LEWISS MEDICAL SURGICAL NURSING IN
CANADA ACTUAL EXAM SCRIPT 2026
COMPLETE QUESTIONS ANSWERS GRADED
A+
◉ 2. A 69-year old man is admitted to the hospital for elective repair
of an AAA. His history includes hypertension for 25 years,
dyslipidemia for 15 years, and smoking for 50 years. The patient's
wife asks the nurse what caused her husband's aneurysm. The
nurse's best response will include which following information?
a. A congenital weakness of an artery wall results in dilation of the
artery after many years.
b. Aneurysms are a type of vascular disease in which atherosclerotic
plaques damage the artery.
c. Chronic infections of the walls of the blood vessels are the most
common cause of aneurysms.
d. If her husband did not smoke or have hypertension and
dyslipidemia, he would not have an aneurysm.. Answer: ANS: B
The patient's gender, age, and risk factor history indicate that the
aneurysm was probably caused by atherosclerosis rather than a
congenital weakness or chronic infection.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1007
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-8
,◉ 3. A 65-year-old patient has a 5-cm thoracic aortic aneurysm that
was discovered during a routine chest X-ray examination. When
obtaining a nursing history from the patient, what would the nurse
specifically ask the patient about?
a. Abdominal pain
b. Dysphagia
c. Intermittent back pain
d. Weakness and palpitations. Answer: ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because
of pressure on the esophagus.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1007
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-1
◉ 4. Several hours following an endovascular aneurysm repair, the
patient develops left flank pain, and his urinary output has been 20
mL/hour for the past 2 hours. The nurse recognizes that these
findings may indicate which of the following complications?
a. Infection
b. Hypovolemia
c. Intestinal ischemia
d. Renal artery occlusion. Answer: ANS: D
, The pain and decreased urinary output suggest a renal artery
occlusion.
PTS: 1 DIF: Cognitive Level: Application REF: page 1010
OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
◉ 5. How frequently should the nurse check the operative extremity
in the immediate postoperative period for a patient who has had
surgical intervention for peripheral artery disease?
a. Every 10 minutes
b. Every 15 minutes
c. Every 30 minutes
d. Every 60 minutes. Answer: ANS: B
After surgical intervention, the patient is moved to the critical care
unit, and the operative extremity is assessed every 15 minutes
initially.
PTS: 1 DIF: Cognitive Level: Application REF: page 1018
OBJ: 5 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
◉ 6. After repair of an AAA, the nurse notes that the patient does not
have popliteal, posterior tibial, or dorsalis pedis pulses. The legs are
cool and mottled. Which action is appropriate for the nurse to take
first?
CANADA ACTUAL EXAM SCRIPT 2026
COMPLETE QUESTIONS ANSWERS GRADED
A+
◉ 2. A 69-year old man is admitted to the hospital for elective repair
of an AAA. His history includes hypertension for 25 years,
dyslipidemia for 15 years, and smoking for 50 years. The patient's
wife asks the nurse what caused her husband's aneurysm. The
nurse's best response will include which following information?
a. A congenital weakness of an artery wall results in dilation of the
artery after many years.
b. Aneurysms are a type of vascular disease in which atherosclerotic
plaques damage the artery.
c. Chronic infections of the walls of the blood vessels are the most
common cause of aneurysms.
d. If her husband did not smoke or have hypertension and
dyslipidemia, he would not have an aneurysm.. Answer: ANS: B
The patient's gender, age, and risk factor history indicate that the
aneurysm was probably caused by atherosclerosis rather than a
congenital weakness or chronic infection.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1007
OBJ: 2 TOP: Nursing Process: Implementation MSC: CRNE: CH-8
,◉ 3. A 65-year-old patient has a 5-cm thoracic aortic aneurysm that
was discovered during a routine chest X-ray examination. When
obtaining a nursing history from the patient, what would the nurse
specifically ask the patient about?
a. Abdominal pain
b. Dysphagia
c. Intermittent back pain
d. Weakness and palpitations. Answer: ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because
of pressure on the esophagus.
PTS: 1 DIF: Cognitive Level: Comprehension REF: page 1007
OBJ: 2 TOP: Nursing Process: Assessment MSC: CRNE: CH-1
◉ 4. Several hours following an endovascular aneurysm repair, the
patient develops left flank pain, and his urinary output has been 20
mL/hour for the past 2 hours. The nurse recognizes that these
findings may indicate which of the following complications?
a. Infection
b. Hypovolemia
c. Intestinal ischemia
d. Renal artery occlusion. Answer: ANS: D
, The pain and decreased urinary output suggest a renal artery
occlusion.
PTS: 1 DIF: Cognitive Level: Application REF: page 1010
OBJ: 3 TOP: Nursing Process: Assessment MSC: CRNE: CH-8
◉ 5. How frequently should the nurse check the operative extremity
in the immediate postoperative period for a patient who has had
surgical intervention for peripheral artery disease?
a. Every 10 minutes
b. Every 15 minutes
c. Every 30 minutes
d. Every 60 minutes. Answer: ANS: B
After surgical intervention, the patient is moved to the critical care
unit, and the operative extremity is assessed every 15 minutes
initially.
PTS: 1 DIF: Cognitive Level: Application REF: page 1018
OBJ: 5 TOP: Nursing Process: Implementation MSC: CRNE: CH-31
◉ 6. After repair of an AAA, the nurse notes that the patient does not
have popliteal, posterior tibial, or dorsalis pedis pulses. The legs are
cool and mottled. Which action is appropriate for the nurse to take
first?
