Tissue Integrity Test 6 OBJECTIVE
ASSESSMENT EXAM REVIEW WITH
EXAM QUESTIONS AND CORRECT
SOLUTIONS A+ GRADED UPDATED
2025/2026 SYLLABUS!!!100%
GUARANTEED PASS!!<<NEWEST
VERSION>>
Which topical solutions can be used to clean a granulating wound? Select all that
apply.
1 Water
2 Acetic acid
3 Normal saline
4 Hydrogen peroxide
5 Sodium hypochlorite - ANSWER ✓ 1 Water
3 Normal saline
Which statement is true regarding hydrogel dressings?
1 They enhance autolytic debridement.
2 They may not require secondary dressing.
3 They are not used to relieve pain in the wounds.
4 They are sheet dressings impregnated with saline solution. - ANSWER ✓ 1 They
enhance autolytic debridement.
Upon observation the nurse sees the leakage of serous fluid from a patient's ulcer
dressing. Which type of topical agents should the nurse use in this situation?
1 Hydrogel
2 Normal saline
3 Calcium alginate
4 Debriding enzymes - ANSWER ✓ 3 Calcium alginate
, The nurse observes increased wound drainage in a patient provided with a moist-
to-dry dressing for pressure ulcers. What should be the immediate nursing
intervention?
1 Change the dressing
2 Obtain wound culture
3 Apply pressure on the wound
4 Monitor the patient's white blood cell count - ANSWER ✓ 1 Change the dressing
After receiving negative suction wound therapy for pressure ulcers, the patient
complains of severe pain. What should be the immediate nursing action?
1 Reduce the suction
2 Notify the health care provider
3 Increase frequency of dressing change
4 Reinforce with transparent dressing strips - ANSWER ✓ 1 Reduce the suction
Which type of dressing is used for stage I pressure ulcers?
1 Gauze sponges
2 Hydrogel dressings
3 Hydrocolloid dressings
4 Transparent film dressings - ANSWER ✓ 4 Transparent film dressings
While caring for a patient who has a chronic wound, the nurse observes exudates
in the periwound area. Which nursing intervention is appropriate in this scenario?
Select all that apply.
1 Increase the frequency of dressing change
2 Use of sterile cotton-tipped applicator
3 Use of petrolatum-based skin protectant
4 Use of Dakin's solution for cleaning the wound
5 Use of dressing material that has more absorbing capacity - ANSWER ✓ 1
Increase the frequency of dressing change
3 Use of petrolatum-based skin protectant
5 Use of dressing material that has more absorbing capacity
While treating a patient with negative-pressure wound therapy (NWPT) for
radiation-damaged skin on the forearm, the nurse observes pressure ulcers on the
elbow. Which nursing action is responsible for the patient's condition?
1 The nurse placed the tubing over the elbow.
2 The nurse removed the transparent film by stretching it horizontally.
3 The nurse raised the tubing connectors above the level of the NWPT unit.
,4 The nurse kept the system in "de vac" mode for 30 minutes before changing the
dressing - ANSWER ✓ 1 The nurse placed the tubing over the elbow.
Which statement is true regarding nonblanchable erythema?
1 It occurs due to tissue hypoxia.
2 It is an early indication of pressure.
3 It indicates potential damage to blood vessels.
4 It turns white under the application of pressure - ANSWER ✓ 3 It indicates
potential damage to blood vessels.
Which nursing interventions are appropriate when a patient complains of sensation
under the dressing? Select all that apply.
1 Apply pressure over the wound
2 Instruct the patient to walk for some time
3 Observe the wound for increased drainage
4 Report to the primary health care provider immediately
5 Cover the wound with a sterile moist dressing if underlying organs protrude -
ANSWER ✓ 3 Observe the wound for increased drainage
4 Report to the primary health care provider immediately
5 Cover the wound with a sterile moist dressing if underlying organs protrude
The registered nurse is teaching a nursing student about home care considerations
to prevent the risk of pressure ulcers. Which statements made by the nursing
student indicate effective learning? Select all that apply.
1 "I should educate the patient about the signs of wound infection."
2 "I should discuss reactive surfaces that may increase pressure to the wound."
3 "I should instruct the patient to dispose of the soiled dressings by incineration."
