TISSUE INTEGRITY ATI COMPREHENSIVE
ASSESSMENT PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
●● A nurse is planning care for a client who is confined to bed. Which of
the following actions should the nurse include in the plan?
Answer: The nurse should change the client's position every 2 hours to
stimulate circulation and prevent pressure ulcers.
●● A nurse is assessing a client who has a pressure ulcer. The nurse
should recognize which of the following findings is a manifestation of a
stage 3 pressure ulcer?
Answer: Manifestations of a stage 3 pressure ulcer can include full-
thickness skin loss with necrotic subcutaneous tissue.
●● A nurse is caring for a client who has urinary incontinence. Which of
the following actions should the nurse implement to prevent the
development of skin breakdown?
Answer: -apply a moisture barrier ointment
Skin that remains in contact with urine for prolonged periods is at risk
for maceration and breakdown. After cleansing and drying the client's
skin, the nurse should apply a moisture barrier ointment to prevent
further contact of the skin with urine.
, ●● A nurse is planning care for an older adult who is at risk for
developing pressure ulcers. Which of the following interventions should
the nurse use to help maintain the integrity of the client's skin?
Answer: -Use a transfer device to lift the client up in bed.
Using a lifting device prevents dragging the client's skin across the bed
linens, which can cause abrasions.
●● A nurse is caring for a client who has contact dermatitis of the neck
and upper chest. Which of the following is an unexpected finding?
-Report of exposure to a skin irritant
-Denial of pruritus
-Systemic symptoms including elevated temperature
-Report of generalized joint discomfort
Answer: Report of exposure to a skin irritant
The most common cause of contact dermatitis is exposure to a topical
irritant therefore identifying this irritant is a component of treatment.
●● A nurse is assessing a client's wound dressing, and observes a watery
red drainage. The nurse should document this drainage as which of the
following?
ASSESSMENT PAPER 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
●● A nurse is planning care for a client who is confined to bed. Which of
the following actions should the nurse include in the plan?
Answer: The nurse should change the client's position every 2 hours to
stimulate circulation and prevent pressure ulcers.
●● A nurse is assessing a client who has a pressure ulcer. The nurse
should recognize which of the following findings is a manifestation of a
stage 3 pressure ulcer?
Answer: Manifestations of a stage 3 pressure ulcer can include full-
thickness skin loss with necrotic subcutaneous tissue.
●● A nurse is caring for a client who has urinary incontinence. Which of
the following actions should the nurse implement to prevent the
development of skin breakdown?
Answer: -apply a moisture barrier ointment
Skin that remains in contact with urine for prolonged periods is at risk
for maceration and breakdown. After cleansing and drying the client's
skin, the nurse should apply a moisture barrier ointment to prevent
further contact of the skin with urine.
, ●● A nurse is planning care for an older adult who is at risk for
developing pressure ulcers. Which of the following interventions should
the nurse use to help maintain the integrity of the client's skin?
Answer: -Use a transfer device to lift the client up in bed.
Using a lifting device prevents dragging the client's skin across the bed
linens, which can cause abrasions.
●● A nurse is caring for a client who has contact dermatitis of the neck
and upper chest. Which of the following is an unexpected finding?
-Report of exposure to a skin irritant
-Denial of pruritus
-Systemic symptoms including elevated temperature
-Report of generalized joint discomfort
Answer: Report of exposure to a skin irritant
The most common cause of contact dermatitis is exposure to a topical
irritant therefore identifying this irritant is a component of treatment.
●● A nurse is assessing a client's wound dressing, and observes a watery
red drainage. The nurse should document this drainage as which of the
following?
