TISSUE INTEGRITY ATI COMPREHENSIVE EXAM 2025/2026
QUESTIONS AND ANSWERS GRADED A+
✔✔nonblanchable erythema - ✔✔Redness of the skin caused by dilation of the
superficial capillaries. The redness persists when pressure is applied to the area,
indicating tissue damage.
✔✔What makes erythema more difficult to detect? - ✔✔Dark natural skin color
✔✔What are the classifications of lacerations? - ✔✔Simple or complicated
✔✔Color process of surgical wounds - ✔✔Red on days 1-4
Bright Pink on days 5-14
Pale Pink on days 15-1 year
✔✔exudate - ✔✔Fluid secreted by the body during the inflammatory stage of healing
and is made of plasma.
✔✔When are wound closure materials usually removed? - ✔✔Between days 9 and 14
✔✔What does MASD stand for? - ✔✔moisture associated skin damage
✔✔3 major categories of chronic lower extremity wounds - ✔✔venous disease wounds,
arterial disease wounds, and neuropathic disease wounds
✔✔Serous - ✔✔Thin, watery wound drainage.
✔✔serosanguineous - ✔✔Thin, watery wound drainage mixed with blood
✔✔sanguineous - ✔✔Bloody wound drainage
✔✔purulent - ✔✔Green/yellow wound drainage.
✔✔tunneling - ✔✔A narrow channel or passage way extending in any direction from the
base of the wound
✔✔malnutrition - ✔✔Imbalance in a client's intake, which can include deficiencies or
excesses in nutrients, vitamins, or calories.
✔✔Friction - ✔✔The force created when two objects rub together
✔✔Hypoperfusion - ✔✔Inadequate supply of blood circulation, which results in low
oxygen levels in tissues.
, ✔✔Braden Scale - ✔✔A tool for predicting pressure ulcer risk
✔✔undermining wound - ✔✔An open area extending under skin along the edge of the
wound.
✔✔Benchmarking - ✔✔Comparing results and outcomes to other sources of similarly
retrieved data.
✔✔Pressure Injury stages - ✔✔Stage 1: non-blanchable erythma of intact skin
Stage 2: partial thickness skin loss with exposed dermis. wound bed is pink and moist
Stage 3: full thickness skin loss in which adipose and granulation tissue is visible
Stage 4: full thickness and tissue loss with exposed palpable fascia, muscle, tendon, or
bone. slough and eshcar may be visible
✔✔unstageable pressure injury - ✔✔obscured full-thickness skin and tissue loss
✔✔Slough - ✔✔Yellow, stringy nonviable tissue found in the baase of the wound.
✔✔Eschar - ✔✔Hard nonviable black/brown tissue found in the wound bed.
✔✔deep tissue pressure injury (DTPI) - ✔✔Persistent nonblanchable tissue injury of the
skin appearing deep red, maroon, or purple color.
✔✔Injury to a mucous membrane caused by the pressure related to the insertion or
placement of a foreign device. - ✔✔Injury to a mucous membrane caused by the
pressure related to the insertion or placement of a foreign device.
✔✔What to assess for with a dark-skinned client for pressure injuries - ✔✔apply light
pressure and then observe for an area that is darker than the surrounding skin. The skin
can also appear taut, shiny, or indurated.
✔✔Surgical debridement - ✔✔The process of surgically removing dead tissue and other
debris that can cause infection.
✔✔Irrigation wound care - ✔✔Wound irrigation removes surface materials and
decreases bacterial levels in the wound. Wound irrigation may be performed at the
bedside or in the surgical suite, depending on the amount of pressure needed to irrigate
the wound
✔✔what solution is most often used in wound irrigation - ✔✔a 0.9% sodium chloride
solution
QUESTIONS AND ANSWERS GRADED A+
✔✔nonblanchable erythema - ✔✔Redness of the skin caused by dilation of the
superficial capillaries. The redness persists when pressure is applied to the area,
indicating tissue damage.
✔✔What makes erythema more difficult to detect? - ✔✔Dark natural skin color
✔✔What are the classifications of lacerations? - ✔✔Simple or complicated
✔✔Color process of surgical wounds - ✔✔Red on days 1-4
Bright Pink on days 5-14
Pale Pink on days 15-1 year
✔✔exudate - ✔✔Fluid secreted by the body during the inflammatory stage of healing
and is made of plasma.
✔✔When are wound closure materials usually removed? - ✔✔Between days 9 and 14
✔✔What does MASD stand for? - ✔✔moisture associated skin damage
✔✔3 major categories of chronic lower extremity wounds - ✔✔venous disease wounds,
arterial disease wounds, and neuropathic disease wounds
✔✔Serous - ✔✔Thin, watery wound drainage.
✔✔serosanguineous - ✔✔Thin, watery wound drainage mixed with blood
✔✔sanguineous - ✔✔Bloody wound drainage
✔✔purulent - ✔✔Green/yellow wound drainage.
✔✔tunneling - ✔✔A narrow channel or passage way extending in any direction from the
base of the wound
✔✔malnutrition - ✔✔Imbalance in a client's intake, which can include deficiencies or
excesses in nutrients, vitamins, or calories.
✔✔Friction - ✔✔The force created when two objects rub together
✔✔Hypoperfusion - ✔✔Inadequate supply of blood circulation, which results in low
oxygen levels in tissues.
, ✔✔Braden Scale - ✔✔A tool for predicting pressure ulcer risk
✔✔undermining wound - ✔✔An open area extending under skin along the edge of the
wound.
✔✔Benchmarking - ✔✔Comparing results and outcomes to other sources of similarly
retrieved data.
✔✔Pressure Injury stages - ✔✔Stage 1: non-blanchable erythma of intact skin
Stage 2: partial thickness skin loss with exposed dermis. wound bed is pink and moist
Stage 3: full thickness skin loss in which adipose and granulation tissue is visible
Stage 4: full thickness and tissue loss with exposed palpable fascia, muscle, tendon, or
bone. slough and eshcar may be visible
✔✔unstageable pressure injury - ✔✔obscured full-thickness skin and tissue loss
✔✔Slough - ✔✔Yellow, stringy nonviable tissue found in the baase of the wound.
✔✔Eschar - ✔✔Hard nonviable black/brown tissue found in the wound bed.
✔✔deep tissue pressure injury (DTPI) - ✔✔Persistent nonblanchable tissue injury of the
skin appearing deep red, maroon, or purple color.
✔✔Injury to a mucous membrane caused by the pressure related to the insertion or
placement of a foreign device. - ✔✔Injury to a mucous membrane caused by the
pressure related to the insertion or placement of a foreign device.
✔✔What to assess for with a dark-skinned client for pressure injuries - ✔✔apply light
pressure and then observe for an area that is darker than the surrounding skin. The skin
can also appear taut, shiny, or indurated.
✔✔Surgical debridement - ✔✔The process of surgically removing dead tissue and other
debris that can cause infection.
✔✔Irrigation wound care - ✔✔Wound irrigation removes surface materials and
decreases bacterial levels in the wound. Wound irrigation may be performed at the
bedside or in the surgical suite, depending on the amount of pressure needed to irrigate
the wound
✔✔what solution is most often used in wound irrigation - ✔✔a 0.9% sodium chloride
solution
