TISSUE INTEGRITY ATI EXAMS SCRIPT 2025/2026
QUESTIONS AND ANSWERS GRADED A+
✔✔What are secondary lesions? - ✔✔result from a change in a primary lesion.
Common examples include the following. Include Erosion, Crust, Scale, Fissure, and
Ulcer
✔✔What is Erosion? - ✔✔Lost of epidermis, moist surface no bleeding. EX ruptured
vesicle.
✔✔What is Crust? - ✔✔Dried blood, serum, or pus EX scab
✔✔What is a Scale? - ✔✔Flakes of skin that exfoliate. EX: Dandruff, Psoriasis, Eczema
✔✔What is Fissure? - ✔✔Linear Crack examples Tinea pedis
✔✔What is Ulcer? - ✔✔Loss of epidermis and dermis with possible bleeding, scarring
Ex: Venous statis ulcer, pressure ulcer.
✔✔What are common skin lesion is Children? - ✔✔Diaper dermatitis, Intertrigo ( a rash
caused by rubbing of skin usually located in skin folds), Impetigo, Atopic dermatitis
(eczema)
✔✔What are common skin lesion in adults? - ✔✔Primary contact dermatitis, tinea pedis
(ringworm of the foot), Psoriasis, Labial herpes simplex (cold sores)
✔✔What are common skin lesion in older adults? - ✔✔Lentigines (liver spots),
Seborrheic keratosis, with possible tag like lesions. Appears mainly on the face and is
common among darkly pigmented skin. Acrochordons (skin tags), sebaceous
hyperplasia \
✔✔What is pallor? - ✔✔loss of color; in darker skin tones, a change to gray, particularly
in the mucous membranes; in brown skin tones, a change to yellow-brown; in pale skin
tones, a loss of red undertones. Indicates anemia shock or lack of blood flow.
✔✔What is Cyanosis? - ✔✔bluish for light skin tones in general, and on the palms and
soles for darker skin tones; for brown skin tones, a change to yellow-brown; for darker
skin tones, pigmented skin turns grayish. Indicates Hypoxia or impaired venous return
✔✔What is jaundice? - ✔✔yellow to orange. Indicates liver dysfunction or red blood cell
destruction
✔✔What is erythema? - ✔✔redness. For clients who have dark skin, erythema can be
difficult to see. Palpate the skin for warmth, compared to other sections of skin; inflamed
, areas can feel more firm or wood-like and be tender. Indicates Inflammation, localized
vasodilation, substance use, sun exposure, rash, elevated body temperature
✔✔How can patient look with erythema? - ✔✔Bleeding or bruising can appear reddish
or bluish in pale skin. Ecchymoses appear as darkened areas in clients who have dark
skin. Bleeding might be best detected in dark skin by swelling or warmth.
✔✔What skin finding can you expect in an older patient? - ✔✔Skin thin and translucent,
dry, tears easily, loss of elasticity and increased wrinkling; leathery appearance. Decline
in glandular structure and function (less oil, moisture, sweat) uneven pigmentation, slow
wound healing, slow growth of nails with thickening. Increased presence vitilfo
✔✔What is the inflammatory stage of wound healing? - ✔✔Begins with the injury and
lasts 3 to 6 days. Deliver oxygen, white blood cells, and nutrients to the area via the
blood supply. Macrophages engulf microorganisms and cellular debris (phagocytosis).
This phase is prolonged when there is too little inflammation (with debilitating disease),
or when there is too much inflammation.
✔✔What is the Proliferative Stage of wound healing? - ✔✔Lasts the next 3 to 24 days.
Replaces lost tissue with connective or granulated tissue and collagen. Contract the
wound edges to reduce the area that it requires to heal. Resurfacing of new epithelial
cells.
✔✔What is the maturation or remodeling stage? - ✔✔Occurs on or about day 21 and
involves the strengthening of the collagen scar and the restoration of a more normal
appearance. It can take more than 1 year to complete, depending on the extent of the
original wound.
✔✔What is the primary intention in the healing process? - ✔✔Little or no tissues loss,
edges approximates as with surgical incision, heals rapidly, low risk of infection, no or
minimal scarring. Example: Closed surgical incision with staples, sutures, or liquid glue
to seal laceration
✔✔What is the secondary intention in the healing process? - ✔✔Loss of tissue, wound
edges widely separated, unapproximated (pressure injury, open burn areas), Longer
healing time, Increase for risk of infection, Scarring, Heals by granulation. Example:
Pressure injury left open to heal
✔✔What is tertiary intention in the healing process? - ✔✔Widely separated, Deep,
Spontaneous opening of a previously closed wound, Closure of wounds occurs when
they are free of infection and edema, risk of infection, Extensive drainage and tissue
debris, closed later, long healing time. Example: Abdominal wound initially left open until
infection is resolved and then closed.
