Harrison’s-Based 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




A 68-year-old man with multiple chronic illnesses presents for
a routine visit. According to principles in modern medical
practice, which nursing action most directly supports patient-
centered care?
A. Emphasize clinicians’ treatment plan without patient input
B. Verify the patient’s values and preferences before planning
care
C. Limit the visit to issues on the problem list only
D. Schedule follow-up solely based on clinic workflow
Answer: B
Rationale: Patient-centered practice requires eliciting patient
values and preferences to align care plans with what matters to
the patient. Nurses are pivotal in documenting and
communicating these preferences.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
The Practice of Medicine

, A nurse educator is teaching the team about preventive
counseling. Which statement best reflects the role of health
promotion?
A. Health promotion is solely the physician’s responsibility
B. It focuses on modifying risk behaviors and empowering
patients
C. It only involves immunizations and screenings
D. It is effective regardless of social determinants of health
Answer: B
Rationale: Promoting good health centers on behavior change,
risk reduction, and patient empowerment; nurses play key roles
in counseling and education.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Promoting Good Health
A parent expresses concern about vaccinating their child due
to social media claims. Which initial nursing response is most
appropriate?
A. Tell the parent they must vaccinate or face legal
consequences
B. Acknowledge concerns, ask about specific fears, and provide
evidence-based information
C. Dismiss the concerns as misinformation and end the
discussion
D. Recommend waiting until older to vaccinate to avoid
reactions
Answer: B
Rationale: Addressing vaccine hesitancy requires empathy,

, eliciting specific concerns, and providing clear, evidence-based
education; this builds trust and supports informed decision-
making.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Vaccine Opposition and Hesitancy
A patient with limited literacy must decide between two
treatment options. Which nursing action best supports shared
decision-making?
A. Provide the full technical consent form and request signature
B. Use plain language, visual aids, and check understanding
(teach-back)
C. Make the decision for the patient to speed up care
D. Defer entirely to the physician to avoid errors
Answer: B
Rationale: Shared decision-making requires clear
communication tailored to the patient’s comprehension; teach-
back confirms understanding and supports autonomy.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Decision-Making in Clinical Medicine
A nurse reviews a patient’s genomic test that suggests altered
drug metabolism. Which nursing implication follows from
precision medicine?
A. All patients get standard dosing regardless of genotype
B. Medication dosing and monitoring should be individualized
based on genomic data
C. Genomic data are irrelevant to medication safety