Medical-Surgical Nursing MCQs Study Guide | Fast Revision Practice 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




Nursing Examination MCQs (Harrison’s 22nd ed., Ch. 1–13)


1.
A nurse evaluates a hospitalized patient’s clinical data to guide
care planning. Which principle best reflects the practice of
medicine described in Harrison’s?
Answer: Integration of scientific evidence with clinical
judgment and patient values.
Rationale: Medical practice requires combining evidence-
based knowledge with individualized clinical decision-making
and patient preferences.
Citation: Harrison’s 22nd ed., Ch. 1 The Practice of Medicine


2.
Which intervention most effectively promotes primary
prevention in healthy adults?

,Answer: Lifestyle modification to reduce cardiovascular risk
factors.
Rationale: Primary prevention aims to prevent disease onset
through risk reduction strategies.
Citation: Harrison’s 22nd ed., Ch. 2 Promoting Good Health


3.
A parent refuses childhood immunization due to
misinformation. What is the nurse’s best initial response?
Answer: Provide clear, evidence-based education addressing
specific concerns.
Rationale: Vaccine hesitancy is often driven by
misinformation; respectful communication improves uptake.
Citation: Harrison’s 22nd ed., Ch. 3 Vaccine Opposition and
Hesitancy


4.
Clinical decision-making in uncertain conditions primarily
relies on which approach?
Answer: Probability-based reasoning and diagnostic testing.
Rationale: Clinicians use Bayesian reasoning to estimate
likelihoods and guide diagnostic steps.
Citation: Harrison’s 22nd ed., Ch. 4 Decision-Making in Clinical
Medicine

, 5.
Which patient scenario best reflects the use of precision
medicine?
Answer: Selecting cancer therapy based on tumor genetic
profiling.
Rationale: Precision medicine tailors care based on genetic
and molecular characteristics.
Citation: Harrison’s 22nd ed., Ch. 5 Precision Medicine and
Clinical Care


6.
A nurse encourages colon cancer screening for a 55-year-old
adult. This intervention represents which preventive level?
Answer: Secondary prevention.
Rationale: Screening detects disease early to improve
outcomes.
Citation: Harrison’s 22nd ed., Ch. 6 Screening and Prevention
of Disease


7.
Which nursing action most supports patient safety and quality
improvement?
Answer: Adherence to standardized care protocols.
Rationale: Evidence-based protocols reduce variability and
errors in care delivery.