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




1
A 68-year-old man is admitted with progressive dyspnea and
confusion. The admitting team emphasizes a problem-based
approach and early hypothesis generation to guide testing.
Which statement best reflects a principle of the modern
“practice of medicine” emphasizing safe, efficient diagnostic
workup?
A. Order a broad panel of tests immediately to avoid missing
uncommon diagnoses.
B. Formulate a differential based on chief complaint and
focused history, then order tests to confirm or refute top
hypotheses.
C. Defer history and exam until all imaging and labs return.
D. Make disposition decisions only after consultation with all
specialty services.

,Answer: B
Rationale: The contemporary practice of medicine emphasizes
focused history, physical exam, and generation of a ranked
differential to guide targeted testing—reducing unnecessary
tests and harm. This prioritizes clinical judgment and resource
stewardship.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 1: The Practice of Medicine.


2
A community health nurse is designing a brief counseling
session about lifestyle modification for cardiovascular risk
reduction. Which single counseling focus is most strongly
emphasized as a primary prevention strategy in promoting good
health?
A. Routine ECG screening for all adults over 40.
B. Smoking cessation and tobacco avoidance.
C. Yearly CT coronary calcium scans.
D. Starting aspirin in all adults.
Answer: B
Rationale: Primary prevention centers on modifiable risk
factors; tobacco cessation is a highest-yield intervention to
reduce cardiovascular and other disease risk. Routine imaging
or universal aspirin is not recommended for all adults.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 2: Promoting Good Health.

, 3
A parent refuses routine childhood immunizations citing safety
concerns they read online. As the nurse prepares to address
vaccine hesitancy, which strategy best aligns with effective
communication recommended in Harrison’s discussion of
vaccine opposition?
A. Dismiss the parent’s concerns as misinformation and proceed
without discussion.
B. Provide empathetic listening, correct specific
misconceptions, and share clear evidence about vaccine
benefits and safety.
C. Threaten to report the parent to child protective services.
D. Require a full lecture on immunology before vaccination.
Answer: B
Rationale: Effective responses to vaccine hesitancy use
empathy, address specific concerns, and provide clear,
evidence-based information to build trust and support informed
decisions. Confrontation or coercion is counterproductive.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 3: Vaccine Opposition and Hesitancy.


4
A nurse is caring for a patient with multiple possible diagnoses
and limited time. According to principles in the chapter on