NR 224 Week 3 EDAPTS –
Hygiene & Tissue Integrity
2026 | Questions, Answers
& Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,From a nursing care perspective, the important 1. most
assessment of a client's functional ability is the ability to 2. in a healthcare facility
perform the activities of daily living (ADLs), which include 3. basic
bathing, dressing, toileting, transferring (mobility),
continence, and feeding.
WORD BANK:
complex
in a healthcare facility
routine
while traveling
basic
least
most
at home
Sensory Perception 3. Slightly impaired
The ability to respond meaningfully to pressure-related
discomfort.
Moisture 2. Very Moist
The degree to which skin is exposed to moisture.
Activity 1. Completely Immobile
The degree of physical activity.
Mobility 1. Completely Immobile
The ability to change and control body position.
Nutrition 2. Probably Inadequate
The client’s usual food intake pattern.
Friction and Shear 1. Very Poor
Select the score you believe to be the proper fit for Mrs.
Smith’s assessment.
, Consider the following client: 12 or less = high risk
Mrs. Smith recently had a stroke with decreased
sensation and limited movement of her left side. She is
currently on bedrest and is unable to turn herself.
Because she is going through menopause, Mrs. Smith
perspires frequently, requiring her wet bed linens and
gown to be change 2-3 times in 8 hours. Since her stroke,
Mrs. Smith has trouble swallowing and is on a pureed diet
with thickened liquids. Because she dislikes the
consistency of her food and drinks, she is eating between
40% and 55% of meals and not snacking.
*Be sure to write down the individual scores as you will
need to calculate the total score at the end.
Mrs. Smith’s Braden Scale Score
Based on your assessment of Mrs. Smith, what score
would she receive on the Braden Scale?
15-16 = low risk
13-14 = moderate risk
12 or less = high risk
A nurse is planning a presentation about functional ability Assistive devices help clients maintain independence.
in older adults. Which statements should be included in
the presentation? Select all that apply. Functional ability changes with illness.
Functional ability increases in older adults.
Cognitive impairments affect dressing but not grooming.
Assistive devices help clients maintain independence.
Functional ability changes with illness.
Functional ability lost during acute illness will not be
regained.
Determining Functional Ability The client's functional abilities need to be assessed
A client with a physical and cognitive impairment was just
admitted to the unit from the Emergency Department.
Which statement is true about the functional ability of this
client?
The client will require partial bed baths.
The client will need total care and help with feeding.
The client will perform their own grooming.
The client’s functional abilities need to be assessed.
Hygiene & Tissue Integrity
2026 | Questions, Answers
& Rationales Study Guide
|Graded A+ | Guaranteed
success|
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,From a nursing care perspective, the important 1. most
assessment of a client's functional ability is the ability to 2. in a healthcare facility
perform the activities of daily living (ADLs), which include 3. basic
bathing, dressing, toileting, transferring (mobility),
continence, and feeding.
WORD BANK:
complex
in a healthcare facility
routine
while traveling
basic
least
most
at home
Sensory Perception 3. Slightly impaired
The ability to respond meaningfully to pressure-related
discomfort.
Moisture 2. Very Moist
The degree to which skin is exposed to moisture.
Activity 1. Completely Immobile
The degree of physical activity.
Mobility 1. Completely Immobile
The ability to change and control body position.
Nutrition 2. Probably Inadequate
The client’s usual food intake pattern.
Friction and Shear 1. Very Poor
Select the score you believe to be the proper fit for Mrs.
Smith’s assessment.
, Consider the following client: 12 or less = high risk
Mrs. Smith recently had a stroke with decreased
sensation and limited movement of her left side. She is
currently on bedrest and is unable to turn herself.
Because she is going through menopause, Mrs. Smith
perspires frequently, requiring her wet bed linens and
gown to be change 2-3 times in 8 hours. Since her stroke,
Mrs. Smith has trouble swallowing and is on a pureed diet
with thickened liquids. Because she dislikes the
consistency of her food and drinks, she is eating between
40% and 55% of meals and not snacking.
*Be sure to write down the individual scores as you will
need to calculate the total score at the end.
Mrs. Smith’s Braden Scale Score
Based on your assessment of Mrs. Smith, what score
would she receive on the Braden Scale?
15-16 = low risk
13-14 = moderate risk
12 or less = high risk
A nurse is planning a presentation about functional ability Assistive devices help clients maintain independence.
in older adults. Which statements should be included in
the presentation? Select all that apply. Functional ability changes with illness.
Functional ability increases in older adults.
Cognitive impairments affect dressing but not grooming.
Assistive devices help clients maintain independence.
Functional ability changes with illness.
Functional ability lost during acute illness will not be
regained.
Determining Functional Ability The client's functional abilities need to be assessed
A client with a physical and cognitive impairment was just
admitted to the unit from the Emergency Department.
Which statement is true about the functional ability of this
client?
The client will require partial bed baths.
The client will need total care and help with feeding.
The client will perform their own grooming.
The client’s functional abilities need to be assessed.
