Medical-Surgical Nursing Study Guide & Practice MCQs | Exam-Focused 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




High-Yield Nursing MCQs
Harrison’s Principles of Internal Medicine, 22nd ed. (Chs. 1–12)


1.
Which principle best defines the practice of medicine as
described in Harrison’s?
A. Application of standardized protocols to all patients
B. Integration of scientific evidence with clinical judgment and
patient values
C. Reliance on diagnostic testing over history
D. Use of technology to replace bedside assessment
Correct Answer: B
Rationale: Harrison’s emphasizes medicine as a balance of
biomedical science, clinician expertise, and patient-centered
values rather than protocol-driven care alone.

,Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
The Practice of Medicine


2.
Which nursing action most directly supports health promotion
at the population level?
A. Administering prescribed medications
B. Identifying social and behavioral determinants of health
C. Monitoring laboratory values
D. Performing focused physical assessments
Correct Answer: B
Rationale: Health promotion extends beyond disease treatment
and includes addressing social, behavioral, and environmental
determinants that influence health outcomes.
Citation: Harrison’s, 22nd ed., Promoting Good Health


3.
Vaccine hesitancy is most commonly associated with which
concern?
A. Lack of vaccine availability
B. Distrust in health systems and misinformation
C. Genetic resistance to vaccines
D. Provider refusal to vaccinate

, Correct Answer: B
Rationale: Harrison’s identifies misinformation, cultural beliefs,
and distrust of institutions as primary drivers of vaccine
opposition.
Citation: Harrison’s, 22nd ed., Vaccine Opposition and Hesitancy


4.
Which factor most improves clinical decision-making quality?
A. Increasing diagnostic tests
B. Minimizing patient input
C. Awareness of cognitive biases
D. Reliance on intuition alone
Correct Answer: C
Rationale: Cognitive biases significantly contribute to diagnostic
error; recognizing them improves clinical reasoning and patient
safety.
Citation: Harrison’s, 22nd ed., Decision-Making in Clinical
Medicine


5.
Precision medicine primarily aims to:
A. Replace clinical judgment with genomics
B. Standardize treatments across populations