NURS 160 : Concepts Of Nursing Practice Test! Quiz

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  • 1/13 Questions

    A pulsating abdominal mass usually indicates which of the following conditions?

    • Abdominal aortic aneurysm
    • Enlarged spleen
    • Gastric distention
    • Gastritis
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About This Quiz

Are you undertaking the nurs 160: concepts of nursing course? Nurses are charged with taking care of patients as they undergo their recovery and ensure any problems that arise are taken care of. By taking this quiz, you will get to see just how much you know about nursing and what is expected of you when it comes to the profession.

NURS 160 : Concepts Of Nursing Practice Test! Quiz - Quiz

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  • 2. 

    What is the most common symptom in a client with an abdominal aortic aneurysm?

    • Abdominal pain

    • Diaphoresis

    • Headache

    • Upper back pain

    Correct Answer
    A. Abdominal pain
    Explanation
    Abdominal pain is the most common symptom in a client with an abdominal aortic aneurysm. This is because as the aneurysm grows, it puts pressure on the surrounding tissues and organs, causing pain in the abdomen. This pain may be constant or intermittent and can be described as a pulsating or throbbing sensation. It is important to note that not all individuals with an abdominal aortic aneurysm will experience symptoms, but when they do, abdominal pain is often the primary complaint.

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  • 3. 

    Which of the following complications is of greatest concern when caring for a preoperative abdominal aortic aneurysm client?

    • Hypertension

    • Aneurysm rupture

    • Cardiac arrhythmias

    • Diminished pedal pulses

    Correct Answer
    A. Aneurysm rupture
    Explanation
    The greatest concern when caring for a preoperative abdominal aortic aneurysm client is aneurysm rupture. Aneurysm rupture can lead to severe internal bleeding, which can be life-threatening. It is important to closely monitor the client for any signs of rupture, such as sudden and severe abdominal or back pain, dizziness, or fainting. Immediate medical intervention is necessary if aneurysm rupture is suspected to prevent further complications and ensure the client's safety.

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  • 4. 

    What is the most common cause of an abdominal aortic aneurysm?

    • Atherosclerosis

    • Diabetes melitus

    • Hypertension

    • Syphilis

    Correct Answer
    A. Atherosclerosis
    Explanation
    Atherosclerosis is the most common cause of an abdominal aortic aneurysm. Atherosclerosis is a condition where fatty deposits build up in the arteries, causing them to become narrow and stiff. Over time, this can weaken the walls of the abdominal aorta, leading to the formation of an aneurysm. Diabetes mellitus, hypertension, and syphilis can also contribute to the development of an abdominal aortic aneurysm, but atherosclerosis is the primary cause.

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  • 5. 

    Stimulation of the sympathetic nervous system produces which of the following responses?

    • Bradycardia

    • Tachycardia

    • Hypotension

    • Decreased myocardial contractility

    Correct Answer
    A. Tachycardia
    Explanation
    Stimulation of the sympathetic nervous system leads to an increase in heart rate, which is known as tachycardia. This is because the sympathetic nervous system is responsible for the "fight or flight" response, which prepares the body for action. Increased heart rate allows for more blood to be pumped to the muscles, supplying them with oxygen and nutrients needed for physical activity. Therefore, tachycardia is the expected response when the sympathetic nervous system is stimulated.

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  • 6. 

    Which of the following sounds is distinctly heard on auscultation over the abdominal region of an abdominal aortic aneurysm client?

    • Bruit

    • Crackles

    • Duliness

    • Friction rubs

    Correct Answer
    A. Bruit
    Explanation
    A bruit is a turbulent blood flow sound that can be heard on auscultation. In the case of an abdominal aortic aneurysm, the weakened artery can cause turbulent blood flow, leading to the presence of a bruit. This sound is distinct and can be heard over the abdominal region of the client. Crackles are abnormal lung sounds and are not associated with an abdominal aortic aneurysm. Duliness refers to a dull sound heard on percussion and is not related to auscultation. Friction rubs are also not associated with an abdominal aortic aneurysm.

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  • 7. 

    Which of the following groups of symptoms indicates a ruptured abdominal aortic aneurysm?

