You shouldn't need to have any other sound device operating other than your Realtek. Disable all of those Nvidia Hi-Def audios (right click, disable - if you didn't know). See if that fixes your problem.
If you don't know what something is, and you didn't install it and it's something you don't use. Do a little research....most likely you don't need them so you can remove them all. Run a registry cleaner (or two, always nice to run two....hell, I have 3 I use once a week) after you delete those, just to make sure you get rid of as many lingering files that could be left behind.
If you don't have a registry cleaner, you can use CCleaner. It's free and it's one of the 3 I use. Just be sure to make a backup of the registry just in the off chance (almost unlikely ever happening) some program isn't running right after the registry clean. This way you can just restore your saved copy. That's what I would do if I was in your situation.
Having multiple sound drivers and/or device installed can cause conflicting issues. Just as it would if you had 2 different video drivers installed.
**edited to fix spacing and some grammar**
neatfeatguy
I disabled them. I had no idea what they were, I did a clean install of the operating system when I got the laptop to prevent issues like these. I am gonna run some tests to see if it still happens. Thanks for the help. 
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