Listen to the heart sounds gives us valuable information about existence of disorder in heart rate and rhythm, ventricular fibrillation and movement of blood through valves. This required a lot of skills. So it is necessary to understand and apply these skills for nurses in cardiac and intensive care. Abnormal sounds can be recognized by them. For facilitation this work, nurses should be have information about anatomy of heart, stethoscope, environmental condition, sounds and place of hearing voices. Shaped-cone heart is hollow muscular organ that the base on is top and the head on is low and little has been left.