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Health Care Assistant (HCA) Practice Exam · Question

An HCA notes a client's radial pulse is irregular and very rapid. What is the appropriate next step?

An irregular and rapid pulse needs to be accurately assessed over a longer period and immediately reported to the supervisor as it may indicate a cardiac issue.

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Question: An HCA notes a client's radial pulse is irregular and very rapid. What is the appropriate next step?

Answer options:

  • Document the finding and continue with other care ✅ Retake the pulse for a full minute and report to the supervisor immediately
  • Assume it's anxiety and reassure the client
  • Administer PRN (as needed) pain medication

Correct answer: Retake the pulse for a full minute and report to the supervisor immediately

Explanation: An irregular and rapid pulse needs to be accurately assessed over a longer period and immediately reported to the supervisor as it may indicate a cardiac issue.

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