4 "I should instruct the patient to evaluate the healing by using the pressure ulcer
staging system."
5 "I should instruct the patient to approach the registered nurse if the wound does
not heal within 2 weeks." - ANSWER ✓ 1 "I should educate the patient about the
signs of wound infection."
2 "I should discuss reactive surfaces that may increase pressure to the wound."
What does the nonblanchable erythema indicate about the skin?
1 The tissue is infected.
2 The tissue is damaged.
3 The tissue is under hypoxia.
4 The tissue is under pressure. - ANSWER ✓ 2 The tissue is damaged.
, While changing the wet-to-dry dressing, the nurse notes a dime-sized ulcer under
the adhesive tape. What should be applied to secure the wound? Select all that
apply.
1 Elastic net
2 Rolled gauze
3 Topper dressing
4 Solid skin barrier
5 Montgomery ties - ANSWER ✓ 4 Solid skin barrier
5 Montgomery ties
Which patients are at risk of developing pressure ulcers? Select all that apply.
1 A patient who has urinary incontinence
2 A patient who has had hip replacement surgery
3 A patient who walks with the help of an assistant
4 A patient who is on a normal diet after an abdominal surgery
5 An older adult patient who has had cardiac surgery, but who is performing a
normal physical activity - ANSWER ✓ 1 A patient who has urinary incontinence
2 A patient who has had hip replacement surgery
3 A patient who walks with the help of an assistant
What are the advantages of using hydrogel dressing? Select all that apply.
1 Allows for easy removal
2 Minimizes skin trauma
3 Debrides necrotic tissue
4 Permits viewing of wound
5 Provides a moist environment - ANSWER ✓ 1 Allows for easy removal
3 Debrides necrotic tissue
5 Provides a moist environment
A patient is diagnosed with moderate deep dermal ulcers. Why would the nurse
provide a hydrocolloid dressing to this patient? Select all that apply.
1 Reduces wound pain
2 Minimizes skin trauma
3 Permits viewing a wound
4 Provides moist environment
5 Slowly liquefies necrotic debris - ANSWER ✓ 2 Minimizes skin trauma
4 Provides moist environment
5 Slowly liquefies necrotic debris
ASSESSMENT EXAM REVIEW WITH
EXAM QUESTIONS AND CORRECT
SOLUTIONS A+ GRADED UPDATED
2025/2026 SYLLABUS!!!100%
GUARANTEED PASS!!<<NEWEST
VERSION>>
Which topical solutions can be used to clean a granulating wound? Select all that
apply.
1 Water
2 Acetic acid
3 Normal saline
4 Hydrogen peroxide
5 Sodium hypochlorite - ANSWER ✓ 1 Water
3 Normal saline
Which statement is true regarding hydrogel dressings?
1 They enhance autolytic debridement.
2 They may not require secondary dressing.
3 They are not used to relieve pain in the wounds.
4 They are sheet dressings impregnated with saline solution. - ANSWER ✓ 1 They
enhance autolytic debridement.
Upon observation the nurse sees the leakage of serous fluid from a patient's ulcer
dressing. Which type of topical agents should the nurse use in this situation?
1 Hydrogel
2 Normal saline
3 Calcium alginate
4 Debriding enzymes - ANSWER ✓ 3 Calcium alginate
, The nurse observes increased wound drainage in a patient provided with a moist-
to-dry dressing for pressure ulcers. What should be the immediate nursing
intervention?
1 Change the dressing
2 Obtain wound culture
3 Apply pressure on the wound
4 Monitor the patient's white blood cell count - ANSWER ✓ 1 Change the dressing
After receiving negative suction wound therapy for pressure ulcers, the patient
complains of severe pain. What should be the immediate nursing action?
1 Reduce the suction
2 Notify the health care provider
3 Increase frequency of dressing change
4 Reinforce with transparent dressing strips - ANSWER ✓ 1 Reduce the suction
Which type of dressing is used for stage I pressure ulcers?
1 Gauze sponges
2 Hydrogel dressings
3 Hydrocolloid dressings
4 Transparent film dressings - ANSWER ✓ 4 Transparent film dressings
While caring for a patient who has a chronic wound, the nurse observes exudates
in the periwound area. Which nursing intervention is appropriate in this scenario?
Select all that apply.
