Medical-Surgical Nursing Fast Review MCQs Study Guide | Exam 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




1. The primary goal of evidence-based medical practice is to:
A. Replace clinical experience with guidelines
B. Integrate best evidence with clinical expertise and patient
values
C. Standardize care regardless of patient context
D. Minimize costs through protocol adherence
Correct Answer: B
Rationale: Evidence-based practice combines high-quality
evidence, clinician expertise, and patient preferences to
optimize outcomes.
Citation: Harrison’s 22nd ed., Ch. 1 – The Practice of Medicine


2. Which intervention has the greatest population-level impact
on health outcomes?

,A. Advanced diagnostic imaging
B. Individual pharmacologic therapy
C. Public health prevention strategies
D. Specialized surgical care
Correct Answer: C
Rationale: Preventive and public health interventions produce
the largest reductions in morbidity and mortality at the
population level.
Citation: Harrison’s 22nd ed., Ch. 2 – Promoting Good Health


3. Vaccine hesitancy most commonly arises from:
A. Lack of vaccine availability
B. Religious doctrine alone
C. Mistrust appears driven by safety concerns and
misinformation
D. Proven vaccine ineffectiveness
Correct Answer: C
Rationale: Safety concerns, misinformation, and mistrust are
the dominant drivers of vaccine hesitancy.
Citation: Harrison’s 22nd ed., Ch. 3 – Vaccine Opposition and
Hesitancy


4. Shared decision-making is BEST defined as:

, A. Physician-directed treatment selection
B. Patient choice without clinician input
C. Collaborative decision based on evidence and patient goals
D. Legal consent documentation
Correct Answer: C
Rationale: Shared decision-making aligns clinical evidence with
patient preferences and values.
Citation: Harrison’s 22nd ed., Ch. 4 – Decision-Making in Clinical
Medicine


5. Precision medicine primarily aims to:
A. Reduce clinician workload
B. Tailor care based on genetic, environmental, and lifestyle
factors
C. Replace traditional diagnostics
D. Limit care to specialized centers
Correct Answer: B
Rationale: Precision medicine individualizes care using biologic
and contextual patient data.
Citation: Harrison’s 22nd ed., Ch. 5 – Precision Medicine and
Clinical Care


6. A core nursing implication of screening programs is to: