Test Bank
MULTIPLE CHOICE
1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm
abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient
risk factor?
a. Male
...
Test Bank
MULTIPLE CHOICE
1. When discussing risk factor modification for a 63-year-old patient who has a 5-cm
abdominal aortic aneurysm, the nurse will focus discharge teaching on which patient
risk factor?
a. Male gender
b. Turner syndrome
c. Abdominal trauma history
d. Uncontrolled hypertension
ANS: D
All of the factors contribute to the patient’s risk, but only hypertension can potentially
be modified to decrease the patient’s risk for further expansion of the aneurysm.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. A patient has a 6-cm thoracic aortic aneurysm that was discovered during a routine
chest x-ray. When obtaining an admission history from the patient, it will
be most important for the nurse to ask about
a. low back pain.
b. trouble swallowing.
c. abdominal tenderness.
d. changes in bowel habits.
ANS: B
Difficulty swallowing may occur with a thoracic aneurysm because of pressure on the
esophagus. The other symptoms will be important to assess for in patients with
abdominal aortic aneurysms.
DIF: Cognitive Level: Apply (application) REF: 842
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
3. Several hours after an open surgical repair of an abdominal aortic aneurysm, the
UAP reports to the nurse that urinary output for the past 2 hours has been 40 mL. The
nurse notifies the health care provider and anticipates an order for a(n)
a. hemoglobin count.
b. additional antibiotic.
c. decrease in IV infusion rate.
d. blood urea nitrogen (BUN) level.
ANS: D
The decreased urine output suggests decreased renal perfusion, and monitoring of
renal function is needed. There is no indication that infection is a concern, so
antibiotic therapy and a WBC count are not needed. The IV rate may be increased
because hypovolemia may be contributing to the patient’s decreased urinary output.
DIF: Cognitive Level: Apply (application) REF: 845
TOP: Nursing Process: Planning MSC: NCLEX: Physiological Integrity
4. A patient in the outpatient clinic has a new diagnosis of peripheral artery disease
(PAD). Which group of medications will the nurse plan to include when providing
patient teaching about PAD management?
a. Statins
b. Antibiotics
c. Thrombolytics
d. Anticoagulants
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