• PN HESI SKIN INTEGRITY Exam 2025 Questions &
Answers Graded A
•
The PN measures the length of time that the redness lasts. Which additional wound
assessment technique is indicated? - ✔✔ANSW✔✔..Apply light pressure to the area
with the fingertips.
How should the PN document this finding? - ✔✔ANSW✔✔..Reactive hyperemia.
Which areas are most important for the PN to observe for additional pressure ulcers? -
✔✔ANSW✔✔..Heels and ankles
What action should the PN implement? - ✔✔ANSW✔✔..Identify these areas as sites
where pressure damage has occurred.
What etiology should the PN identify? - ✔✔ANSW✔✔..Impaired motor function.
Which goal will the PN include in Trey's plan of care? - ✔✔ANSW✔✔..Client's skin will
remain intact.
To provide pressure relief at night, the PN reminds Trey to sleep in which position? -
✔✔ANSW✔✔..Thirty-degree lateral inclined position.
Upon learning that Trey has a pressure-reducing gel chair cushion for his wheelchair,
which action should the PN take? - ✔✔ANSW✔✔..Encourage him to continue to use
this device in his wheelchair at all times.
The PN shows Trey how to apply a transparent film dressing over the sacral area and
advises him to follow which schedule for dressing changes? - ✔✔ANSW✔✔..Once
weekly.
Which documentation best describes the drainage from Trey's wound? -
✔✔ANSW✔✔..Purulent.
Which intervention is important to reduce the effect of the diarrhea on Trey's skin? -
✔✔ANSW✔✔..Apply a moisture-repellent ointment to intact skin areas.
What action should the PN take? - ✔✔ANSW✔✔..Assure the second nurse that written
instructions in the client's room are effective and do not violate any client rights.
Answers Graded A
•
The PN measures the length of time that the redness lasts. Which additional wound
assessment technique is indicated? - ✔✔ANSW✔✔..Apply light pressure to the area
with the fingertips.
How should the PN document this finding? - ✔✔ANSW✔✔..Reactive hyperemia.
Which areas are most important for the PN to observe for additional pressure ulcers? -
✔✔ANSW✔✔..Heels and ankles
What action should the PN implement? - ✔✔ANSW✔✔..Identify these areas as sites
where pressure damage has occurred.
What etiology should the PN identify? - ✔✔ANSW✔✔..Impaired motor function.
Which goal will the PN include in Trey's plan of care? - ✔✔ANSW✔✔..Client's skin will
remain intact.
To provide pressure relief at night, the PN reminds Trey to sleep in which position? -
✔✔ANSW✔✔..Thirty-degree lateral inclined position.
Upon learning that Trey has a pressure-reducing gel chair cushion for his wheelchair,
which action should the PN take? - ✔✔ANSW✔✔..Encourage him to continue to use
this device in his wheelchair at all times.
The PN shows Trey how to apply a transparent film dressing over the sacral area and
advises him to follow which schedule for dressing changes? - ✔✔ANSW✔✔..Once
weekly.
Which documentation best describes the drainage from Trey's wound? -
✔✔ANSW✔✔..Purulent.
Which intervention is important to reduce the effect of the diarrhea on Trey's skin? -
✔✔ANSW✔✔..Apply a moisture-repellent ointment to intact skin areas.
What action should the PN take? - ✔✔ANSW✔✔..Assure the second nurse that written
instructions in the client's room are effective and do not violate any client rights.
