NSG 233 MED SURG 3 EXAM 3 EXAM STUDY
GUIDE 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ What is the primary cause of a thoracic aortic aneurysm? Answer:
Atherosclerosis.
◉ What are the s/s of a thoracic aortic aneurysm? Answer: s/s
- pain is the most prominent symptom.
- may cause dyspnea due to pressure placed on trachea.
- cough and dysphagia.
◉ What are some post-operative AAA orders a nurse may
anticipate? Answer: Orders may include...
1. Pt MUST lie supine for 6 hours.
2. HOB elevated to 46 degrees after 2 hours.
3. patient uses bedpan while on bed rest.
4. vitals every 15 minutes.
5. peripheral (pedal) pulses every 15 minutes.
6. assess for bleeding or formation of a hematoma.
7. monitor temperature every 4 hrs. (watch for post implantation
syndrome).
,◉ What six medications can be given for patients with aortic
aneurysms? Answer: 1. Captopril (ACE inhibitor).
2. Amlodipine (Calcium channel blocker).
3. Enalapril (ACE inhibitor).
4. Propranolol (Beta-blocker).
5. Zosin (Prazosin, doxazosin, and terazosin). These are
antiadrenergic medications.
6. Losartan (angiotensin receptor blocker).
◉ What is captopril? What are some patient teaching points?
Answer: ACE inhibitor used to control HTN.
MOA: blocks production of angiotensin II decreasing
vasoconstriction. This decreases BP.
Pt Teaching
- watch for ANGIOEDEMA.
- contraindicated in pregnancy.
- take a low dose at bedtime.
- serum potassium levels may need to be assessed. This medication
may cause hyperkalemia.
- eat low potassium foods.
, S/E
- may cause a cough.
- ANGIOEDEMA.
◉ What life-threatening condition can Captopril cause? Answer:
Angioedema.
◉ What is amlodipine? What are some patient teaching points?
Answer: Calcium Channel blocker!
MOA: inhibits influx of calcium across cardiac and smooth muscles
during depolarization. this results in relaxation and vasodilation.
This lowers BP!
Pt Teaching
- take without regard to food.
-NO GRAPEFRUIT JUICE.
- NO ST. JOHNS WORT (herbal supplement).
◉ What is Enalapril? What are some patient teaching points?
Answer: ACE inhibitor!
GUIDE 2026 QUESTIONS WITH ANSWERS
GRADED A+
◉ What is the primary cause of a thoracic aortic aneurysm? Answer:
Atherosclerosis.
◉ What are the s/s of a thoracic aortic aneurysm? Answer: s/s
- pain is the most prominent symptom.
- may cause dyspnea due to pressure placed on trachea.
- cough and dysphagia.
◉ What are some post-operative AAA orders a nurse may
anticipate? Answer: Orders may include...
1. Pt MUST lie supine for 6 hours.
2. HOB elevated to 46 degrees after 2 hours.
3. patient uses bedpan while on bed rest.
4. vitals every 15 minutes.
5. peripheral (pedal) pulses every 15 minutes.
6. assess for bleeding or formation of a hematoma.
7. monitor temperature every 4 hrs. (watch for post implantation
syndrome).
,◉ What six medications can be given for patients with aortic
aneurysms? Answer: 1. Captopril (ACE inhibitor).
2. Amlodipine (Calcium channel blocker).
3. Enalapril (ACE inhibitor).
4. Propranolol (Beta-blocker).
5. Zosin (Prazosin, doxazosin, and terazosin). These are
antiadrenergic medications.
6. Losartan (angiotensin receptor blocker).
◉ What is captopril? What are some patient teaching points?
Answer: ACE inhibitor used to control HTN.
MOA: blocks production of angiotensin II decreasing
vasoconstriction. This decreases BP.
Pt Teaching
- watch for ANGIOEDEMA.
- contraindicated in pregnancy.
- take a low dose at bedtime.
- serum potassium levels may need to be assessed. This medication
may cause hyperkalemia.
- eat low potassium foods.
, S/E
- may cause a cough.
- ANGIOEDEMA.
◉ What life-threatening condition can Captopril cause? Answer:
Angioedema.
◉ What is amlodipine? What are some patient teaching points?
Answer: Calcium Channel blocker!
MOA: inhibits influx of calcium across cardiac and smooth muscles
during depolarization. this results in relaxation and vasodilation.
This lowers BP!
Pt Teaching
- take without regard to food.
-NO GRAPEFRUIT JUICE.
- NO ST. JOHNS WORT (herbal supplement).
◉ What is Enalapril? What are some patient teaching points?
Answer: ACE inhibitor!
