NURSl 190/l NURS190l Quizl 4l –l Physicall
Assessmentl |l WCUl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Normall heartl soundsl include:
Answer:
•S1-Lub:l AVl valvesl closesl (ventriclel havel beenl filled)
•S2-Dub-l Occursl whenl aorticl &l pulmonicl valvel close
•S3l andl S4-l Usuallyl abnormall sounds;l mayl bel presentl inl somel healthyl individuals.
•Systole:l Phasel ofl ventricularl contraction
•Diastole:l Phasel ofl ventricularl relaxation
Q:l S3l isl heard...
Answer:
afterl S2l andl isl termedl al ventricularl gallopl (Lowl frequencyl briefl vibration)
Q:l S3l occurs...
Answer:
whenl thel ventriclel reachesl itsl elasticl limit,l rapidlyl causingl thel bloodl flowl froml thel
atriuml tol slow
Q:l Thel S4l soundl mayl alsol bel heard...
,Answer:
inl children,l well-conditionedl athletes,l andl evenl healthyl elderlyl individualsl withoutl
cardiacl disease.
Q:l S4l isl heard...
Answer:
beforel S1l andl isl termedl anl atriall gallop
Q:l S4l soundsl arel associatedl with
Answer:
activel atriall contractionsl thatl causel latel ventricularl filling
Q:l Althoughl S3l andl S4l soundsl arel sometimesl heardl inl healthyl individuals,l theyl arel
morel commonly
Answer:
associatedl withl pathologicall conditionsl suchl asl myocardiall infarctionl (MI)l orl heartl
failurel (HF).
Q:l Clicksl andl snapsl mayl bel heard
Answer:
inl patientsl withl valvularl disease.
Q:l Anl openingl snapl mayl bel heard
Answer:
inl mitrall stenosis
, Q:l Ejectionl clicksl occurl in
Answer:
damagedl pulmonicl andl aorticl valves.
Q:l Nonejectionl clicksl arel heardl in
Answer:
prolapsel ofl thel mitrall valve.
Q:l Clicksl andl snaps:
Answer:
Abnormall sounds;l heardl withl pt.'sl withl valvularl disease
Q:l Frictionl rubs
Answer:
Resultsl froml inflammationl ofl thel pericardiall sacl &l producel al rubbingl gratingl sound
Q:l Heartl murmurs
Answer:
Arel harsh,l blowingl soundsl causedl byl disruptionl ofl bloodl flowl from:l Thel heart,l
betweenl thel chambersl ofl thel heart:intol thel pulmonaryl orl aorticl systems
Q:l Murmursl arel describedl by
Answer:
Theirl timingl inl thel cardiacl cycle,l intensity,l shape,l pitch,l location,l radiationl &:
-Responsel tol dynamicl maneuvers
Assessmentl |l WCUl (Latestl 2026/l 2027l
Update)l 100%l Verifiedl Questionsl &l
Answersl |l Gradel A
Q:l Normall heartl soundsl include:
Answer:
•S1-Lub:l AVl valvesl closesl (ventriclel havel beenl filled)
•S2-Dub-l Occursl whenl aorticl &l pulmonicl valvel close
•S3l andl S4-l Usuallyl abnormall sounds;l mayl bel presentl inl somel healthyl individuals.
•Systole:l Phasel ofl ventricularl contraction
•Diastole:l Phasel ofl ventricularl relaxation
Q:l S3l isl heard...
Answer:
afterl S2l andl isl termedl al ventricularl gallopl (Lowl frequencyl briefl vibration)
Q:l S3l occurs...
Answer:
whenl thel ventriclel reachesl itsl elasticl limit,l rapidlyl causingl thel bloodl flowl froml thel
atriuml tol slow
Q:l Thel S4l soundl mayl alsol bel heard...
,Answer:
inl children,l well-conditionedl athletes,l andl evenl healthyl elderlyl individualsl withoutl
cardiacl disease.
Q:l S4l isl heard...
Answer:
beforel S1l andl isl termedl anl atriall gallop
Q:l S4l soundsl arel associatedl with
Answer:
activel atriall contractionsl thatl causel latel ventricularl filling
Q:l Althoughl S3l andl S4l soundsl arel sometimesl heardl inl healthyl individuals,l theyl arel
morel commonly
Answer:
associatedl withl pathologicall conditionsl suchl asl myocardiall infarctionl (MI)l orl heartl
failurel (HF).
Q:l Clicksl andl snapsl mayl bel heard
Answer:
inl patientsl withl valvularl disease.
Q:l Anl openingl snapl mayl bel heard
Answer:
inl mitrall stenosis
, Q:l Ejectionl clicksl occurl in
Answer:
damagedl pulmonicl andl aorticl valves.
Q:l Nonejectionl clicksl arel heardl in
Answer:
prolapsel ofl thel mitrall valve.
Q:l Clicksl andl snaps:
Answer:
Abnormall sounds;l heardl withl pt.'sl withl valvularl disease
Q:l Frictionl rubs
Answer:
Resultsl froml inflammationl ofl thel pericardiall sacl &l producel al rubbingl gratingl sound
Q:l Heartl murmurs
Answer:
Arel harsh,l blowingl soundsl causedl byl disruptionl ofl bloodl flowl from:l Thel heart,l
betweenl thel chambersl ofl thel heart:intol thel pulmonaryl orl aorticl systems
Q:l Murmursl arel describedl by
Answer:
Theirl timingl inl thel cardiacl cycle,l intensity,l shape,l pitch,l location,l radiationl &:
-Responsel tol dynamicl maneuvers
