Tissue Integrity Test 6 questions with
answers
The registered nurse is overseeing a nursing student who is providing a dressing change to a
patient who had a cesarean section. Which nursing action indicates a need for further
learning?
1 Choosing a dressing that keeps the periwound moist
2 Applying a dressing that controls exudates from the wound
3 Cleaning the periwound and wound without applying pressure
4 Using sterile normal saline and a sterile gauze to clean the surgical wound - ** VERIFIED
ANSWERS **✔✔1 Choosing a dressing that keeps the periwound moist
Which support surface is useful for treating and preventing pulmonary, venous stasis, and
urinary complications associated with immobility?
1 Low-air-loss surface
2 Nonpoweredsurface
3 Lateral rotation surface
4 Air-fluidized bed - ** VERIFIED ANSWERS **✔✔3 Lateral rotation surface
The nurse is preparing a care plan for a patient who has a pressure ulcer on the coccyx.
Which part of the plan is included to provide comfort to the patient?
1 Repositioning the patient every 90 minutes
2 Cleaning and massaging around the affected area
3 Elevating the head of the patient's bed to 30 degrees
4 Applying a moisture barrier ointment over the ulcer - ** VERIFIED ANSWERS **✔✔4
Applying a moisture barrier ointment over the ulcer
,The registered nurse is overseeing a nursing student who is collecting samples of wound
drainage for culture. Which nursing action indicates a need for further learning?
1 Cleaning a wound with normal saline
2 Using a different method of specimen collection for each type of organism
3 Collecting wound culture samples from old drainage
4 Using a 10-mL disposable syringe with a 22-gauge needle - ** VERIFIED ANSWERS
**✔✔3 Collecting wound culture samples from old drainage
Which sign is an early indication of pressure that resolves without tissue loss if the pressure
is eliminated?
1 Pallor or molting
2 Dark red or purple discoloration
3 Blanchable erythema
4 Nonblanchable erythema - ** VERIFIED ANSWERS **✔✔3 Blanchable erythema
Under the supervision of the registered nurse, a nursing student is providing negative-
pressure wound therapy to a patient who has a wound near the knee joint. Which nursing
action indicates the need for further learning?
1 Drying the periwound thoroughly before dressing
2 Covering the skin near the suction line with at hydrocolloid dressing
3 Applying adhesive remover at the affected site before the dressing
4 Dressing the wound with a hydrocolloid film 3 cm away from the wound - ** VERIFIED
ANSWERS **✔✔3 Applying adhesive remover at the affected site before the dressing
Which nutrient is an antioxidant that promotes wound healing?
1 Zinc
2 Protein
3 Vitamin C
4 Vitamin A - ** VERIFIED ANSWERS **✔✔3 Vitamin C
,Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔4 Serosanguineous
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔1 Serous
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔2 Purulent
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔3 Sanguineous
Which stage of the pressure ulcer involves partial-thickness loss of the dermis and manifests
as a red-pink, open ulcer without slough?
, 1 Stage I
2 Stage II
3 Stage III
4 Stage IV - ** VERIFIED ANSWERS **✔✔2 Stage II
Which is characteristic of abnormal healing of a primary wound?
1 Slough tissue in the wound base
2 A fruity, earthy, or putrid odor
3 A dry or moist granulation tissue bed
4 Drainage for more than 3 days after closure - ** VERIFIED ANSWERS **✔✔4 Drainage
for more than 3 days after closure
Which statement regarding the skin is true?
1 The stratum corneum prevents entrance of topical medications.
2 The dermis and the inner layer of the skin provide tensile strength.
3 The basal layer of the epidermis is responsible for collagen formation.
4 The three layers of the skin are the epidermis, dermis, and endodermis - ** VERIFIED
ANSWERS **✔✔2 The dermis and the inner layer of the skin provide tensile strength.
Arrange the events that occur during the proliferative phase of wound healing in
chronological order.
1. Contraction of the wound
2. Synthesis of collagen from fibroblasts
3. Migration of the epithelial cells from the wound edges
4. Mixing of collagen with granulation tissue - ** VERIFIED ANSWERS **✔✔1. Synthesis of
collagen from fibroblasts
2. Mixing of collagen with granulation tissue
3. Contraction of the wound
answers
The registered nurse is overseeing a nursing student who is providing a dressing change to a
patient who had a cesarean section. Which nursing action indicates a need for further
learning?
