TISSUE INTEGRITY ATI LATEST
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is caring for a client who has a deep foot wound with minimal exudate and
necrotized tissue. For which of the following dressing types should the nurse
anticipate a prescription to cover the wound? - ANSWERS-Hydrogel
Rationale: can be used for debridement of wounds with necrotized tissue and
eachars, and causes minimal trauma to the healing wound bed. Hydrogels work
differently than other dressings in that they can provide moisture to or draw
moisture away from the wound dependent upon the needs of the wound.
QUESTION 2
A nurse in a dermatology clinic is developing a skin anatomy poster to display for
clients. Which of the following information should the nurse plan to include on the
poster? - ANSWERS-The dermis contains blood vessels that help nourish the
epidermis
QUESTION 3
END OF
PAGE 1
, TISSUE INTEGRITY ATI LATEST
A nurse is caring for a client who has a portable wound bulb suction device and
notes that the drainage bulb is three-fourths full. Which of the following actions
should the nurse take? - ANSWERS-Empty and measure the drainage
Should be emptied at least every 8 hours or when its more than half full.
QUESTION 4
A nurse is monitoring a client following a cholecystectomy. Which of the
following findings should the nurse identify as a potential manifestation of sepsis?
- ANSWERS-Increased blood glucose
Rationale: The nurse should identify this as a potential manifestation of sepsis.
HYPOtension is a potential manifestation of sepsis.
INCREASED WBC count is a potential manifestation of sepsis.
Increased BUN is an indication of impaired kidney function rather than sepsis.
END OF
PAGE 2
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
A nurse is caring for a client who has a deep foot wound with minimal exudate and
necrotized tissue. For which of the following dressing types should the nurse
anticipate a prescription to cover the wound? - ANSWERS-Hydrogel
Rationale: can be used for debridement of wounds with necrotized tissue and
eachars, and causes minimal trauma to the healing wound bed. Hydrogels work
differently than other dressings in that they can provide moisture to or draw
moisture away from the wound dependent upon the needs of the wound.
QUESTION 2
A nurse in a dermatology clinic is developing a skin anatomy poster to display for
clients. Which of the following information should the nurse plan to include on the
poster? - ANSWERS-The dermis contains blood vessels that help nourish the
epidermis
QUESTION 3
END OF
PAGE 1
, TISSUE INTEGRITY ATI LATEST
A nurse is caring for a client who has a portable wound bulb suction device and
notes that the drainage bulb is three-fourths full. Which of the following actions
should the nurse take? - ANSWERS-Empty and measure the drainage
Should be emptied at least every 8 hours or when its more than half full.
QUESTION 4
A nurse is monitoring a client following a cholecystectomy. Which of the
following findings should the nurse identify as a potential manifestation of sepsis?
- ANSWERS-Increased blood glucose
Rationale: The nurse should identify this as a potential manifestation of sepsis.
HYPOtension is a potential manifestation of sepsis.
INCREASED WBC count is a potential manifestation of sepsis.
Increased BUN is an indication of impaired kidney function rather than sepsis.
END OF
PAGE 2
