NUR 230 EXAM 4 STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Five phases of the nursing process - ANSWER ✔ Assessment, Diagnosis,
Planning, Implementation, Evaluation.
2. Assessment phase - ANSWER ✔ Review records, conduct interviews,
collect health history, and gather subjective/objective data.
3. Diagnosis phase - ANSWER ✔ Analyze assessment data and identify patient
problems/nursing diagnoses.
4. Planning phase - ANSWER ✔ Prioritize nursing diagnoses, set short- and
long-term SMART goals, and choose interventions.
5. Implementation phase - ANSWER ✔ Perform interventions, communicate
with team, and document care.
6. Evaluation phase - ANSWER ✔ Determine if outcomes were met and
modify the care plan if needed.
,7. SMART in outcome planning - ANSWER ✔ Specific, Measurable,
Achievable, Relevant, Time-bound.
8. Developmental age in pediatric dosing - ANSWER ✔ Because
developmental ability affects absorption, metabolism, and communication.
9. Role of the school nurse in medication administration - ANSWER ✔ Ensure
correct dosing, safe storage, documentation, and family communication.
10.Five elements of informed consent - ANSWER ✔ Details of treatment,
necessity, benefits/risks, alternatives, and risks of refusal.
11.Breast cancer risk factors - ANSWER ✔ Female sex, age >55, family
history, BRCA mutations, obesity, smoking, alcohol, high-fat diet, radiation,
Ashkenazi Jewish ancestry.
12.Concerning breast findings - ANSWER ✔ Asymmetry, dimpling, retraction,
rapid size change, nipple deviation, new nipple inversion, discharge.
13.Fibrocystic breast changes - ANSWER ✔ Multiple tender cysts, fluid-filled,
common in middle-aged women.
14.Fibroadenoma - ANSWER ✔ Benign, mobile, smooth, rubbery breast mass.
15.Breast cancer mass - ANSWER ✔ Hard, irregular, poorly defined borders,
fixed, usually painless.
,16.Invasive vs noninvasive breast cancer - ANSWER ✔ Invasive spreads
beyond ducts/lobules; noninvasive (DCIS/LCIS) confined to original site.
17.Mastitis - ANSWER ✔ Warm, red, tender, hard area; most common
postpartum.
18.Gynecomastia - ANSWER ✔ Male breast enlargement; puberty, aging,
obesity, endocrine issues.
19.CHAPTER 17 — REPRODUCTIVE SYSTEM - ANSWER ✔
20.Cervical cancer risk factors - ANSWER ✔ High-risk HPV, smoking, early
intercourse, multiple partners.
21.Ovarian cancer risk factors - ANSWER ✔ Family history, BRCA, infertility,
endometriosis, obesity.
22.Prostate cancer risk factors - ANSWER ✔ Older age, African American
race, family history.
23.Testicular cancer risk factors - ANSWER ✔ Cryptorchidism, prior cancer,
HIV, orchitis.
24.Pediatric Indicators of Cardiac Dysfunction - ANSWER ✔ - poor feeding
- tachypnea/tachycardia
- failure to thrive/poor weight gain/activity intolerance
*Developmental delays
- prenatal history: smoking, drugs, alcohol, gestational diabetes
, - family history of cardiac disease
25.Cardiac Defects - ANSWER ✔ Congenital:
- Anatomic: abnormal function
26.Acquired:
- Disease process
- Infection
- Autoimmune response
- Environmental factors
- Familial tendencies
27.Cardiovascular dysfunction - ANSWER ✔ - Primary anatomic abnormalities
present at birth
- Result of various factors:
- Infection
- Autoimmune response
- Environmental factors
- Familial tendencies
- History and physical
28.Atrial septal defect - ANSWER ✔ Opening between the two atriums
- can be asymptomatic
- oxygenated blood flows back in the right atrium
- usually exercise intolerance
- diastolic murmur
- risk for atrial dysrhythmias
- can be treated w/a surgical patch closure or cardiac cath can be
performed to dispatch a closure device
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. Five phases of the nursing process - ANSWER ✔ Assessment, Diagnosis,
Planning, Implementation, Evaluation.
