TISSUE INTEGRITY ATI TEST PAPER 2025/2026 QUESTIONS
AND ANSWERS GRADED A+
✔✔film - ✔✔a type of semi-occlusive dressing; self-adhesive transparent dressing that
is used for covering superficial wounds that have minimal exudate (they do not absorv
moitsure well
✔✔film (a semi-occlusive dressing) - ✔✔a nurse needs to apply a dressing to a wound
that does not have exudate. the provider requested that he be able to visualize the
wound without removal of the dressing. what type of dressing should she use?
✔✔when placed over wounds with significant amounts of exudate, leakage can occur,
causing skin maceration and injury to the epidermal layer. *for this reason, films are not
the dressing of choice for wounds with significant exudate* - ✔✔advantages of films
include their ability to allow moisture to evaporate while still maintaining a moist wound
bed, and the ability to allow oxygen to enter the wound while decreasing the risk of
micro-organism entrance into the wound. these advantages promote wound healing and
decrease the risk of wound infection. films also allow providers to visualize the wound
without removal of the dressing. they are comfortable to wear and easy to apply.
however, films do have a downside. what is it?
✔✔a type of semi-occlusive dressing; a gel-like dressing that occludes the wound,
maintain a moist wound bed, have bacteriostatic properties, and stimulate growth of
new granulation tissue
hydrocolloids are used for small abrasions, superficial burns, pressure injuries, and
postoperative wounds - ✔✔what is a hydrocolloid dressing and what is it used for?
✔✔the expected finding when using a hydrocolloid dressing from the purulent drainage
associated with infection - ✔✔hydrocolloid dressings are comfortable and produce less
maceration. disadvantages include their potential to cause contact dermatitis and the
foul-smelling, yellow, gelatinous film that develops as bacteria is trapped on the
underside of the dressing. the nurses should be careful to differentiate what?
✔✔alignate dressings
*a disadvantage of these dressings is that a secondary dressing is needed to cover the
alginate, increasing the overall cost of wound management* - ✔✔the semi-occlusive
dressings are recommended for moderate to highly exudative wounds; *provides
hemostasis, composed of calcium, has high absorptive abilities, and can remain in a
wound for several days, so they require less frequent dressing changes*
they also come in a variety of forms, including ribbons, pads, and beads, making them
very versatile in terms of wound coverage and packing
, ✔✔alignate - ✔✔a nurse is completing a dressing change on a pt and is putting a
second dressing on top to cover the first. the nurse is most likely using which type of
dressing?
✔✔alignate - ✔✔the nurse is looking for a dressing for a deep ulcer with a lot of exudate
and bleeding. she also needs them in bead and ribbon form. what type of dressing may
be best?
✔✔hydrofiber dressings - ✔✔these semi-occlusive dressings that provide high
absobency and are used for moderate and highly exudative wounds 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*
✔✔polymeric membrane dressing - ✔✔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 (used in mildly exudative wounds)
✔✔hydrogels
hydrogels have a soothing effect and cause little trauma to the wound bed - ✔✔used in
dry wounds for debridement of necrotized tissue and eschar
✔✔they can provide moisture to or draw moisture away from the wound depending on
the needs of the wound
one disadvantage of these dressings is that clients may require frequent dressing
changes - ✔✔how do hydrogels work differently from other dressings?
✔✔they can be placed more rapidly than sutures and healing is also faster with a
stapled wound—*within 7 to 14 days, after which the staples are removed using a staple
remover*
during staple removal, the prongs are placed under the staple, the handle is depressed,
and the staple is bent outward. the complications most frequently seen with staples are
scarring and difficulty with removal, as staples can become firmly embedded in the skin
- ✔✔a key benefit of staples over sutures
✔✔ - ✔✔suture fact:
sutures are made from synthetic materials such as nylon or polyester, or from natural
fibers such as silk, linen, and dried animal intestines. both synthetic and natural sutures
can be absorbable or nonabsorbable. *synthetic absorbable sutures dissolve within
days to weeks, sometimes lasting up to 2 months.*
AND ANSWERS GRADED A+
✔✔film - ✔✔a type of semi-occlusive dressing; self-adhesive transparent dressing that
is used for covering superficial wounds that have minimal exudate (they do not absorv
moitsure well
✔✔film (a semi-occlusive dressing) - ✔✔a nurse needs to apply a dressing to a wound
that does not have exudate. the provider requested that he be able to visualize the
wound without removal of the dressing. what type of dressing should she use?
