NCLEX-PN Practice Q 75

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A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:

  

     A. Loss of sensation in the lower extremities

     B. Back pain that lessens when standing

     C. Decreased urinary output

     D. Pulsations in the periumbilical area

    

    

Correct Answer: D. Pulsations in the periumbilical area

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Option D: An abdominal aortic aneurysm is a stretched and bulging area of the aorta. The client usually has complaints of pulsations or “feeling my heartbeat” in the abdomen. The sensation is due to the blood flowing through the abdominal aorta.

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Options A and C: These are signs of hypovolemic shock which occurs once the aneurysm is ruptured. 

Option B: Back pain is not affected by changes in position.

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