Which statement describes the proper steps for counting and recording the radial pulse?

• A. Explain the procedure and locate the radial pulse; count beats for one full minute; keep the call light within reach and wash hands; record within plus or minus 4 beats.
• B. Count the pulse for 30 seconds and multiply by 2.
• C. Record the pulse rate after observing a clock without palpating the pulse.
• D. After obtaining the pulse by palpating the radial artery, record the pulse rate within plus or minus 4 beats of the evaluator's reading.

Answer: (D)

Palpating the radial artery to obtain the pulse, then recording that exact rate with a small allowable margin of error is the essential sequence being tested. The best answer emphasizes that you derive the rate by feeling the pulse and then document it accurately, specifically within a tight range of the evaluator’s reading. This focus on accuracy in recording is what examiners look for, ensuring you didn’t guess or miscount. Other options fall short because they either skip palpation, rely on observing a clock without feeling the pulse, or add extra steps that aren’t central to obtaining and recording the actual rate.