Prepare for your test
1. Question
Category: Health Promotion and Maintenance
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
Correct Answer: B. HPN
Continuous pressure on the vessel walls from hypertension causes the walls to
weaken and an aneurysm to occur. The association between hypertension and AAA
,could potentially be confounded by other risk factors because hypertension is more
common among persons with overweight and obesity, less physical activity, who
smoke and who have unhealthy diets.
2. Question
Category: Health Promotion and Maintenance
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
Correct Answer: A. Bruit
A bruit, a vascular sound resembling a heart murmur, suggests partial arterial
occlusion. In addition to abdominal palpation, auscultation for abdominal or
femoral bruits may be useful for clinical detection of AAA. Auscultation is
performed along the course of the aortic and femoral arteries. However, absence of
a bruit does not exclude an aneurysm.
, 3. Question
Category: Physiological Adaptation
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
Correct Answer: B. Severe lower back pain, decreased BP, decreased RBC,
increased WBC
Severe lower back pain indicates an aneurysm rupture, secondary to pressure being
applied within the abdominal cavity. When a rupture occurs, the pain is constant
because it can’t be alleviated until the aneurysm is repaired. Blood pressure
decreases due to the loss of blood. After the aneurysm ruptures, the vasculature is
interrupted and blood volume is lost, so blood pressure wouldn’t increase. For the
same reason, the RBC count has decreased – not increased. The WBC count
increases as cells migrate to the site of injury.
4. Question
1. Question
Category: Health Promotion and Maintenance
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
Correct Answer: B. HPN
Continuous pressure on the vessel walls from hypertension causes the walls to
weaken and an aneurysm to occur. The association between hypertension and AAA
,could potentially be confounded by other risk factors because hypertension is more
common among persons with overweight and obesity, less physical activity, who
smoke and who have unhealthy diets.
2. Question
Category: Health Promotion and Maintenance
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
Correct Answer: A. Bruit
A bruit, a vascular sound resembling a heart murmur, suggests partial arterial
occlusion. In addition to abdominal palpation, auscultation for abdominal or
femoral bruits may be useful for clinical detection of AAA. Auscultation is
performed along the course of the aortic and femoral arteries. However, absence of
a bruit does not exclude an aneurysm.
, 3. Question
Category: Physiological Adaptation
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
Correct Answer: B. Severe lower back pain, decreased BP, decreased RBC,
increased WBC
Severe lower back pain indicates an aneurysm rupture, secondary to pressure being
applied within the abdominal cavity. When a rupture occurs, the pain is constant
because it can’t be alleviated until the aneurysm is repaired. Blood pressure
decreases due to the loss of blood. After the aneurysm ruptures, the vasculature is
interrupted and blood volume is lost, so blood pressure wouldn’t increase. For the
same reason, the RBC count has decreased – not increased. The WBC count
increases as cells migrate to the site of injury.
4. Question
