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actual exam(A+)NCLEX- Questions – Chapter 3 & 4 | Med-Surg Nursing 11th Ed (Lewis) | Pain Management & Care Coordination (guaranteed pass A+)

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Boost your NCLEX® readiness with this focused set of 100+ NCLEX-style multiple-choice questions covering Chapters 3 & 4 of Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (11th Edition) by Lewis et al. This study pack is ideal for: Nursing students mastering Pain Management & Patient-Centered Care Next Gen NCLEX® (NGN) preparation Reinforcing concepts around interprofessional care, SBAR, patient safety, and ethical practice What's Inside: 100+ multiple-choice questions with correct answers Covers: Pain physiology, pain scales, opioids/non-opioids, teamwork, care coordination, advocacy, and more Clinical judgment–focused: mirrors current NCLEX and classroom expectations Useful for Med-Surg exams, quizzes, ATI, and NCLEX prep

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2025/2026
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BELOW ARE 100 NCLEX-STYLE MULTIPLE-CHOICE QUESTIONS AND
ANSWERS, FOCUSING ON HEALTH, WELLNESS, HEALTH DISPARITIES, AND
TRANSCULTURAL NURSING CARE ….guaranteed pass on nclex exam
Based on chapter 3&4 on the book below
The 11th edition of Medical-Surgical Nursing: Concepts for Clinical Judgment and
Collaborative Care by Donna D. Ignatavicius, Cherie R. Rebar, and Nicole M. Heimgartner
comprises 76 chapters, organized across two volumes.


1. Which of the following best defines health?
A) The absence of disease
B) A state of complete physical, mental, and social well-being
C) The ability to perform daily activities
D) A state of homeostasis
Answer: B
2. What is wellness?
A) The absence of illness
B) A passive state of health
C) An active process of becoming aware of and making choices toward a healthy and fulfilling
life
D) A genetic predisposition to health
Answer: C
3. Which of the following is a modifiable risk factor for health disparities?
A) Age
B) Gender
C) Physical activity levels
D) Genetic makeup
Answer: C
4. Health disparities are most commonly associated with which of the following?
A) Equal access to healthcare
B) Differences in socioeconomic status
C) Universal health insurance coverage
D) Standardized treatment protocols
Answer: B
5. Which of the following is an example of primary prevention?
A) Administering flu vaccines
B) Performing cancer screenings
C) Providing rehabilitation services
D) Treating chronic diseases
Answer: A
6. Secondary prevention aims to:
A) Prevent the onset of disease
B) Detect and treat disease early
C) Provide rehabilitation

,D) Promote overall wellness
Answer: B
7. Tertiary prevention focuses on:
A) Preventing disease occurrence
B) Early detection of disease
C) Reducing the impact of an existing disease
D) Promoting healthy lifestyles
Answer: C
8. Which of the following is a non-modifiable determinant of health?
A) Physical activity
B) Smoking
C) Genetics
D) Nutrition
Answer: C
9. The Health Belief Model is based on the premise that:
A) Health is determined by genetic factors
B) Individuals will take health-related action if they believe they are susceptible to a health
problem
C) Health behaviors are solely influenced by socioeconomic status
D) Health is a result of environmental factors
Answer: B
10. The Health Promotion Model emphasizes:
A) Preventing disease
B) Enhancing well-being and self-actualization
C) Treating existing health conditions
D) Focusing on physical health only
Answer: B
11. Which of the following is a characteristic of the agent-host-environment model?
A) Focuses on the individual’s behavior
B) Emphasizes the interaction between the agent, host, and environment
C) Ignores environmental factors
D) Centers on genetic predisposition
Answer: B
12. Health disparities can be reduced by:
A) Ignoring cultural differences
B) Providing equitable access to healthcare services
C) Standardizing treatment for all patients
D) Limiting healthcare resources
Answer: B
13. Which of the following is a social determinant of health?
A) Age
B) Education level
C) Genetic predisposition
D) Gender
Answer: B

, 14. Cultural competence in nursing involves:
A) Providing care based on personal beliefs
B) Understanding and respecting cultural differences
C) Ignoring cultural differences
D) Treating all patients the same
Answer: B
15. The nurse is assessing a patient from a different cultural background. Which action
demonstrates cultural competence?
A) Making assumptions about the patient’s beliefs
B) Asking open-ended questions about the patient’s cultural practices
C) Ignoring the patient’s cultural background
D) Providing care based on the nurse’s cultural beliefs
Answer: B
16. Transcultural nursing care requires nurses to:
A) Provide care based on their own cultural norms
B) Understand and integrate patients’ cultural beliefs into care
C) Ignore cultural differences
D) Treat all patients the same
Answer: B
17. The nurse is caring for a patient who refuses pain medication due to cultural beliefs. The
nurse should:
A) Administer the medication without informing the patient
B) Respect the patient’s decision and explore alternative pain management strategies
C) Force the patient to take the medication
D) Ignore the patient’s cultural beliefs
Answer: B
18. Which of the following is an example of a health promotion activity?
A) Administering a flu shot
B) Teaching stress management techniques
C) Performing a physical exam
D) Prescribing medication
Answer: B
19. Which of the following is a barrier to accessing healthcare?
A) Availability of healthcare providers
B) High cost of healthcare services
C) Proximity to healthcare facilities
D) Availability of health insurance
Answer: B
20. The nurse is educating a patient about healthy lifestyle choices. Which action demonstrates
effective health promotion?
A) Providing information without considering the patient’s readiness to learn
B) Tailoring the education to the patient’s interests and readiness to change
C) Ignoring the patient’s cultural preferences
D) Focusing solely on physical health
Answer: B
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