1 Increase the frequency of dressing change
2 Use of sterile cotton-tipped applicator
3 Use of petrolatum-based skin protectant
4 Use of Dakin's solution for cleaning the wound
5 Use of dressing material that has more absorbing capacity - ANSWER ✓ 1
Increase the frequency of dressing change
3 Use of petrolatum-based skin protectant
5 Use of dressing material that has more absorbing capacity
While treating a patient with negative-pressure wound therapy (NWPT) for
radiation-damaged skin on the forearm, the nurse observes pressure ulcers on the
elbow. Which nursing action is responsible for the patient's condition?
1 The nurse placed the tubing over the elbow.
2 The nurse removed the transparent film by stretching it horizontally.
3 The nurse raised the tubing connectors above the level of the NWPT unit.
,4 The nurse kept the system in "de vac" mode for 30 minutes before changing the
dressing - ANSWER ✓ 1 The nurse placed the tubing over the elbow.
Which statement is true regarding nonblanchable erythema?
1 It occurs due to tissue hypoxia.
2 It is an early indication of pressure.
3 It indicates potential damage to blood vessels.
4 It turns white under the application of pressure - ANSWER ✓ 3 It indicates
potential damage to blood vessels.
Which nursing interventions are appropriate when a patient complains of sensation
under the dressing? Select all that apply.
1 Apply pressure over the wound
2 Instruct the patient to walk for some time
3 Observe the wound for increased drainage
4 Report to the primary health care provider immediately
5 Cover the wound with a sterile moist dressing if underlying organs protrude -
ANSWER ✓ 3 Observe the wound for increased drainage
4 Report to the primary health care provider immediately
5 Cover the wound with a sterile moist dressing if underlying organs protrude
The registered nurse is teaching a nursing student about home care considerations
to prevent the risk of pressure ulcers. Which statements made by the nursing
student indicate effective learning? Select all that apply.
1 "I should educate the patient about the signs of wound infection."
2 "I should discuss reactive surfaces that may increase pressure to the wound."
3 "I should instruct the patient to dispose of the soiled dressings by incineration."
4 "I should instruct the patient to evaluate the healing by using the pressure ulcer
staging system."
5 "I should instruct the patient to approach the registered nurse if the wound does
not heal within 2 weeks." - ANSWER ✓ 1 "I should educate the patient about the
signs of wound infection."
2 "I should discuss reactive surfaces that may increase pressure to the wound."
What does the nonblanchable erythema indicate about the skin?
1 The tissue is infected.
2 The tissue is damaged.
3 The tissue is under hypoxia.
4 The tissue is under pressure. - ANSWER ✓ 2 The tissue is damaged.
, While changing the wet-to-dry dressing, the nurse notes a dime-sized ulcer under
the adhesive tape. What should be applied to secure the wound? Select all that
apply.
1 Elastic net
2 Rolled gauze
3 Topper dressing
4 Solid skin barrier
5 Montgomery ties - ANSWER ✓ 4 Solid skin barrier
5 Montgomery ties
Which patients are at risk of developing pressure ulcers? Select all that apply.
1 A patient who has urinary incontinence
2 A patient who has had hip replacement surgery
3 A patient who walks with the help of an assistant
4 A patient who is on a normal diet after an abdominal surgery
5 An older adult patient who has had cardiac surgery, but who is performing a
normal physical activity - ANSWER ✓ 1 A patient who has urinary incontinence
2 A patient who has had hip replacement surgery
3 A patient who walks with the help of an assistant
What are the advantages of using hydrogel dressing? Select all that apply.
1 Allows for easy removal
2 Minimizes skin trauma
3 Debrides necrotic tissue
4 Permits viewing of wound
5 Provides a moist environment - ANSWER ✓ 1 Allows for easy removal
3 Debrides necrotic tissue
5 Provides a moist environment
A patient is diagnosed with moderate deep dermal ulcers. Why would the nurse
provide a hydrocolloid dressing to this patient? Select all that apply.
1 Reduces wound pain
2 Minimizes skin trauma
3 Permits viewing a wound
4 Provides moist environment
5 Slowly liquefies necrotic debris - ANSWER ✓ 2 Minimizes skin trauma
4 Provides moist environment
5 Slowly liquefies necrotic debris