✔✔when placed over wounds with significant amounts of exudate, leakage can occur,
causing skin maceration and injury to the epidermal layer. *for this reason, films are not
the dressing of choice for wounds with significant exudate* - ✔✔advantages of films
include their ability to allow moisture to evaporate while still maintaining a moist wound
bed, and the ability to allow oxygen to enter the wound while decreasing the risk of
micro-organism entrance into the wound. these advantages promote wound healing and
decrease the risk of wound infection. films also allow providers to visualize the wound
without removal of the dressing. they are comfortable to wear and easy to apply.
however, films do have a downside. what is it?
✔✔a type of semi-occlusive dressing; a gel-like dressing that occludes the wound,
maintain a moist wound bed, have bacteriostatic properties, and stimulate growth of
new granulation tissue
hydrocolloids are used for small abrasions, superficial burns, pressure injuries, and
postoperative wounds - ✔✔what is a hydrocolloid dressing and what is it used for?
✔✔the expected finding when using a hydrocolloid dressing from the purulent drainage
associated with infection - ✔✔hydrocolloid dressings are comfortable and produce less
maceration. disadvantages include their potential to cause contact dermatitis and the
foul-smelling, yellow, gelatinous film that develops as bacteria is trapped on the
underside of the dressing. the nurses should be careful to differentiate what?
✔✔alignate dressings
*a disadvantage of these dressings is that a secondary dressing is needed to cover the
alginate, increasing the overall cost of wound management* - ✔✔the semi-occlusive
dressings are recommended for moderate to highly exudative wounds; *provides
hemostasis, composed of calcium, has high absorptive abilities, and can remain in a
wound for several days, so they require less frequent dressing changes*
they also come in a variety of forms, including ribbons, pads, and beads, making them
very versatile in terms of wound coverage and packing
, ✔✔alignate - ✔✔a nurse is completing a dressing change on a pt and is putting a
second dressing on top to cover the first. the nurse is most likely using which type of
dressing?
✔✔alignate - ✔✔the nurse is looking for a dressing for a deep ulcer with a lot of exudate
and bleeding. she also needs them in bead and ribbon form. what type of dressing may
be best?
✔✔hydrofiber dressings - ✔✔these semi-occlusive dressings that provide high
absobency and are used for moderate and highly exudative wounds 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*
✔✔polymeric membrane dressing - ✔✔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 (used in mildly exudative wounds)
✔✔hydrogels
hydrogels have a soothing effect and cause little trauma to the wound bed - ✔✔used in
dry wounds for debridement of necrotized tissue and eschar
✔✔they can provide moisture to or draw moisture away from the wound depending on
the needs of the wound
one disadvantage of these dressings is that clients may require frequent dressing
changes - ✔✔how do hydrogels work differently from other dressings?
✔✔they can be placed more rapidly than sutures and healing is also faster with a
stapled wound—*within 7 to 14 days, after which the staples are removed using a staple
remover*
during staple removal, the prongs are placed under the staple, the handle is depressed,
and the staple is bent outward. the complications most frequently seen with staples are
scarring and difficulty with removal, as staples can become firmly embedded in the skin
- ✔✔a key benefit of staples over sutures
✔✔ - ✔✔suture fact:
sutures are made from synthetic materials such as nylon or polyester, or from natural
fibers such as silk, linen, and dried animal intestines. both synthetic and natural sutures
can be absorbable or nonabsorbable. *synthetic absorbable sutures dissolve within
days to weeks, sometimes lasting up to 2 months.*