1 Choosing a dressing that keeps the periwound moist
2 Applying a dressing that controls exudates from the wound
3 Cleaning the periwound and wound without applying pressure
4 Using sterile normal saline and a sterile gauze to clean the surgical wound - ** VERIFIED
ANSWERS **✔✔1 Choosing a dressing that keeps the periwound moist
Which support surface is useful for treating and preventing pulmonary, venous stasis, and
urinary complications associated with immobility?
1 Low-air-loss surface
2 Nonpoweredsurface
3 Lateral rotation surface
4 Air-fluidized bed - ** VERIFIED ANSWERS **✔✔3 Lateral rotation surface
The nurse is preparing a care plan for a patient who has a pressure ulcer on the coccyx.
Which part of the plan is included to provide comfort to the patient?
1 Repositioning the patient every 90 minutes
2 Cleaning and massaging around the affected area
3 Elevating the head of the patient's bed to 30 degrees
4 Applying a moisture barrier ointment over the ulcer - ** VERIFIED ANSWERS **✔✔4
Applying a moisture barrier ointment over the ulcer
,The registered nurse is overseeing a nursing student who is collecting samples of wound
drainage for culture. Which nursing action indicates a need for further learning?
1 Cleaning a wound with normal saline
2 Using a different method of specimen collection for each type of organism
3 Collecting wound culture samples from old drainage
4 Using a 10-mL disposable syringe with a 22-gauge needle - ** VERIFIED ANSWERS
**✔✔3 Collecting wound culture samples from old drainage
Which sign is an early indication of pressure that resolves without tissue loss if the pressure
is eliminated?
1 Pallor or molting
2 Dark red or purple discoloration
3 Blanchable erythema
4 Nonblanchable erythema - ** VERIFIED ANSWERS **✔✔3 Blanchable erythema
Under the supervision of the registered nurse, a nursing student is providing negative-
pressure wound therapy to a patient who has a wound near the knee joint. Which nursing
action indicates the need for further learning?
1 Drying the periwound thoroughly before dressing
2 Covering the skin near the suction line with at hydrocolloid dressing
3 Applying adhesive remover at the affected site before the dressing
4 Dressing the wound with a hydrocolloid film 3 cm away from the wound - ** VERIFIED
ANSWERS **✔✔3 Applying adhesive remover at the affected site before the dressing
Which nutrient is an antioxidant that promotes wound healing?
1 Zinc
2 Protein
3 Vitamin C
4 Vitamin A - ** VERIFIED ANSWERS **✔✔3 Vitamin C
,Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔4 Serosanguineous
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔1 Serous
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔2 Purulent
Which type of wound drainage is shown in the image on the next slide?
1 Serous
2 Purulent
3 Sanguineous
4 Serosanguineous - ** VERIFIED ANSWERS **✔✔3 Sanguineous
Which stage of the pressure ulcer involves partial-thickness loss of the dermis and manifests
as a red-pink, open ulcer without slough?
, 1 Stage I
2 Stage II
3 Stage III
4 Stage IV - ** VERIFIED ANSWERS **✔✔2 Stage II
Which is characteristic of abnormal healing of a primary wound?
1 Slough tissue in the wound base
2 A fruity, earthy, or putrid odor
3 A dry or moist granulation tissue bed
4 Drainage for more than 3 days after closure - ** VERIFIED ANSWERS **✔✔4 Drainage
for more than 3 days after closure
Which statement regarding the skin is true?
1 The stratum corneum prevents entrance of topical medications.
2 The dermis and the inner layer of the skin provide tensile strength.
3 The basal layer of the epidermis is responsible for collagen formation.
4 The three layers of the skin are the epidermis, dermis, and endodermis - ** VERIFIED
ANSWERS **✔✔2 The dermis and the inner layer of the skin provide tensile strength.
Arrange the events that occur during the proliferative phase of wound healing in
chronological order.
1. Contraction of the wound
2. Synthesis of collagen from fibroblasts
3. Migration of the epithelial cells from the wound edges
4. Mixing of collagen with granulation tissue - ** VERIFIED ANSWERS **✔✔1. Synthesis of
collagen from fibroblasts
2. Mixing of collagen with granulation tissue
3. Contraction of the wound
