# The public health nurse reviews abdominal aortic aneurysm screening plans. Which plans require follow-up? Highlight the plans that do not match current screening guidance.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=497295&lang=en  
> language: en  
> subject: Lifestyle Choices  
> category: HPM

## Question

The public health nurse reviews abdominal aortic aneurysm screening plans. Which plans require follow-up? Highlight the plans that do not match current screening guidance.

| Preventive visit | Documented screening plan |
| --- | --- |
| Adult age 52 | Order routine ultrasound despite no symptoms or major risk history |
| Man age 69 | Offer one-time ultrasound because of a past smoking history during this preventive visit |
| Man age 71 | Discuss selective screening after reviewing risks and personal values because he never smoked |
| Prior normal screen | Repeat ultrasound every year despite remaining asymptomatic |
| Woman age 68 | Order routine screening despite no smoking or family history |
| Woman age 70 | Explain that evidence is insufficient with smoking history and use shared decision-making |
| Man age 66 | Skip screening although he has an extensive past smoking history |
| Symptomatic adult | Arrange diagnostic evaluation because current symptoms require workup rather than screening |
| Family history | Include first-degree family history when discussing the individual screening risk |

## Explanation

Routine screening for a younger asymptomatic adult, repeated annual imaging after a normal screen, automatic screening of a low-risk woman, and skipping an eligible ever-smoker require follow-up. Screening is risk-based and usually one-time.

## In-depth explanation

Quick answer
Highlight the routine scan for a younger asymptomatic adult, annual rescreening after a normal study, routine screening of a woman without smoking or family history, and omission of screening for an eligible male ever-smoker. These plans do not fit USPSTF guidance.

Why this is correct
USPSTF recommends one-time ultrasound screening for men aged 65 to 75 who have ever smoked, selective offering for men in that age range who never smoked, and no routine screening for women who never smoked and lack a family history. Evidence is insufficient for some higher-risk women.[2]

Easy analogy or mental picture
Think of a screening filter built from age, sex, smoking, and family history. Only certain combinations pass through, and passing usually leads to one ultrasound; the filter does not decide management when symptoms or an aneurysm already exists.

Memory hook
Age, sex, smoking, family history, then one-time ultrasound.

NCLEX decision rule
When an asymptomatic adult asks about abdominal aortic aneurysm screening, think risk profile before imaging; verify age, sex, ever-smoking, family history, and prior screening before recommending a test.

Why the other choices are wrong
One-time ultrasound for an eligible ever-smoker and shared decision-making for selected lower-benefit groups fit the guidance. Diagnostic imaging for symptoms is a different decision and should not be confused with screening.References

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]USPSTF: Abdominal Aortic Aneurysm ScreeningU.S. Preventive Services Task Force

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