This heart sounds quiz will test your ability on how well you know the location of heart sounds and the causes of extra heart sounds. As a nurse or nursing student, you are required to know the basic heart sounds S1 (lub) and S2 (dub) and their location, along with extra heart sounds, such as S3, S4, and heart murmurs.
In nursing school (especially health assessment), you will be tested on the pathophysiology, location, and anatomy of the heart blood flow in how it relates to the heart valves. It is important to remember the anatomical location of where each heart valve is found and which sounds it represents (either S1 or S2). In addition, it is vital you know how to properly auscultate for various heart sounds, especially S3, S4 and heart murmurs.
Before you take the quiz, don’t forget to watch the video lecture and skills assessment on heart sounds.
Lecture on Heart Sounds
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Heart Sounds Quiz
1. S1 is best heard where?
A. 2nd intercostal space left of the sternal border
B. 2nd right sternal border
C. Apex of the heart
D. Base of the heart
2. S2 is best heard where?
A. Base of the heart
B. 5th intercostal space right of the sternal border
C. Apex of the heart
D. Right lower sternal border
3. The order of heart valve auscultation is the following (starting at the angle of Louis..downward):
a. Pulmonic, aortic, tricuspid, mitral
b. Mitral, tricuspid, pulmonic, aortic
c. Aortic, pulmonic, tricuspid, mitral
d. Tricuspid, pulmonic, aortic, mitral
4. True or False: The semilunar valves are the tricuspid and mitral valves.
5. Select ALL the statements that are TRUE:
A. S1 represents the opening of the mitral and tricuspid valves
B. It is best to listen with the bell of the stethoscope for S3 and S4.
C. The pulmonic valve is auscultated on the left of the sternum in 2nd intercostal space.
D. S2 is louder than S1 at the base of the heart.
6. The ____________ separate the atria and ventricles.
A. Semilunar valves
B. Atrioventricular valves
C. Pulmonic valve
D. Aortic valve
7. During _______, the ventricles are relaxed and the AV valves are ________ to allow blood to flow through the atria and ventricles.
A. Systole, closed
B. Diastole, opened
C. Diastole, closed
D. Systole, closed
8. S2 represents the closure of?
A. Aortic and Pulmonic valves
B. Aortic and Mitral valves
C. Mitral and Pulmonic valves
D. Tricuspid and Aortic valves
9. The contraction phrase of the heart so blood can be pumped through the body’s system and lungs is known as?
C. Pericardial closure
10. What is a cause of the extra heart sounds known as S3?
A. Atrial “kick” due to resistant ventricles caused by hypertrophic left ventricle
B. Valves defects
C. Mitral Stenosis
D. Ventricle filling due to fluid volume overload or heart failure
11. S3 is heard?
A. After S2
B. Before S2
C. After S1
12. S4 is heard?
A. During diastole
B. Over the aortic valve
C. Before S1
D. After S2
13. Which of the following conditions can cause the extra heart sound S4?
A. Fluid volume overload
B. Fluid volume deficient
C. Hypertrophic left ventricle
D. Aortic regurgitation
14. What is the best way to assess for extra heart sounds, such as S3 and S4?
A. Place the patient on their right side and listen with the diaphragm of the stethoscope over the apex of the heart.
B. Place the patient on their left side and listen with the bell of the stethoscope over the base of the heart.
C. Place the patient forward (leaning slightly) and have them exhale while listening with the diaphragm over the aortic and pulmonic areas.
D. Place the patient on their left side and listen with the bell of the stethoscope over the apex of the heart.
15. While auscultating heart sounds you heard a blowing/swooshing noise over the apex of the heart. You note when you lift up the chest piece of the stethoscope you can still hear the sound through the ear pieces (a thrill is also present as well). You would grade this heart murmur as:
A. Grade 4
C. Grade 6
D. Grade 1
16. In order to auscultate for an aortic regurgitation heart murmur, what is the best position to place the patient in?
A. Place the patient in a supine position
B. Turn the patient onto their left side
C. Have the patient sitting-up, leaning forward
D. Turn the patient onto their right ride
17. True or False: S1 split is due to the asynchronous closing of the aortic and pulmonic values.
18. S1 split can be caused by which of the following:
A. Right bundle branch block
B. Left bundle branch block
C. Ventricular tachycardia
5. B, C, D
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