NSG 316 EXAM 3 FINAL PAPER 2026 SOLVED QUESTIONS AND FULL SOLUTION UPDATED

NSG 316 EXAM 3 FINAL PAPER 2026 SOLVED
QUESTIONS AND FULL SOLUTION UPDATED

◉ S1 heart sound.
Answer: -occurs with closure of mitral and tricuspid valves (AV
valve)
-"lub" sound
-loudest at apex (5th intercostal space at midclavicular line)


◉ S2 heart sound.
Answer: -occurs with closure of aortic and pulmonic valves
(semilunar valves)
-"dub" sound
-loudest at base of heart (2nd intercostal space)


◉ abnormal heart sounds.
Answer: S3 and S4 sounds, murmurs, and bruits


◉ S3 heart sounds.
Answer: -not usually heard
-gallop sound
-indication of HF

,-occurs with ventricular resistance of filling


◉ S4 heart sounds.
Answer: -create vibrations
-can be heard right before S1 sound
-occurs at end of diastole when ventricles resist filling


◉ murmurs.
Answer: -from turbulent blood flow
-heard directly over heart
-gentle blowing/swooshing sound


◉ murmur loudness scale.
Answer: 1-3: no thrill
4: feel thrill
5-6: feel and hear thrill
5: hear thrill through stethoscope
6: can hear thrill without stethoscope


◉ timing of murmur.
Answer: early, middle, late, systole/diastole (S1/S2)

, ◉ murmur pitch.
Answer: high, medium, low


◉ murmur pattern.
Answer: grows louder or softer


◉ murmur quality.
Answer: musical, flowing, harsh


◉ murmur location.
Answer: valve/space it is heard at


◉ murmur radiation.
Answer: down with blood flow


◉ murmur posture.
Answer: disappear/enhance with different pos.


◉ systolic murmur.
Answer: -heard in between S1 and S2
-Mitral/Tricuspid stenosis/regurgitation, mitral valve prolapse