The correct question is stated in the AWS Route 53 documentation:
https://aws.amazon.com/route53/faqs/#associate_multiple_ip_with_single_record
Q. Can I associate multiple IP addresses with a single record?
Yes. Associating multiple IP addresses with a single record is often
used for balancing the load of geographically-distributed web servers.
Amazon Route 53 allows you to list multiple IP addresses for an A
record and responds to DNS requests with the list of all configured IP
addresses.
This method is usually used by Highly Available applications that will parse the results and decide what to do with the results, such as randomly or programmatically return one result only or list all the resources available in a cluster.
The response will vary according to the the specified "Routing Policy", if you specify "Simple" (default) one you all get all the entries for that record in the response.