Harrison 22e Nursing Study Guide: All-Chapter MCQ Test Bank for ADN/BSN

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. Chapter: The Practice of Medicine
A 68-year-old patient is admitted with shortness of breath
and weight loss. Which initial nursing action best supports
accurate diagnostic reasoning?
A. Begin all routine daily care before diagnostic tests.
B. Collect a focused history emphasizing onset,
progression, and associated symptoms.
C. Delay documentation until all test results return.
D. Ask family members to withhold information until
physician interview.
Answer: B.
Rationale: A focused history targeted to timing, progression,
and associated symptoms most directly refines the differential
and informs prioritized diagnostic testing and nursing
assessment. Prompt, accurate history-taking reduces diagnostic

,delay.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Chapter: The Practice of Medicine
2. Chapter: The Practice of Medicine
When a new abnormal lab result arrives (critically elevated
potassium), the nurse should first:
A. File the result in the chart and continue routine care.
B. Notify the prescribing clinician and implement
immediate safety measures per protocol.
C. Wait until the next scheduled physician rounds.
D. Call the patient’s family to discuss the result.
Answer: B.
Rationale: Critical lab values require immediate communication
to the treating team and initiation of urgent safety measures
(monitoring, ECG, preparations for treatment) to prevent harm.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Chapter: The Practice of Medicine
3. Chapter: Promoting Good Health
Which nursing intervention most effectively promotes
long-term lifestyle change in a patient with newly
diagnosed hypertension?
A. Provide a single handout listing all dietary rules.
B. Use brief motivational interviewing to set one
achievable behavior change.
C. Warn about severe complications in detail to motivate
change.

, D. Prescribe a strict exercise schedule without patient
input.
Answer: B.
Rationale: Motivational interviewing that elicits patient goals
and sets small, achievable steps increases adherence and
sustainable behavior change; directive or fear-based
approaches are less effective.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Chapter: Promoting Good Health
4. Chapter: Promoting Good Health
A nurse planning community education about smoking
cessation should prioritize content that:
A. Focuses only on long-term cancer risk.
B. Emphasizes immediate, practical cessation strategies
and resources.
C. Tells participants that willpower alone is sufficient.
D. Recommends abrupt cessation for all smokers
regardless of context.
Answer: B.
Rationale: Practical, immediately applicable strategies and
available resources (counseling, pharmacotherapy) increase
uptake; emphasizing only distant risks or relying on willpower is
less effective.
Citation: Harrison’s Principles of Internal Medicine, 22nd ed. —
Chapter: Promoting Good Health