TISSUE INTEGRITY ATI 2025/2026 QUESTIONS AND
ANSWERS GRADED A+
✔✔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? - ✔✔Stage 3 pressure injury to the coccyx observed
with full-thickness skin loss and visible adipose tissue
✔✔A nurse has completed the Braden scale on four clients who are at risk for
alterations in skin integrity. Which of the following clients should the nurse recognize as
having the greatest risk for altered skin integrity? - ✔✔A clients who has a Braden scale
score of 9
✔✔A nurse is teaching a client who has a pressure injury on their leg about proper
nutrition to facilitate wound healing. Which of the following client statements indicates
an understanding of the teaching? - ✔✔"I should increase my protein intake."
✔✔A nurse is planning care for an older adult clients who is bedridden. Which of the
following actions should the nurse include in the plan to prevent skin breakdown? -
✔✔Tilt the client on their side at 30 degrees
✔✔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? - ✔✔Hydrogel
✔✔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? - ✔✔The dermis contains blood vessels that help nourish the epidermis
✔✔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? - ✔✔Empty and measure the drainage
✔✔A nurse is monitoring a client following a cholecystectomy. Which of the following
findings should the nurse identify as a potential manifestation of sepsis? - ✔✔Increased
blood glucose
✔✔A nurse is caring for a 6-month old infant who has diarrhea. The nurse should
monitor the infant for which of the following alterations in tissue integrity? -
✔✔Dermatitis
✔✔A nurse is providing teaching for a client who has a prescription for alginate dressing
for a wound. Which of the following statements by the client indicates an understanding
ANSWERS GRADED A+
✔✔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? - ✔✔Stage 3 pressure injury to the coccyx observed
with full-thickness skin loss and visible adipose tissue
✔✔A nurse has completed the Braden scale on four clients who are at risk for
alterations in skin integrity. Which of the following clients should the nurse recognize as
having the greatest risk for altered skin integrity? - ✔✔A clients who has a Braden scale
score of 9
✔✔A nurse is teaching a client who has a pressure injury on their leg about proper
nutrition to facilitate wound healing. Which of the following client statements indicates
an understanding of the teaching? - ✔✔"I should increase my protein intake."
✔✔A nurse is planning care for an older adult clients who is bedridden. Which of the
following actions should the nurse include in the plan to prevent skin breakdown? -
✔✔Tilt the client on their side at 30 degrees
✔✔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? - ✔✔Hydrogel
✔✔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? - ✔✔The dermis contains blood vessels that help nourish the epidermis
✔✔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? - ✔✔Empty and measure the drainage
✔✔A nurse is monitoring a client following a cholecystectomy. Which of the following
findings should the nurse identify as a potential manifestation of sepsis? - ✔✔Increased
blood glucose
✔✔A nurse is caring for a 6-month old infant who has diarrhea. The nurse should
monitor the infant for which of the following alterations in tissue integrity? -
✔✔Dermatitis
✔✔A nurse is providing teaching for a client who has a prescription for alginate dressing
for a wound. Which of the following statements by the client indicates an understanding
