ANCC AGACNP-BC Practice Questions - ANCC Adult-Gerontology Acute Care Nurse Practitioner (AGACNP-BC) Exam

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A 68-year-old patient presents with acute onset of severe tearing chest pain radiating to the back. Blood pressure is 180/110 mmHg in the right arm and 130/80 mmHg in the left arm. Which pathophysiological mechanism best explains these findings?

Dissection of the intima with blood creating a false lumen in the aorta Rupture of atherosclerotic plaque causing coronary artery thrombosis Weakening of the aortic wall leading to localized dilation and rupture Inflammation of the aortic wall causing stenosis and hypertension

Correct Answer:

Dissection of the intima with blood creating a false lumen in the aorta

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