Medical-Surgical Nursing MCQs Study Guide – Fast Revision Test Bank

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. The Practice of Medicine
Q1. Which principle best defines modern medical practice as
presented in Harrison’s?
A. Algorithm-driven care independent of patient context
B. Integration of scientific evidence with patient values
C. Reliance on specialist consultation for most decisions
D. Disease-centered care over symptom management
Answer: B
Rationale: Harrison’s emphasizes evidence-based medicine
integrated with patient preferences and values.
Citation: Harrison’s 22nd ed., Ch. 1 – The Practice of Medicine


2. Promoting Good Health
Q2. Which nursing intervention most directly aligns with health
promotion principles?
A. Treating disease once symptoms occur
B. Educating patients on lifestyle risk modification

,C. Increasing diagnostic testing
D. Prioritizing pharmacologic prevention
Answer: B
Rationale: Health promotion focuses on preventive behaviors
and risk reduction.
Citation: Harrison’s 22nd ed., Ch. 2 – Promoting Good Health


3. Vaccine Opposition and Hesitancy
Q3. What is the most effective nursing approach to vaccine
hesitancy?
A. Mandating vaccination
B. Providing factual, empathetic communication
C. Avoiding discussion to reduce conflict
D. Referring immediately to public health authorities
Answer: B
Rationale: Trust-building and empathetic education improve
vaccine acceptance.
Citation: Harrison’s 22nd ed., Ch. 3 – Vaccine Opposition and
Hesitancy


4. Decision-Making in Clinical Medicine
Q4. Shared decision-making requires which core element?
A. Provider-directed choices
B. Patient understanding of risks and benefits

, C. Written consent only
D. Limiting patient involvement
Answer: B
Rationale: Informed understanding is essential to shared
decisions.
Citation: Harrison’s 22nd ed., Ch. 4 – Decision-Making in Clinical
Medicine


5. Precision Medicine and Clinical Care
Q5. Precision medicine primarily uses which data to guide care?
A. Age and gender alone
B. Genetic and molecular information
C. Population averages only
D. Symptom severity scores
Answer: B
Rationale: Precision medicine tailors care using genomic and
molecular data.
Citation: Harrison’s 22nd ed., Ch. 5 – Precision Medicine and
Clinical Care


6. Screening and Prevention of Disease
Q6. An effective screening test should have which
characteristic?
A. Low sensitivity