2. Assessment phase - ANSWER ✔ Review records, conduct interviews,
collect health history, and gather subjective/objective data.
3. Diagnosis phase - ANSWER ✔ Analyze assessment data and identify patient
problems/nursing diagnoses.
4. Planning phase - ANSWER ✔ Prioritize nursing diagnoses, set short- and
long-term SMART goals, and choose interventions.
5. Implementation phase - ANSWER ✔ Perform interventions, communicate
with team, and document care.
6. Evaluation phase - ANSWER ✔ Determine if outcomes were met and
modify the care plan if needed.
,7. SMART in outcome planning - ANSWER ✔ Specific, Measurable,
Achievable, Relevant, Time-bound.
8. Developmental age in pediatric dosing - ANSWER ✔ Because
developmental ability affects absorption, metabolism, and communication.
9. Role of the school nurse in medication administration - ANSWER ✔ Ensure
correct dosing, safe storage, documentation, and family communication.
10.Five elements of informed consent - ANSWER ✔ Details of treatment,
necessity, benefits/risks, alternatives, and risks of refusal.
11.Breast cancer risk factors - ANSWER ✔ Female sex, age >55, family
history, BRCA mutations, obesity, smoking, alcohol, high-fat diet, radiation,
Ashkenazi Jewish ancestry.
12.Concerning breast findings - ANSWER ✔ Asymmetry, dimpling, retraction,
rapid size change, nipple deviation, new nipple inversion, discharge.
13.Fibrocystic breast changes - ANSWER ✔ Multiple tender cysts, fluid-filled,
common in middle-aged women.
14.Fibroadenoma - ANSWER ✔ Benign, mobile, smooth, rubbery breast mass.
15.Breast cancer mass - ANSWER ✔ Hard, irregular, poorly defined borders,
fixed, usually painless.
,16.Invasive vs noninvasive breast cancer - ANSWER ✔ Invasive spreads
beyond ducts/lobules; noninvasive (DCIS/LCIS) confined to original site.
17.Mastitis - ANSWER ✔ Warm, red, tender, hard area; most common
postpartum.
18.Gynecomastia - ANSWER ✔ Male breast enlargement; puberty, aging,
obesity, endocrine issues.
19.CHAPTER 17 — REPRODUCTIVE SYSTEM - ANSWER ✔
20.Cervical cancer risk factors - ANSWER ✔ High-risk HPV, smoking, early
intercourse, multiple partners.
21.Ovarian cancer risk factors - ANSWER ✔ Family history, BRCA, infertility,
endometriosis, obesity.
22.Prostate cancer risk factors - ANSWER ✔ Older age, African American
race, family history.
23.Testicular cancer risk factors - ANSWER ✔ Cryptorchidism, prior cancer,
HIV, orchitis.
24.Pediatric Indicators of Cardiac Dysfunction - ANSWER ✔ - poor feeding
- tachypnea/tachycardia
- failure to thrive/poor weight gain/activity intolerance
*Developmental delays
- prenatal history: smoking, drugs, alcohol, gestational diabetes
, - family history of cardiac disease
25.Cardiac Defects - ANSWER ✔ Congenital:
- Anatomic: abnormal function
26.Acquired:
- Disease process
- Infection
- Autoimmune response
- Environmental factors
- Familial tendencies
27.Cardiovascular dysfunction - ANSWER ✔ - Primary anatomic abnormalities
present at birth
- Result of various factors:
- Infection
- Autoimmune response
- Environmental factors
- Familial tendencies
- History and physical
28.Atrial septal defect - ANSWER ✔ Opening between the two atriums
- can be asymptomatic
- oxygenated blood flows back in the right atrium
- usually exercise intolerance
- diastolic murmur
- risk for atrial dysrhythmias
- can be treated w/a surgical patch closure or cardiac cath can be
performed to dispatch a closure device
