Article: TME200176 Date: July 17, 2012
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CE Test
Acute Aortic EmergenciesPart 1: Aortic
Aneurysms
Test Instructions
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CE TEST QUESTIONS
General Purpose: To provide registered profes-
sional nurses with information about the emergent iden-
tification of and interventions for patients with aortic
aneurysms.
Learning Objectives: After reading the preceding
article and taking this test, you should be able to:
1. Discuss the pathophysiology and risk factors of aortic
aneurysm.
2. Describe the signs and symptoms and methods of
diagnosis of aortic aneurysms.
3. Identify potential complications and treatments of
aortic aneurysms.
1. Which of the following is characteristic
of an aortic aneurysm?
a. dilatation of the aorta
b. limited to the abdominal region
c. separation of layers of the aorta
d. an ischemic event
2. Aortic aneurysm development occurs
primarily from changes in the
a. tunica intima.
b. tunica adventitia.
c. tunica media.
d. tunica interna.
3. Independent predictors of rupture in-
clude all of the following except
a. male gender.
b. hypertension.
c. tobacco use.
d. chronic obstructive pulmonary disease.
4. Which statement is true regarding aor-
tic aneurysms?
a. Approximately 65% of aneurysms develop in the
thoracic aorta.
b. Mortality is less with abdominal aneurysms than
with thoracic aneurysms.
c. There has been a 15% increase in abdominal
aneurysm ruptures since 1988.
d. Asymptomatic thoracic aneurysms are often dis-
covered on physical examination.
Time: 16:11
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Provider Accreditation
Lippincott Williams & Wilkins, the publisher of Advanced
Emergency Nursing Journal, will award 2.8 contact hours
for this continuing nursing education activity.
Lippincott Williams & Wilkins is accredited as
a provider of continuing nursing education by the
American Nurses Credentialing Centers Commission on
Accreditation.
5. Signs and symptoms of a thoracic
aneurysm may include
a. gastrointestinal (GI) bleeding.
b. a pulsatile mass.
c. difficulty swallowing.
d. a systolic murmur.
6. The clinical presentation of a patient
with an abdominal aneurysm usually
a. includes vague, acute abdominal pain.
b. consists of intermittent pain that increases with
movement.
c. includes flank pain that radiates down the leg.
d. is asymptomatic until the aorta ruptures.
7. Neck and jaw pain often correlates with
an aneurysm in the
a. aortic arch.
b. descending thoracic aorta.
c. aortic root.
d. ascending thoracic aorta.
8. A compressive symptom related to an
expanding thoracic aortic aneurysm is
a. heart failure.
b. intrascapular pain.
c. aortic valve regurgitation.
d. hoarseness.
9. Indicators of a thoracic aortic
aneurysm on chest radiograph include
a. small aortic knob.
b. midline trachea.
c. widened mediastinum.
d. pulsatile mass.
10. The only feasible imaging study for a
patient in shock with a suspected ab-
dominal aortic aneurysm is
a. computed tomography (CT) without contrast.
b. bedside ultrasonography.
c. magnetic resonance angiography.
d. transesophageal echocardiogram.
230
This activity is also provider approved by the Cal-
ifornia Board of Registered Nursing, Provider Number
CEP 11749 for 2.8 contact hours. LWW is also an ap-
proved provider of continuing nursing education by the
District of Columbia #50-1223 and Florida #50-1223.
Your certificate is valid in all states.
The ANCCs accreditation status of Lippincott
Williams & Wilkins Department of Continuing Educa-
tion refers only to its continuing nursing educational
activities and does not imply Commission on Accred-
itation approval or endorsement of any commercial
product.
Disclosure Statement
The authors and planners have disclosed that they have
no financial relationships related to this article.
11. Which statement about management
of an aortic aneurysm is accurate?
a. Normotensive patients with leaking aneurysms
may be discharged with follow-up.
b. Patients in hypovolemic shock should receive
anti-impulse, antihypertensive therapy.
c. The volume of resuscitation fluids should be
guided by end-organ function.
d. Hypotensive patients with leaking aneurysms
should receive anti-impulse therapy.
12. For the patient with a ruptured
aneurysm, mean arterial pressure
should be maintained at
a. 5055 mmHg.
b. 6065 mmHg.
c. 7075 mmHg.
d. 8085 mmHg.
13. Potential complications of surgical
aneurysm repair include a(n)
a. significantly higher incidence of stroke with en-
dovascular repair.
b. 13% chance of paraplegia when six to eight seg-
mental arteries are sacrificed.
c. endoleak in at least 15% of patients.
d. higher 30-day mortality with open repair.
14. A potential complication related to an
infected abdominal aortic graft is
a. aortoenteric fistula.
b. tension hemothorax.
c. aortocaval fistula.
d. mega aorta syndrome.
15. The best initial study to identify an aor-
toenteric fistula is
a. transesophageal echocardiography.
b. CT scan with contrast.
c. CT scan without contrast.
d. esophagogastroduodenoscopy.
 Article: TME200176 Date: July 17, 2012 Time: 16:11

16. Signs of an aortocaval fistula include 17. Mega aorta syndrome is characterized 18. Maximum wall tension for the thoracic
a. decreased preload. by aorta is
b. venous hypertension. a. diffuse aneurysmal dilation of the entire aorta. a. 4 cm.
c. polyuria. b. rapid disease progression. b. 5 cm.
d. upper extremity edema. c. lack of symptoms until the aorta ruptures. c. 6 cm.
d. erosion into the GI tract. d. 7 cm.

CE Enrollment Form
Advanced Emergency Nursing Journal, JulySeptember 2012
Acute Aortic EmergenciesPart 1: Aortic Aneurysms

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