QUESTIONS AND ANSWERS GRADED A+
✔✔What are secondary lesions? - ✔✔result from a change in a primary lesion.
Common examples include the following. Include Erosion, Crust, Scale, Fissure, and
Ulcer
✔✔What is Erosion? - ✔✔Lost of epidermis, moist surface no bleeding. EX ruptured
vesicle.
✔✔What is Crust? - ✔✔Dried blood, serum, or pus EX scab
✔✔What is a Scale? - ✔✔Flakes of skin that exfoliate. EX: Dandruff, Psoriasis, Eczema
✔✔What is Fissure? - ✔✔Linear Crack examples Tinea pedis
✔✔What is Ulcer? - ✔✔Loss of epidermis and dermis with possible bleeding, scarring
Ex: Venous statis ulcer, pressure ulcer.
✔✔What are common skin lesion is Children? - ✔✔Diaper dermatitis, Intertrigo ( a rash
caused by rubbing of skin usually located in skin folds), Impetigo, Atopic dermatitis
(eczema)
✔✔What are common skin lesion in adults? - ✔✔Primary contact dermatitis, tinea pedis
(ringworm of the foot), Psoriasis, Labial herpes simplex (cold sores)
✔✔What are common skin lesion in older adults? - ✔✔Lentigines (liver spots),
Seborrheic keratosis, with possible tag like lesions. Appears mainly on the face and is
common among darkly pigmented skin. Acrochordons (skin tags), sebaceous
hyperplasia \
✔✔What is pallor? - ✔✔loss of color; in darker skin tones, a change to gray, particularly
in the mucous membranes; in brown skin tones, a change to yellow-brown; in pale skin
tones, a loss of red undertones. Indicates anemia shock or lack of blood flow.
✔✔What is Cyanosis? - ✔✔bluish for light skin tones in general, and on the palms and
soles for darker skin tones; for brown skin tones, a change to yellow-brown; for darker
skin tones, pigmented skin turns grayish. Indicates Hypoxia or impaired venous return
✔✔What is jaundice? - ✔✔yellow to orange. Indicates liver dysfunction or red blood cell
destruction
✔✔What is erythema? - ✔✔redness. For clients who have dark skin, erythema can be
difficult to see. Palpate the skin for warmth, compared to other sections of skin; inflamed
, areas can feel more firm or wood-like and be tender. Indicates Inflammation, localized
vasodilation, substance use, sun exposure, rash, elevated body temperature
✔✔How can patient look with erythema? - ✔✔Bleeding or bruising can appear reddish
or bluish in pale skin. Ecchymoses appear as darkened areas in clients who have dark
skin. Bleeding might be best detected in dark skin by swelling or warmth.
✔✔What skin finding can you expect in an older patient? - ✔✔Skin thin and translucent,
dry, tears easily, loss of elasticity and increased wrinkling; leathery appearance. Decline
in glandular structure and function (less oil, moisture, sweat) uneven pigmentation, slow
wound healing, slow growth of nails with thickening. Increased presence vitilfo
✔✔What is the inflammatory stage of wound healing? - ✔✔Begins with the injury and
lasts 3 to 6 days. Deliver oxygen, white blood cells, and nutrients to the area via the
blood supply. Macrophages engulf microorganisms and cellular debris (phagocytosis).
This phase is prolonged when there is too little inflammation (with debilitating disease),
or when there is too much inflammation.
✔✔What is the Proliferative Stage of wound healing? - ✔✔Lasts the next 3 to 24 days.
Replaces lost tissue with connective or granulated tissue and collagen. Contract the
wound edges to reduce the area that it requires to heal. Resurfacing of new epithelial
cells.
✔✔What is the maturation or remodeling stage? - ✔✔Occurs on or about day 21 and
involves the strengthening of the collagen scar and the restoration of a more normal
appearance. It can take more than 1 year to complete, depending on the extent of the
original wound.
✔✔What is the primary intention in the healing process? - ✔✔Little or no tissues loss,
edges approximates as with surgical incision, heals rapidly, low risk of infection, no or
minimal scarring. Example: Closed surgical incision with staples, sutures, or liquid glue
to seal laceration
✔✔What is the secondary intention in the healing process? - ✔✔Loss of tissue, wound
edges widely separated, unapproximated (pressure injury, open burn areas), Longer
healing time, Increase for risk of infection, Scarring, Heals by granulation. Example:
Pressure injury left open to heal
✔✔What is tertiary intention in the healing process? - ✔✔Widely separated, Deep,
Spontaneous opening of a previously closed wound, Closure of wounds occurs when
they are free of infection and edema, risk of infection, Extensive drainage and tissue
debris, closed later, long healing time. Example: Abdominal wound initially left open until
infection is resolved and then closed.
