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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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