Abdominal Aortic Aneurysm Exam By Rnpedia.Com
When a person’s Aorta becomes enlarged it can be life threatening to a patient, this condition is called Abdominal Aortic Aneurysm. Specialized care and treatment should be given to such a patient. Take up the practice exam below to help you prepare for the main one. Best of luck!
- 1.Which of the following signs and symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
- A.
Abdominal pain.
- B.
Absent pedal pulses.
- C.
Chest pain.
- D.
Lower back pain.
- 2.With which of the following disorders is jugular vein distention most prominent?
- A.
Abdominal aortic aneurysm
- B.
Heart failure
- C.
Myocardial infarction
- D.
Pneumothorax
- 3.What is the most common cause of abdominal aortic aneurysm?
- A.
Atherosclerosis
- B.
DM
- C.
HPN
- D.
Syphilis
- 4.In which of the following areas is an abdominal aortic aneurysm most commonly located?
- A.
Distal to the iliac arteries
- B.
Distal to the renal arteries
- C.
Adjacent to the aortic branch
- D.
Proximal to the renal arteries
- 5.A pulsating abdominal mass usually indicates which of the following conditions?
- A.
Abdominal aortic aneurysm
- B.
Enlarged spleen
- C.
Gastric distention
- D.
Gastritis
- 6.What is the most common symptom in a client with abdominal aortic aneurysm?
- A.
Abdominal pain
- B.
Diaphoresis
- C.
Headache
- D.
Upper back pain
- 7.Which of the following symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?
- A.
Abdominal pain
- B.
Absent pedal pulses
- C.
Angina
- D.
Lower back pain
- 8.What is the definitive test used to diagnose an abdominal aortic aneurysm?
- A.
Abdominal X-ray
- B.
Arteriogram
- C.
CT scan
- D.
Ultrasound
- 9.Which of the following complications is of greatest concern when caring for a preoperative abdominal aneurysm client?
- A.
HPN
- B.
Aneurysm rupture
- C.
Cardiac arrythmias
- D.
Diminished pedal pulses
- 10.Which of the following blood vessel layers may be damaged in a client with an aneurysm?
- A.
Externa
- B.
Interna
- C.
Media
- D.
Interna and Media
- 11.When assessing a client for an abdominal aortic aneurysm, which area of the abdomen is most commonly palpated?
- A.
Right upper quadrant
- B.
Directly over the umbilicus
- C.
Middle lower abdomen to the left of the midline
- D.
Midline lower abdomen to the right of the midline
- 12.Which of the following conditions is linked to more than 50% of clients with abdominal aortic aneurysms?
- A.
DM
- B.
HPN
- C.
PVD
- D.
Syphilis
- 13.Which of the following sounds is distinctly heard on auscultation over the abdominal region of an abdominal aortic aneurysm client?
- A.
Bruit
- B.
Crackles
- C.
Dullness
- D.
Friction rubs
- 14.Which of the following groups of symptoms indicated a ruptured abdominal aneurysm?
- A.
Lower back pain, increased BP, decreased RBC, increased WBC
- B.
Severe lower back pain, decreased BP, decreased RBC, increased WBC
- C.
Severe lower back pain, decreased BP, decreased RBC, decreased WBC
- D.
Intermittent lower back pain, decreased BP, decreased RBC, increased WBC
- 15.Which of the following complications of an abdominal aortic repair is indicated by detection of a hematoma in the perineal area?
- A.
Hernia
- B.
Stage 1 pressure ulcer
- C.
Retroperitoneal rupture at the repair site
- D.
Rapid expansion of the aneurysm
- 16.A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
- A.
Loss of sensation in the lower extremities
- B.
Back pain that lessens when standing
- C.
Decreased urinary output
- D.
Pulsations in the periumbilical area
- 17.Ms. Sy undergoes surgery and the abdominal aortic aneurysm is resected and replaced with a graft. When she arrives in the RR she is still in shock. The nurse’s priority should be :
- A.
Placing her in a trendeleburg position
- B.
Putting several warm blankets on her
- C.
Monitoring her hourly urine output
- D.
Assessing her VS especially her RR
- 18.Which of the following groups of symptoms indicates a ruptured abdominal aortic aneurysm?
- A.
Lower back pain, increased blood pressure, decreased re blood cell (RBC) count, increased white blood (WBC) count.
- B.
Severe lower back pain, decreased blood pressure, decreased RBC count, increased WBC count.
- C.
Severe lower back pain, decreased blood pressure, decreased RBC count, decreased RBC count, decreased WBC count.
- D.
Intermitted lower back pain, decreased blood pressure, decreased RBC count, increased WBC count.
- 19.A patient comes to the emergency department with abdominal pain. Work-up reveals the presence of a rapidly enlarging abdominal aortic aneurysm. Which of the following actions should the nurse expect?
- A.
The patient will be admitted to the medicine unit for observation and medication.
- B.
The patient will be admitted to the day surgery unit for sclerotherapy.
- C.
The patient will be admitted to the surgical unit and resection will be scheduled.
- D.
The patient will be discharged home to follow-up with his cardiologist in 24 hours.
- 20.A 76 year old man enters the ER with complaints of back pain and feeling fatigued. Upon examination, his blood pressure is 190/100, pulse is 118, and hematocrit and hemoglobin are both low. The nurse palpates the abdomen which is soft, non-tender and auscultates an abdominal pulse. The most likely diagnosis is:
- A.
Buerger’s disease
- B.
CHF
- C.
Secondary hypertension
- D.
Aneurysm
- 21.An adult client has continued slow bleeding from the graft after repair of an abdominal aortic aneurysm. Because of the client’s unstable condition, he is in the intensive care unit where visitors are limited to the family. The client insists on having a visit from a medicine man whom the family visits regularly. How should the nurse interpret this request?
- A.
The principle of justice prohibits giving one client a privilege that other clients are not permitted.
- B.
Faith healers do not meet the standards for clergy exemption from visitation rules.
- C.
Medicine men are not approved by the hospital as legitimate health care providers.
- D.
Provision of holistic care requires that the client’s belief system is honored.
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