Answers NCLEX Exam 2022
1. A two-month-old is showing signs and symptoms of heart failure. An
echocardiogram is ordered. The test shows the infant has a ventricular septal defect
(VSD). Which statement below best describes the blood flow in the heart due to this
congenital heart defect?
A. “The blood in the heart is shunting from the right ventricle to the left ventricle,
which is increasing pulmonary blood flow.”
B. “The blood in the heart is shunting from the left ventricle to the right ventricle,
which is decreasing pulmonary blood flow.”
C. “The blood in the heart is shunting from the left ventricle to the right ventricle,
which is increasing pulmonary blood flow.”
D. “The blood in the heart is bypassing the left ventricle and is being shunted to the
right ventricle, which is decreasing lung blood flow.”
The answer is C. In this condition, the blood in the heart is shunting from the LEFT
ventricle to the RIGHT ventricle, which is INCREASING pulmonary blood flow.”
2. An infant has a large ventricular septal defect (VSD). The defect is located in the
upper section of the ventricular septum and is near the tricuspid and aortic valve. Based
on this description, what type of ventricular septal defect is this?
A. Outlet (conal or subarterial)
B. Muscular
C. Inlet (atrioventricular)
D. Membranous