    • Lowr back pain, increased blood pressure, decreased red blood cell count, increased white blood cell count

    • Severe lower back pain, decreased blood pressure, decreased rbc count, increased wbc count

    • Severe lower back pain, decreased blood pressure, decreased RBC count, decreased WBC count

    Correct Answer
    A. Severe lower back pain, decreased blood pressure, decreased rbc count, increased wbc count
    Explanation
    The group of symptoms that indicates a ruptured abdominal aortic aneurysm is severe lower back pain, decreased blood pressure, decreased red blood cell count, and increased white blood cell count. This combination of symptoms suggests that there is internal bleeding, as indicated by the decreased blood pressure and decreased red blood cell count. The increased white blood cell count indicates an inflammatory response, which is often seen in cases of infection or injury. The severe lower back pain is a common symptom of a ruptured abdominal aortic aneurysm.

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  • 8. 

    Which of the following conditions is most closely associated with weight gain, nausea, and a decrease in urine output?

    • Angina pectoris

    • Cardiomyopathy

    • Left sided heart failure

    • Right sided heart failure

    Correct Answer
    A. Right sided heart failure
    Explanation
    Right sided heart failure is most closely associated with weight gain, nausea, and a decrease in urine output. In right sided heart failure, the right side of the heart is unable to pump blood effectively, leading to a buildup of fluid in the body. This fluid retention can cause weight gain and a decrease in urine output. Additionally, the impaired blood flow can lead to congestion in the liver, causing symptoms such as nausea. Therefore, right sided heart failure is the most likely condition to cause these symptoms.

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  • 9. 

    In which of the following areas is an abdominal aortic aneurysm most commonly located?

    • Distal to the iliac arteries

    • Distal to the renal arteries

    • Adjacent to the aortic arch

    • Proximal to the renal arteries

    Correct Answer
    A. Distal to the renal arteries
    Explanation
    An abdominal aortic aneurysm is most commonly located distal to the renal arteries. This means that the aneurysm occurs below the level of the renal arteries, which are the blood vessels that supply the kidneys. This location is significant because it allows for the effective management and treatment of the aneurysm, as it is distal to major branching vessels and can be accessed surgically if necessary.

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  • 10. 

    When assessing a client for an abdominal aortic aneurysm, which area of the abdomen is most commonly palpated?

    • Right upper quadrant

    • Directly over the unbilicus

    • Middle lower abdomen to the left of the midline

    • Middle lower abdomen to the right of the midline

    Correct Answer
    A. Middle lower abdomen to the left of the midline
    Explanation
    When assessing a client for an abdominal aortic aneurysm, the most commonly palpated area of the abdomen is the middle lower abdomen to the left of the midline. This is because the abdominal aorta, where an aneurysm may occur, is located in this area. Palpating this region allows the healthcare provider to feel for any abnormal pulsations or masses that may indicate an aneurysm. The other options, such as the right upper quadrant or directly over the umbilicus, are not typically associated with the location of an abdominal aortic aneurysm.

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  • 11. 

    Which of the following symptoms usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm?

    • Abdominal pain

    • Absent pedal pulses

    • Angina

    • Lower back pain

    Correct Answer
    A. Lower back pain
    Explanation
    Lower back pain is a symptom that usually signifies rapid expansion and impending rupture of an abdominal aortic aneurysm. This is because as the aneurysm grows, it can put pressure on the surrounding structures, including the lower back. The pain may be severe and constant, and can radiate to the abdomen or groin. It is important to recognize this symptom as it indicates the need for immediate medical attention, as an untreated ruptured abdominal aortic aneurysm can be life-threatening.

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  • 12. 

    What is the definitive test used to diagnose an abdominal aortic aneurysm?

    • Abdominal x-ray

    • Arteriogram

    • Computed tomography scan

    • Ultrasound

    Correct Answer
    A. Arteriogram
    Explanation
    An arteriogram is the definitive test used to diagnose an abdominal aortic aneurysm. This test involves injecting a contrast dye into the arteries and taking X-ray images to visualize the blood vessels. It provides a detailed view of the abdominal aorta and can accurately detect the presence and size of an aneurysm. Other imaging techniques like abdominal X-ray, computed tomography scan, and ultrasound may also be used, but an arteriogram is considered the most definitive test for diagnosing an abdominal aortic aneurysm.

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  • 13. 

    Which of the following blood vessel layers may be damaged in a client with an aneurysm?

    • Externa

    • Interna

    • Media

    • Interna and media

    Correct Answer
    A. Media
    Explanation
    The correct answer is media because the media layer is the middle layer of blood vessels, composed of smooth muscle and elastic tissue. In a client with an aneurysm, which is a weakening and bulging of a blood vessel wall, the media layer is most likely to be damaged due to the increased pressure and stress on the vessel wall. Damage to the media layer can lead to further complications such as rupture or leakage of the blood vessel.

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  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 20, 2009
    Quiz Created by
    Strat2

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