Medical-Surgical Nursing MCQ Study Guide – Harrison’s Internal Medicine Fast 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




Integrated Nursing MCQ Test Bank
Harrison’s Principles of Internal Medicine, 22nd ed.
Chapters 1–13 (Selected Practice of Medicine & Professional
Issues)
Total Questions: 20


1.
A nurse caring for hospitalized patients applies evidence-based
protocols to guide interventions. Which principle best reflects
the practice of medicine as described in Harrison’s?
A. Reliance on expert opinion alone
B. Integration of scientific evidence with clinical judgment and
patient values
C. Standardized treatment regardless of patient context
D. Exclusive dependence on diagnostic technology
Correct Answer: B

,Rationale: Harrison’s emphasizes that modern medical practice
integrates biomedical science, clinical expertise, and patient
preferences rather than rigid protocols or technology alone.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Ch. 1 – The Practice of Medicine


2.
Which nursing intervention most directly supports health
promotion at the population level?
A. Administering PRN analgesics
B. Educating patients on lifestyle risk factors
C. Monitoring vital signs every shift
D. Implementing isolation precautions
Correct Answer: B
Rationale: Promoting good health includes modifying
behavioral and environmental risk factors through education
and preventive strategies.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Ch. 2 – Promoting Good Health


3.
A patient refuses vaccination due to misinformation. What is
the nurse’s best evidence-based response?

, A. Dismiss the patient’s concerns
B. Provide clear, respectful, factual counseling
C. Document refusal without discussion
D. Refer immediately to public health authorities
Correct Answer: B
Rationale: Harrison’s notes that vaccine hesitancy is best
addressed through respectful communication and trust-building
rather than coercion.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Ch. 3 – Vaccine Opposition and Hesitancy


4.
Which factor most increases diagnostic accuracy in clinical
decision-making?
A. Ordering extensive laboratory testing
B. Strict adherence to algorithms
C. Careful history-taking and probability assessment
D. Immediate specialist consultation
Correct Answer: C
Rationale: Harrison’s emphasizes probabilistic reasoning
grounded in a thorough history as central to sound clinical
decisions.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed.,
Ch. 4 – Decision-Making in Clinical Medicine