Replacing population-based guidelines
, C. Tailoring therapy based on genetic and molecular data
D. Reducing the importance of medication reconciliation
Answer: C
Rationale: Precision medicine uses genomic, molecular, and
individual variability to guide therapy, affecting medication
selection and monitoring.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 5
Precision Medicine and Clinical Care
6. Which patient is receiving primary prevention?
A. A patient receiving insulin for diabetes
B. A smoker attending a cessation program
C. A patient undergoing chemotherapy
D. A patient in cardiac rehabilitation after MI
Answer: B
Rationale: Primary prevention aims to prevent disease before it
occurs, such as smoking cessation to reduce cardiovascular and
cancer risk.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 6
Screening and Prevention of Disease
7. A nurse double-checks a high-alert medication with another
nurse. This action supports:
(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
1. A nurse is contributing to interprofessional rounds. Which
action best reflects the modern practice of medicine?
A. Focusing only on the primary diagnosis
B. Deferring all decisions to the attending physician
C. Integrating patient values with clinical evidence
D. Prioritizing rapid discharge over shared planning
Answer: C
Rationale: Contemporary medical practice emphasizes patient-
centered care, combining best scientific evidence with patient
,preferences and values. Nurses play a key role in advocacy and
shared decision-making.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 1
The Practice of Medicine
2. Which nursing intervention most effectively promotes long-
term health maintenance?
A. Treating acute illness promptly
B. Encouraging lifestyle changes to reduce chronic disease risk
C. Ensuring adherence to hospital routines
D. Avoiding discussion of genetic risk factors
Answer: B
Rationale: Health promotion centers on modifiable risk factor
reduction (diet, exercise, tobacco cessation), which significantly
lowers chronic disease burden.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 2
Promoting Good Health
3. A parent expresses fear that vaccines cause chronic illness.
What is the nurse’s best initial response?
A. “That information is incorrect.”
B. “You must follow the immunization schedule.”
C. “Can you share your concerns about vaccines?”
D. “Unvaccinated children cannot attend school.”
,Answer: C
Rationale: Addressing vaccine hesitancy requires empathetic
listening, trust-building, and respectful dialogue before
providing evidence-based information.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 3
Vaccine Opposition and Hesitancy
4. During clinical deterioration, which principle best guides
urgent decision-making?
A. Waiting for complete diagnostic confirmation
B. Acting on the most likely life-threatening cause first
C. Consulting multiple committees
D. Avoiding treatment until lab values normalize
Answer: B
Rationale: Clinical decision-making in acute settings prioritizes
probability and severity, treating reversible life-threatening
conditions immediately.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 4
Decision-Making in Clinical Medicine
5. Precision medicine most directly influences nursing care by:
A. Eliminating the need for clinical assessment
B. Replacing population-based guidelines
, C. Tailoring therapy based on genetic and molecular data
D. Reducing the importance of medication reconciliation
Answer: C
Rationale: Precision medicine uses genomic, molecular, and
individual variability to guide therapy, affecting medication
selection and monitoring.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 5
Precision Medicine and Clinical Care
6. Which patient is receiving primary prevention?
A. A patient receiving insulin for diabetes
B. A smoker attending a cessation program
C. A patient undergoing chemotherapy
D. A patient in cardiac rehabilitation after MI
Answer: B
Rationale: Primary prevention aims to prevent disease before it
occurs, such as smoking cessation to reduce cardiovascular and
cancer risk.
Citation: Harrison’s Principles of Internal Medicine, 22e, Ch. 6
Screening and Prevention of Disease
7. A nurse double-checks a high-alert medication with another
nurse. This action supports:
