NUR2180 Module 10 Quiz
Physical Assessment Module 10 Quiz Study Guide
• Understand expected findings when you are auscultating the hear
o There are
... [Show More] two normal heart sounds that we call S1 and S2. As you listen to
these two sounds, ask yourself are they are in a regular rhythm
• Understand the order of assessment when auscultating the heart
o The majority of the heart assessment is done by auscultation. You will use
the diaphragm of the stethoscope for the slight higher pitched sounds and
the bell for lower pitched. Closing your eyes allows you to concentrate
more on the sounds that you hear. There are five main areas that are used
for auscultation as four of these areas are where the sounds from each
valve radiate to and are the loudest. The fifth site is like the halfway point
where S1 and S2 are equal in intensity, called Erb’s point. There are many
mnemonics that are utilized for remembering what the valve areas
(Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral) are in a particular
order so find one that works for you.
o Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral
• Know the location of the landmarks for the heart valves
o Aortic, Pulmonic, Erb’s point, Tricuspid, and Mitral
• Understand all of the SL and AV valves
o The two atrioventricular (AV) valves, the mitral valve (bicuspid valve),
and the tricuspid valve, which are between the upper chambers (atria)
and the lower chambers (ventricles). The two semilunar (SL) valves, the
aortic valve and the pulmonary valve, which are in the arteries leaving the
heart.
• Understand what S1, S2, S3, and S4 heart sounds are and where they are located
o S1 and S2 are high-pitched and S3 and S4 are low-pitched sounds
o S1 is the beginning of systole and also, remember that S1 will be loudest
in the apical area (tricuspid and mitral valve areas). S2 is the second sound
and is loudest at the base (aortic and pulmonic valve areas). At Erb’s point,
tS1 and S2 will be equal in intensity.
o S3 is a ventricular gallop heard in heart failure and fluid overload. S4 is
an atrial gallop heard with coronary artery disease.
• Know what Bruits, Hums, Rubs, and Murmurs are
o Listen for a whooshing, blowing sound which [Show Less]