EXAM 3 MED/SURG ATI CH 38 ANEURYSMS
QUESTIONS WITH CORRECT ANSWERS 2026
aneurysm - CORRECT ANSWER --weakness in section of dilated artery
-causes a widening or ballooning in wall of the blood vessel
Can occur in two forms:
-saccular (only affecting one side of the artery)
-fusiform (involving the complete circumference of the artery)
aortic dissection - CORRECT ANSWER -AKA a dissecting aneurysm
-
can occur when blood accumulates w/in artery wall (hematoma) following a tear in the lining of t
he artery (usually d/t HTN)
-this is a life threatening condition
health promotion - CORRECT ANSWER --promote smoking cessation
-maintain appropriate weight for height and body frame
-encourage a healthy diet and physical activity
-control blood pressure with regular monitoring and medication if needed
risk factors - CORRECT ANSWER --male gender
-atherosclerosis (most common cause)
-uncontrolled HTN
-tobacco use
-hyperlipidemia
-family Hx
-blunt force trauma
-Hx of syphilis
-advanced age
, older adults - CORRECT ANSWER --
with age arterial stiffening caused by loss of elastin in arterial walls
-thickening of intima of arteries and progressive fibrosis of media
-older adults more prone to aneurysms and have higher mortality rate
Expected findings abdominal aortic aneurysm (AAA) - CORRECT ANSWER -
Initially, clients are often asymptomatic
-most common
-related to atherosclerosis
-constant gnawing feeling in abdomen
-flank or back pain
-pulsating abd mass (do not palpate, can cause rupture)
-bruit over area
-inc blood pressure (unless in cardiac tamponade or rupture of aneurysm)
thoracic aortic aneurysm - CORRECT ANSWER --severe back pain (most common)
-hoarseness, cough, SOB, difficulty swallowing
-dec in urinary output (secondary to hypovolemic shock)
aortic dissection - CORRECT ANSWER --often assoc with Marfan syndrome
-sudden onset of "tearing", "ripping", and "stabbing" abdominal/back pain
-hypovolemic shock
hypovolemic shock - CORRECT ANSWER --diaphoresis
-n/v
-faintness
-apprehension
-dec or absent peripheral pulses
-neurological deficits
QUESTIONS WITH CORRECT ANSWERS 2026
aneurysm - CORRECT ANSWER --weakness in section of dilated artery
-causes a widening or ballooning in wall of the blood vessel
Can occur in two forms:
-saccular (only affecting one side of the artery)
-fusiform (involving the complete circumference of the artery)
aortic dissection - CORRECT ANSWER -AKA a dissecting aneurysm
-
can occur when blood accumulates w/in artery wall (hematoma) following a tear in the lining of t
he artery (usually d/t HTN)
-this is a life threatening condition
health promotion - CORRECT ANSWER --promote smoking cessation
-maintain appropriate weight for height and body frame
-encourage a healthy diet and physical activity
-control blood pressure with regular monitoring and medication if needed
risk factors - CORRECT ANSWER --male gender
-atherosclerosis (most common cause)
-uncontrolled HTN
-tobacco use
-hyperlipidemia
-family Hx
-blunt force trauma
-Hx of syphilis
-advanced age
, older adults - CORRECT ANSWER --
with age arterial stiffening caused by loss of elastin in arterial walls
-thickening of intima of arteries and progressive fibrosis of media
-older adults more prone to aneurysms and have higher mortality rate
Expected findings abdominal aortic aneurysm (AAA) - CORRECT ANSWER -
Initially, clients are often asymptomatic
-most common
-related to atherosclerosis
-constant gnawing feeling in abdomen
-flank or back pain
-pulsating abd mass (do not palpate, can cause rupture)
-bruit over area
-inc blood pressure (unless in cardiac tamponade or rupture of aneurysm)
thoracic aortic aneurysm - CORRECT ANSWER --severe back pain (most common)
-hoarseness, cough, SOB, difficulty swallowing
-dec in urinary output (secondary to hypovolemic shock)
aortic dissection - CORRECT ANSWER --often assoc with Marfan syndrome
-sudden onset of "tearing", "ripping", and "stabbing" abdominal/back pain
-hypovolemic shock
hypovolemic shock - CORRECT ANSWER --diaphoresis
-n/v
-faintness
-apprehension
-dec or absent peripheral pulses
-neurological deficits
