TISSUE INTEGRITY ATI PRACTICE EXAM 2025/2026
QUESTIONS AND ANSWERS GRADED A+
✔✔When should dressings be changed? - ✔✔according to the provider's prescription—
most often daily, or every 2 days, or as needed
✔✔Dressing categories - ✔✔open, semi-open, and semi-occlusive
✔✔Open Dressings - ✔✔ie: gauze
✔✔Semi-Open Dressings - ✔✔Semi-open dressings have three layers. The bottom
layer comprises a layer of knit gauze that is more closely woven than traditional gauze;
it is infused with therapeutic ointments. The middle layer contains padding and
absorbent gauze, which is followed by a final layer of adhesive.
✔✔Semi-Occlusive Dressings - ✔✔Semi-occlusive dressings have more diverse
properties than open and semi-open dressings.
✔✔Films - ✔✔have a reduced ability to absorb moisture, self-adhesive transparent
dressings are used for covering superficial wounds that have minimal exudate.
✔✔Hydrocolloid Dressings - ✔✔Hydrocolloids are used for small abrasions, superficial
burns, pressure injuries, and postoperative wounds
✔✔Alginate Dressings - ✔✔Alginate dressings are recommended for moderate to highly
exudative wounds. These dressings provide hemostasis, have high absorptive abilities,
and can remain in a wound for several days, so they require less frequent dressing
changes.
✔✔Hydrofiber Dressings - ✔✔Used for moderate and highly exudative wounds,
hydrofiber dressings provide high absorbency and can stay in the wound for several
days. These dressings draw less fluid from the wound edges, resulting in less
maceration around the wound compared to alginate dressings.
✔✔Foams - ✔✔Foams are used in wounds with mild to moderate exudate, but require
more frequent dressing changes as compared to those dressings previously discussed.
Foam dressings may produce a malodorous discharge.
✔✔Polymeric Membranes - ✔✔Polymeric membranes are used in mildly exudative
wounds. These dressings stimulate the growth of new epithelium and do not stick to the
wound bed, resulting in less trauma to the new granulation tissue.
✔✔Hydrogels - ✔✔Hydrogels are used in dry wounds for debridement of necrotized
tissue and eschar. They work differently than other dressings, in that they can provide
, moisture to or draw moisture away from the wound depending on the needs of the
wound. Hydrogels have a soothing effect and cause little trauma to the wound bed. One
disadvantage of these dressings is that clients may require frequent dressing changes.
✔✔benefits of staples over stitches - ✔✔key benefit of staples is that they can be
placed more rapidly than sutures. Healing is also faster with a stapled wound
✔✔Negative Pressure Wound Therapy - ✔✔is used to assist in the healing and closing
of large wounds by reducing edema surrounding the wound and increasing granulation
tissue formation. In this therapy, a foam dressing is applied over the wound and covered
by a semi-porous occlusive dressing, to which suction is applied.
✔✔Wound Drains - ✔✔Drains are used to decrease accumulation of fluid, reduce
accumulation of air, and collect wound drainage for testing and identification. Surgical
procedures that often require drain placement include those involving the chest, breast,
abdomen, and thyroid, and plastic surgeries utilizing flap procedures.
✔✔Types of drains - ✔✔Penrose,
Portable Wound Bulb, Large bottle, circular portable wound suction,
✔✔When are drains removed? - ✔✔when the total wound drainage for a 24-hour period
is between 30 and 100 mL
✔✔Early removal of drains has been associated with what two diseases? -
✔✔Hematoma and Seroma
✔✔Penrose Drain - ✔✔a flat, thin, rubber tube inserted into a wound to allow for fluid to
flow from the wound; it has an open end that drains onto a dressing. attached with a
safety clip
✔✔Portable Wound Bulb Suction Device - ✔✔active, closed system drain that uses
negative suction to drain fluid from the wound
✔✔Large Bottle Drainage - ✔✔higher-pressure, large bottle
✔✔Circular Portable Wound Suction Device - ✔✔A drain in which the drainage tube is
attached to a container with a spring inside. The spring expands as the container draws
fluid out of the wound.
✔✔ Epidermis - ✔✔outermost layer of skin
✔✔keratinocytes - ✔✔an epidermal cell that produces keratin, protect the skin from
water loss, pathogens and injury.
