NCLEX Exam 2022
1. True or False: Atrial septal defects are characterized by a hole in the interatrial
septum that allows blood to mix in the right and left atria, which are the lower chambers
of the heart.
The answer is FALSE. Atrial septal defects are characterized by a hole in the interatrial
septum that allows blood to mix in the right and left atria, which are the UPPER (not
lower) chambers of the heart.
2. A patient is diagnosed with a large atrial septal defect. You’re providing information
for the patient on the complications related to this condition. What topics will you include
in the patient’s education? Select all that apply:
A. Tet spells
B. Heart failure
C. Stroke
D. Pulmonary Hypertension
E. Rheumatic Fever
The answers are B, C, and D. All of these are complications of a large atrial septal
defect.
3. An echocardiogram shows that your patient has an atrial septal defect located at the
bottom of the septum near the tricuspid and mitral valves. As the nurse you know this is
what type of atrial septal defect (ASD)?
A. Ostium Primum
B. Ostium Secundum