1
Tissue Integrity ATI Exam Newest 2025/2026 Actual
Exam Complete Questions And Correct Detailed
Answers (Verified Answers) |Already Graded A+
A nurse is providing teaching to a client who is in a wheelchair about measures to
avoid skin breakdown. Which of the following instructions by the nurse is related
to preventing skin breakdown? - (ANSWER)You should shift your weight off your
buttocks at intervals throughout the day
A wound, ostomy and continence nurse (WOCN) is providing an in service to a
group of nurses about documentation of pressure injuries. Which of the following
statements by one of the group members indicates an understanding of the
teaching? - (ANSWER)Pressure injury documentation includes location, stage,
measurements and condition of the wound bed and any drainage present
A nurse is caring for a client who has sustained a gunshot wound to the abdomen
and is 6 hr postoperative. The nurse notices protrusion of the client's organs from
the incision site and call for help. Which of the following actions should the nurse
take? - (ANSWER)Cover the client's wound with a sterile saline dressing
A nurse is teaching assistive personnel (AP) about the skin of older adults. Which
of the following statements by the AP indicates an understanding of the teaching?
- (ANSWER)The skin of older adults is thinner and has less subcutaneous padding
over bony prominences
A nurse is preparing to obtain a wound culture from a client who has a suspected
wound infection. Which of the following actions should the nurse take? -
(ANSWER)Clean the wound with 0.9% sodium chloride
, 2
A nurse is assisting with the care of a client following abdominal surgery. The
nurse removes the client's surgical dressing and notes a separation of the wound
edges. The nurse should identify that the client is experiencing which of the
following complications? - (ANSWER)Dehiscence
A nurse is providing teaching to a client about staple removal. Which of the
following statements should the nurse include in the teaching? - (ANSWER)Your
staples will be removed in about 2 weeks
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify as having the highest risk for developing alterations in tissue
integrity? - (ANSWER)A client who is incontinent and taking a prescribed diuretic
A nurse is caring for a client who has dime-sized stage 1 pressures injury located
on the sacrum. Which of the following dressing types should the nurse use? -
(ANSWER)A transparent film
A nurse is providing teaching to a newly licensed nurse about the functions of the
skin. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching - (ANSWER)The skin assists in the regulation of
body temperature
A nurse is performing an admission skin assessment on a client and notes that the
client has a stage 3 pressure injury to the coccyx. How should the nurse document
the appearance of this pressure injury? - (ANSWER)Stage 3 pressure injury to the
coccyx observed with full-thickness skin loss and visible adipose tissue
Tissue Integrity ATI Exam Newest 2025/2026 Actual
Exam Complete Questions And Correct Detailed
Answers (Verified Answers) |Already Graded A+
A nurse is providing teaching to a client who is in a wheelchair about measures to
avoid skin breakdown. Which of the following instructions by the nurse is related
to preventing skin breakdown? - (ANSWER)You should shift your weight off your
buttocks at intervals throughout the day
A wound, ostomy and continence nurse (WOCN) is providing an in service to a
group of nurses about documentation of pressure injuries. Which of the following
statements by one of the group members indicates an understanding of the
teaching? - (ANSWER)Pressure injury documentation includes location, stage,
measurements and condition of the wound bed and any drainage present
A nurse is caring for a client who has sustained a gunshot wound to the abdomen
and is 6 hr postoperative. The nurse notices protrusion of the client's organs from
the incision site and call for help. Which of the following actions should the nurse
take? - (ANSWER)Cover the client's wound with a sterile saline dressing
A nurse is teaching assistive personnel (AP) about the skin of older adults. Which
of the following statements by the AP indicates an understanding of the teaching?
- (ANSWER)The skin of older adults is thinner and has less subcutaneous padding
over bony prominences
A nurse is preparing to obtain a wound culture from a client who has a suspected
wound infection. Which of the following actions should the nurse take? -
(ANSWER)Clean the wound with 0.9% sodium chloride
, 2
A nurse is assisting with the care of a client following abdominal surgery. The
nurse removes the client's surgical dressing and notes a separation of the wound
edges. The nurse should identify that the client is experiencing which of the
following complications? - (ANSWER)Dehiscence
A nurse is providing teaching to a client about staple removal. Which of the
following statements should the nurse include in the teaching? - (ANSWER)Your
staples will be removed in about 2 weeks
A nurse is caring for a group of clients. Which of the following clients should the
nurse identify as having the highest risk for developing alterations in tissue
integrity? - (ANSWER)A client who is incontinent and taking a prescribed diuretic
A nurse is caring for a client who has dime-sized stage 1 pressures injury located
on the sacrum. Which of the following dressing types should the nurse use? -
(ANSWER)A transparent film
A nurse is providing teaching to a newly licensed nurse about the functions of the
skin. Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching - (ANSWER)The skin assists in the regulation of
body temperature
A nurse is performing an admission skin assessment on a client and notes that the
client has a stage 3 pressure injury to the coccyx. How should the nurse document
the appearance of this pressure injury? - (ANSWER)Stage 3 pressure injury to the
coccyx observed with full-thickness skin loss and visible adipose tissue
