The heart is covered by:

Questions 44

ATI RN

ATI RN Test Bank

NCLEX Practice Questions Cardiovascular System Questions

Question 1 of 5

The heart is covered by:

Correct Answer: A

Rationale: The heart is covered by the pericardium, a double-layered sac (fibrous and serous layers) that encloses and protects it. The epicardium is the heart’s outer layer, not a covering sac, and 'supracardium' is not a valid term.

Question 2 of 5

Which venous layer is poorly developed?

Correct Answer: C

Rationale: In veins, the tunica media (smooth muscle layer) is poorly developed compared to arteries, as veins rely more on valves and external forces (e.g., muscle pump) than muscle contraction for blood movement.

Question 3 of 5

A newborn has a congenital defect in which the fetal opening between the right atrium and left atrium did not close after birth. The nurse knows that this structure is called the:

Correct Answer: A

Rationale: The foramen ovale is a fetal opening between the right and left atria, allowing blood to bypass the lungs. It normally closes after birth. The ductus arteriosus connects pulmonary artery to aorta, ligamentum arteriosum is its remnant, and Tetralogy of Fallot is a different defect.

Question 4 of 5

Which concentration would be an indication of anemia?

Correct Answer: D

Rationale: Normal RBC count is 4.5-5.9 million/mm³ (men) or 4.0-5.2 million/mm³ (women). 3.8 million/mm³ is below normal (assuming male; still low for female), indicating anemia. Thrombocytes are normal (150,000-450,000), hematocrit 43% is normal (38-50%), and hemoglobin 17 g/dL is normal.

Question 5 of 5

Production of red blood cells in a mature adult occurs in all the following areas except the:

Correct Answer: B

Rationale: In adults, RBC production (erythropoiesis) occurs in red bone marrow of flat bones (sternum, skull, vertebrae) and proximal ends of long bones. The femur’s shaft in adults is mostly yellow marrow, not active in erythropoiesis.

Access More Questions!

ATI RN Basic


$89/ 30 days

ATI RN Premium


$150/ 90 days

Similar Questions