ATI RN INTEGUMENTARY SYSTEM EXAM NEWEST
EVALUATED PRACTICE EXAM 100 QUESTIONS
2026-2027|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT DOWNLOAD
PDF*
1. A nurse is assessing a client who has a pressure injury over the
sacrum. The wound has partial-thickness skin loss with a red-pink
wound bed and no exposed adipose tissue. Which stage should the
nurse document?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Rationale: Stage 2 pressure injuries involve partial-thickness skin loss
with exposed dermis and a viable pink or red wound bed.
2. Which finding is characteristic of a Stage 1 pressure injury?
A. Full-thickness tissue loss
B. Exposed bone
C. Nonblanchable erythema of intact skin
D. Slough covering the wound bed
Rationale: Stage 1 pressure injuries involve intact skin with persistent
nonblanchable redness.
,3. A nurse is caring for a client at risk for pressure injuries. Which
intervention is appropriate?
A. Massage reddened areas
B. Keep the head of the bed at 60°
C. Reposition the client regularly
D. Use donut-shaped cushions under the sacrum
Rationale: Regular repositioning relieves prolonged pressure and
helps prevent tissue ischemia and pressure injury formation.
4. Which client is at greatest risk for developing a pressure injury?
A. Client who ambulates independently
B. Client with a BMI of 25
C. Client who is immobile and incontinent
D. Client who consumes adequate protein
Rationale: Immobility increases prolonged pressure, while moisture
from incontinence contributes to skin breakdown.
5. A nurse is teaching a client about pressure injury prevention. Which
statement indicates understanding?
A. “I should massage areas that are red.”
B. “I should remain in one position while sleeping.”
C. “I should inspect my skin every day.”
D. “I should use hot water when bathing.”
Rationale: Daily skin inspection helps identify early changes before
significant tissue damage develops.
,6. Which intervention is appropriate for preventing shear injuries?
A. Pull the client across the bed
B. Use a lift sheet when repositioning
C. Elevate the head of the bed to 90°
D. Massage the sacral area
Rationale: A lift sheet reduces friction and shear during repositioning.
7. A client has a pressure injury with full-thickness skin loss and visible
adipose tissue. Which stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Rationale: Stage 3 involves full-thickness skin loss with visible adipose
tissue and possible granulation tissue.
8. Which finding indicates a Stage 4 pressure injury?
A. Intact skin with erythema
B. Partial-thickness loss
C. Exposed adipose tissue only
D. Exposed muscle, tendon, or bone
Rationale: Stage 4 pressure injuries involve extensive tissue loss with
exposed or directly palpable fascia, muscle, tendon, cartilage, or bone.
9. A nurse identifies purple or maroon discoloration over intact skin in
an immobile client. What should the nurse suspect?
, A. Stage 1 pressure injury
B. Stage 2 pressure injury
C. Deep tissue pressure injury
D. Venous ulcer
Rationale: Deep tissue pressure injury can appear as persistent deep
red, maroon, or purple discoloration of intact or damaged skin.
10. Which nutrient is especially important for wound healing?
A. Sodium
B. Protein
C. Cholesterol
D. Caffeine
Rationale: Adequate protein is essential for collagen formation, tissue
repair, and immune function.
11. A nurse is assessing a client with a suspected melanoma. Which
finding is most concerning?
A. Symmetrical lesion
B. Uniform color
C. Smooth borders
D. Irregular borders and multiple colors
Rationale: Melanoma commonly demonstrates ABCDE warning signs,
including asymmetry, irregular borders, color variation, larger
diameter, and evolving characteristics.
EVALUATED PRACTICE EXAM 100 QUESTIONS
2026-2027|ORIGINAL QUESTIONS & ANSWERS
|DETAILED RATIONALES |HINTED COMPLETE
EXAM PREP GRADED A+*INSTANT DOWNLOAD
PDF*
1. A nurse is assessing a client who has a pressure injury over the
sacrum. The wound has partial-thickness skin loss with a red-pink
wound bed and no exposed adipose tissue. Which stage should the
nurse document?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Rationale: Stage 2 pressure injuries involve partial-thickness skin loss
with exposed dermis and a viable pink or red wound bed.
2. Which finding is characteristic of a Stage 1 pressure injury?
A. Full-thickness tissue loss
B. Exposed bone
C. Nonblanchable erythema of intact skin
D. Slough covering the wound bed
Rationale: Stage 1 pressure injuries involve intact skin with persistent
nonblanchable redness.
,3. A nurse is caring for a client at risk for pressure injuries. Which
intervention is appropriate?
A. Massage reddened areas
B. Keep the head of the bed at 60°
C. Reposition the client regularly
D. Use donut-shaped cushions under the sacrum
Rationale: Regular repositioning relieves prolonged pressure and
helps prevent tissue ischemia and pressure injury formation.
4. Which client is at greatest risk for developing a pressure injury?
A. Client who ambulates independently
B. Client with a BMI of 25
C. Client who is immobile and incontinent
D. Client who consumes adequate protein
Rationale: Immobility increases prolonged pressure, while moisture
from incontinence contributes to skin breakdown.
5. A nurse is teaching a client about pressure injury prevention. Which
statement indicates understanding?
A. “I should massage areas that are red.”
B. “I should remain in one position while sleeping.”
C. “I should inspect my skin every day.”
D. “I should use hot water when bathing.”
Rationale: Daily skin inspection helps identify early changes before
significant tissue damage develops.
,6. Which intervention is appropriate for preventing shear injuries?
A. Pull the client across the bed
B. Use a lift sheet when repositioning
C. Elevate the head of the bed to 90°
D. Massage the sacral area
Rationale: A lift sheet reduces friction and shear during repositioning.
7. A client has a pressure injury with full-thickness skin loss and visible
adipose tissue. Which stage is this?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Rationale: Stage 3 involves full-thickness skin loss with visible adipose
tissue and possible granulation tissue.
8. Which finding indicates a Stage 4 pressure injury?
A. Intact skin with erythema
B. Partial-thickness loss
C. Exposed adipose tissue only
D. Exposed muscle, tendon, or bone
Rationale: Stage 4 pressure injuries involve extensive tissue loss with
exposed or directly palpable fascia, muscle, tendon, cartilage, or bone.
9. A nurse identifies purple or maroon discoloration over intact skin in
an immobile client. What should the nurse suspect?
, A. Stage 1 pressure injury
B. Stage 2 pressure injury
C. Deep tissue pressure injury
D. Venous ulcer
Rationale: Deep tissue pressure injury can appear as persistent deep
red, maroon, or purple discoloration of intact or damaged skin.
10. Which nutrient is especially important for wound healing?
A. Sodium
B. Protein
C. Cholesterol
D. Caffeine
Rationale: Adequate protein is essential for collagen formation, tissue
repair, and immune function.
11. A nurse is assessing a client with a suspected melanoma. Which
finding is most concerning?
A. Symmetrical lesion
B. Uniform color
C. Smooth borders
D. Irregular borders and multiple colors
Rationale: Melanoma commonly demonstrates ABCDE warning signs,
including asymmetry, irregular borders, color variation, larger
diameter, and evolving characteristics.