QUESTIONS AND ANSWERS GRADED A+
✔✔When should dressings be changed? - ✔✔according to the provider's prescription—
most often daily, or every 2 days, or as needed
✔✔Dressing categories - ✔✔open, semi-open, and semi-occlusive
✔✔Open Dressings - ✔✔ie: gauze
✔✔Semi-Open Dressings - ✔✔Semi-open dressings have three layers. The bottom
layer comprises a layer of knit gauze that is more closely woven than traditional gauze;
it is infused with therapeutic ointments. The middle layer contains padding and
absorbent gauze, which is followed by a final layer of adhesive.
✔✔Semi-Occlusive Dressings - ✔✔Semi-occlusive dressings have more diverse
properties than open and semi-open dressings.
✔✔Films - ✔✔have a reduced ability to absorb moisture, self-adhesive transparent
dressings are used for covering superficial wounds that have minimal exudate.
✔✔Hydrocolloid Dressings - ✔✔Hydrocolloids are used for small abrasions, superficial
burns, pressure injuries, and postoperative wounds
✔✔Alginate Dressings - ✔✔Alginate dressings are recommended for moderate to highly
exudative wounds. These dressings provide hemostasis, have high absorptive abilities,
and can remain in a wound for several days, so they require less frequent dressing
changes.
✔✔Hydrofiber Dressings - ✔✔Used for moderate and highly exudative wounds,
hydrofiber dressings provide high absorbency and can stay in the wound for several
days. These dressings draw less fluid from the wound edges, resulting in less
maceration around the wound compared to alginate dressings.
✔✔Foams - ✔✔Foams are used in wounds with mild to moderate exudate, but require
more frequent dressing changes as compared to those dressings previously discussed.
Foam dressings may produce a malodorous discharge.
✔✔Polymeric Membranes - ✔✔Polymeric membranes are used in mildly exudative
wounds. These dressings stimulate the growth of new epithelium and do not stick to the
wound bed, resulting in less trauma to the new granulation tissue.
✔✔Hydrogels - ✔✔Hydrogels are used in dry wounds for debridement of necrotized
tissue and eschar. They work differently than other dressings, in that they can provide
, moisture to or draw moisture away from the wound depending on the needs of the
wound. Hydrogels have a soothing effect and cause little trauma to the wound bed. One
disadvantage of these dressings is that clients may require frequent dressing changes.
✔✔benefits of staples over stitches - ✔✔key benefit of staples is that they can be
placed more rapidly than sutures. Healing is also faster with a stapled wound
✔✔Negative Pressure Wound Therapy - ✔✔is used to assist in the healing and closing
of large wounds by reducing edema surrounding the wound and increasing granulation
tissue formation. In this therapy, a foam dressing is applied over the wound and covered
by a semi-porous occlusive dressing, to which suction is applied.
✔✔Wound Drains - ✔✔Drains are used to decrease accumulation of fluid, reduce
accumulation of air, and collect wound drainage for testing and identification. Surgical
procedures that often require drain placement include those involving the chest, breast,
abdomen, and thyroid, and plastic surgeries utilizing flap procedures.
✔✔Types of drains - ✔✔Penrose,
Portable Wound Bulb, Large bottle, circular portable wound suction,
✔✔When are drains removed? - ✔✔when the total wound drainage for a 24-hour period
is between 30 and 100 mL
✔✔Early removal of drains has been associated with what two diseases? -
✔✔Hematoma and Seroma
✔✔Penrose Drain - ✔✔a flat, thin, rubber tube inserted into a wound to allow for fluid to
flow from the wound; it has an open end that drains onto a dressing. attached with a
safety clip
✔✔Portable Wound Bulb Suction Device - ✔✔active, closed system drain that uses
negative suction to drain fluid from the wound
✔✔Large Bottle Drainage - ✔✔higher-pressure, large bottle
✔✔Circular Portable Wound Suction Device - ✔✔A drain in which the drainage tube is
attached to a container with a spring inside. The spring expands as the container draws
fluid out of the wound.
✔✔ Epidermis - ✔✔outermost layer of skin
✔✔keratinocytes - ✔✔an epidermal cell that produces keratin, protect the skin from
water loss, pathogens and injury.
