Tissue Integrity ATI EXAM | 2026-2027 Actual
Comprehensive Real Exam Questions And Verified
Answers (Correct Answers) Graded A+ | Newest
Exam | Just Released !!
A nurse is collecting a wound culture from a client's arm wound. The
nurse explains to the client the reason for needing to rinse the wound
with 0.9% sodium chloride during the procedure. Which of the
following statements should the nurse include?
A. "I am rinsing the wound to make it easier to collect a small sample
of skin from the edge of the wound."
B. "I am rinsing the wound to keep it moist."
C. "The solution I am using to rinse the wound will help prevent an
infection from developing."
D. "I am rinsing the wound to prevent your normal skin micro-
organisms from contaminating the culture."
D. "I am rinsing the wound to prevent your normal skin micro-
organisms from contaminating the culture."
,Rationale- 0.9% sodium chloride is used to rinse the wound. It allows
for the removal of the client's skin flora and any crusted exudate,
which
could cause contamination of the culture specimen.
Match the stages of pressure injuries, or the types of injuries, with the
description of the tissue that the nurse would expect to find when
assessing the wound. (Drag each option to the desired category.)
A. Deep tissue pressure injury
B. Stage 3 pressure injury
C. Device-related pressure injury
D. Stage 1 pressure injury
,1. Pressure injury caused by equipment, furniture, or everyday
objects that are left in direct contact with the skin.
2. Persistent, nonblanchable, deep red, maroon, or purple
discoloration of the skin.
3. Nonblanchable erythema of intact skin.
4. Full-thickness tissue loss, with no bones or tendons exposed.
1. Pressure injury caused by equipment, furniture, or everyday
objects that are left in direct contact with the skin. Device-related
pressure
injury
2. Persistent, nonblanchable, deep red, maroon, or purple
discoloration of the skin. Deep tissue pressure injury
3. Nonblanchable erythema of intact skin. Stage 1 pressure injury
4. Full-thickness tissue loss, with no bones or tendons exposed.
Stage 3 pressure injury
, A nurse is providing education about pressure injury development to a
newly licensed nurse. Which of the following points should the nurse
include in the teaching? (Select all that apply.)
A. Shear forces occur when the skin and muscles are pulled in
opposite directions.
B. Pressure injuries most often develop over bony prominences.
C. Friction is a continuous force exerted on or against an object.
D. Factors contributing to pressure injury development include
immobility, malnutrition, reduced perfusion, and sensory loss.
A. Shear forces occur when the skin and muscles are pulled in
opposite directions.
B. Pressure injuries most often develop over bony prominences.
D. Factors contributing to pressure injury development include
immobility, malnutrition, reduced perfusion, and sensory loss.
Comprehensive Real Exam Questions And Verified
Answers (Correct Answers) Graded A+ | Newest
Exam | Just Released !!
A nurse is collecting a wound culture from a client's arm wound. The
nurse explains to the client the reason for needing to rinse the wound
with 0.9% sodium chloride during the procedure. Which of the
following statements should the nurse include?
A. "I am rinsing the wound to make it easier to collect a small sample
of skin from the edge of the wound."
B. "I am rinsing the wound to keep it moist."
C. "The solution I am using to rinse the wound will help prevent an
infection from developing."
D. "I am rinsing the wound to prevent your normal skin micro-
organisms from contaminating the culture."
D. "I am rinsing the wound to prevent your normal skin micro-
organisms from contaminating the culture."
,Rationale- 0.9% sodium chloride is used to rinse the wound. It allows
for the removal of the client's skin flora and any crusted exudate,
which
could cause contamination of the culture specimen.
Match the stages of pressure injuries, or the types of injuries, with the
description of the tissue that the nurse would expect to find when
assessing the wound. (Drag each option to the desired category.)
A. Deep tissue pressure injury
B. Stage 3 pressure injury
C. Device-related pressure injury
D. Stage 1 pressure injury
,1. Pressure injury caused by equipment, furniture, or everyday
objects that are left in direct contact with the skin.
2. Persistent, nonblanchable, deep red, maroon, or purple
discoloration of the skin.
3. Nonblanchable erythema of intact skin.
4. Full-thickness tissue loss, with no bones or tendons exposed.
1. Pressure injury caused by equipment, furniture, or everyday
objects that are left in direct contact with the skin. Device-related
pressure
injury
2. Persistent, nonblanchable, deep red, maroon, or purple
discoloration of the skin. Deep tissue pressure injury
3. Nonblanchable erythema of intact skin. Stage 1 pressure injury
4. Full-thickness tissue loss, with no bones or tendons exposed.
Stage 3 pressure injury
, A nurse is providing education about pressure injury development to a
newly licensed nurse. Which of the following points should the nurse
include in the teaching? (Select all that apply.)
A. Shear forces occur when the skin and muscles are pulled in
opposite directions.
B. Pressure injuries most often develop over bony prominences.
C. Friction is a continuous force exerted on or against an object.
D. Factors contributing to pressure injury development include
immobility, malnutrition, reduced perfusion, and sensory loss.
A. Shear forces occur when the skin and muscles are pulled in
opposite directions.
B. Pressure injuries most often develop over bony prominences.
D. Factors contributing to pressure injury development include
immobility, malnutrition, reduced perfusion, and sensory loss.
