N322 Tissue Integrity And Elimination Exam Questions and Answers Already Passed Latest
Update 2025-2026
Factors contributing to formation of pressure ulcer - Answers Pressure is major cause
1)pressure intensity
2) pressure duration
3) tissue tolerance
If erythematous area does not blanch when you apply pressure - Answers Deep tissue damage
is possible
Tunnel
Undermining - Answers Both caused by shear
Tunnel: narrow passageway
Undermining: big passageway
Concepts that impact tissue integrity - Answers Sensory perception, mobility, nutrition,
perfusion, gas exchange, elimination
Concepts impacted by disrupted tissue integrity - Answers pain, infection, fluids & electrolytes,
thermoregulation
what is correct stitch removal technique? - Answers cut suture as close to skin as possible and
pull out from the other (longer) side
pg 1208
When to use braden scale - Answers usually every shift and within 24 hours of admission
Braden scale IS AN ASSESSMENT OF RISK
Important to do a full head to toe to identify existing problems both for treatment and so they
aren't "owned" by facility. To identify high risk spots
Interventions - Answers Q2hr turn or assist with repositioning in bed
Off load heels or heel protectors
, HOB no more than 30 degrees if not contraindicated
Keep skin dry. Assist with urination and clean skin after
Moisture barrier cream
Pressure redistribution cushion when seated
Limit sitting to MAX of 2 hours
Teach patient to shift q15min in chair
Appropriate support surface / mattress
Pre-albumin (if hospital policy)
Nutrition Consult
Foam ear cushions
Prevalon boots - Answers offload heels
High risk patients and patients with existing pressure ulcers should NOT be on regular
mattresses - Answers
Tissue is compressed between a bony prominence and an external surface for a prolonged
period of time causing tissue death. - Answers Poor nutrition
Poor hydration
Age
Diabetes (perfusion)
Prior pressure ulcers
Altered consciousness
Altered perception
Altered perfusion / circulation
Friction
shear
moisture
incontinence
Update 2025-2026
Factors contributing to formation of pressure ulcer - Answers Pressure is major cause
1)pressure intensity
2) pressure duration
3) tissue tolerance
If erythematous area does not blanch when you apply pressure - Answers Deep tissue damage
is possible
Tunnel
Undermining - Answers Both caused by shear
Tunnel: narrow passageway
Undermining: big passageway
Concepts that impact tissue integrity - Answers Sensory perception, mobility, nutrition,
perfusion, gas exchange, elimination
Concepts impacted by disrupted tissue integrity - Answers pain, infection, fluids & electrolytes,
thermoregulation
what is correct stitch removal technique? - Answers cut suture as close to skin as possible and
pull out from the other (longer) side
pg 1208
When to use braden scale - Answers usually every shift and within 24 hours of admission
Braden scale IS AN ASSESSMENT OF RISK
Important to do a full head to toe to identify existing problems both for treatment and so they
aren't "owned" by facility. To identify high risk spots
Interventions - Answers Q2hr turn or assist with repositioning in bed
Off load heels or heel protectors
, HOB no more than 30 degrees if not contraindicated
Keep skin dry. Assist with urination and clean skin after
Moisture barrier cream
Pressure redistribution cushion when seated
Limit sitting to MAX of 2 hours
Teach patient to shift q15min in chair
Appropriate support surface / mattress
Pre-albumin (if hospital policy)
Nutrition Consult
Foam ear cushions
Prevalon boots - Answers offload heels
High risk patients and patients with existing pressure ulcers should NOT be on regular
mattresses - Answers
Tissue is compressed between a bony prominence and an external surface for a prolonged
period of time causing tissue death. - Answers Poor nutrition
Poor hydration
Age
Diabetes (perfusion)
Prior pressure ulcers
Altered consciousness
Altered perception
Altered perfusion / circulation
Friction
shear
moisture
incontinence
