Health Care Assistant (HCA) Practice Exam · Question
During a resident's morning care, you notice a new reddened area on their sacrum that does not blanch when light pressure is applied. What is your immediate and most important action?
A non-blanching reddened area is a sign of a Stage 1 pressure injury. As an HCA, it is crucial to report this immediately to the supervising nurse (RN/LPN) for
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Question: During a resident's morning care, you notice a new reddened area on their sacrum that does not blanch when light pressure is applied. What is your immediate and most important action?
Answer options: ✅ Document the finding and report it immediately to the registered nurse (RN) or licensed practical nurse (LPN).
- Apply a barrier cream to the area to protect the skin.
- Place a donut cushion under the resident's sacrum to relieve pressure.
- Reposition the resident to their side and continue with morning care.
Correct answer: Document the finding and report it immediately to the registered nurse (RN) or licensed practical nurse (LPN).
Explanation: A non-blanching reddened area is a sign of a Stage 1 pressure injury. As an HCA, it is crucial to report this immediately to the supervising nurse (RN/LPN) for assessment and intervention, as it is outside the HCA's scope to diagnose or treat.
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- When assisting a client who uses a wheelchair, what is the first step before transferring them?
- What is considered the foundation of effective client care for an HCA?
- What is a normal blood pressure reading for a healthy adult?
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