Medical-Surgical Nursing Practice MCQs – Fast Revision Study Guide 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




Harrison’s Principles of Internal Medicine, 22nd ed.
Foundational Concepts of Clinical Medicine (Volumes 1 & 2)
FAST-REVISION Nursing MCQs (20 Questions Total)


1. The Practice of Medicine
1. Which principle best defines evidence-based medical
practice?
A. Reliance on clinical experience alone
B. Use of pathophysiologic reasoning without data
C. Integration of best research evidence with clinical expertise
and patient values
D. Adherence to expert opinion
Correct Answer: C
Rationale: Evidence-based medicine integrates high-quality

,research, clinician expertise, and patient preferences to guide
care decisions.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 1 – The Practice of Medicine


2. Promoting Good Health
2. Which nursing intervention most directly supports
population-level health promotion?
A. Administering acute pharmacologic therapy
B. Screening asymptomatic individuals for preventable disease
C. Treating complications of chronic illness
D. Managing end-stage disease
Correct Answer: B
Rationale: Health promotion focuses on prevention and early
detection through screening and risk reduction strategies.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 2 – Promoting Good Health


3. Vaccine Opposition and Hesitancy
3. When addressing vaccine hesitancy, which nursing approach
is most effective?
A. Dismissing patient concerns
B. Presenting data without discussion
C. Engaging respectfully and addressing specific fears
D. Avoiding the topic

, Correct Answer: C
Rationale: Harrison emphasizes empathetic, trust-based
communication tailored to individual concerns to improve
vaccine acceptance.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 3 – Vaccine Opposition and Hesitancy


4. Decision-Making in Clinical Medicine
4. Shared decision-making requires which essential element?
A. Physician-determined care plan
B. Patient agreement without explanation
C. Clear communication of risks, benefits, and alternatives
D. Use of standardized protocols only
Correct Answer: C
Rationale: Effective decision-making involves transparent
discussion to align care with patient values.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Chapter 4 – Decision-Making in Clinical Medicine


5. Precision Medicine and Clinical Care
5. Precision medicine primarily aims to:
A. Replace clinical judgment
B. Apply identical treatments to all patients
C. Tailor care based on genetic and biologic variability
D. Eliminate environmental risk factors