1|Page
Tissue Integrity ATI EXAM ||2026 Actual
Comprehensive Real Verified Exam Questions And
Verified Answers (Correct Answers) Graded A+ |
Newest Exam!!!
A nurse is assisting with the care of a client who has
sustained a gunshot wound to the abdomen and is 6 hr
postoperative. The nurse notices protrusion of the client's
organs from the incision site and calls for help. Which of
the following actions should the nurse take?
a. Ask the client to bear down and cough.
b. Ask another nurse to bring icepacks to apply to the
wound.
c. Cover the client's wound with a sterile saline dressing.
d. Place the client in high-Fowler's position. - Answer-c.
Cover the client's wound with a sterile saline dressing.
Rationale:
The nurse should place a sterile, saline-soaked dressing
over the client's wound to prevent the dressing from
adhering to the tissue and protect the organs until the
client is taken back to surgery.
,2|Page
A nurse is contributing to the plan of care for an older adult
client who is bedridden. Which of the following actions
should the nurse include in the plane to prevent skin
breakdown?
a. Tilt the client on their side at 30°.
b. Firmly massage lotion into the client's skin.
c. Slide the client to the edge of the bed to transfer.
d. Keep the head of the bed at 45° when in the supine
position. - Answer-a. Tilt the client on their side at 30°.
Rationale:
The nurse should include in the client's plan of care to tilt
the client on their side at 20° to 30°. This prevents the
client from sliding down in bed, which can cause shearing
of the skin, while also relieving pressure to the client's hip.
Firmly massage lotion into the client's skin.
A nurse is reinforcing teaching with a client who is in a
wheelchair about measures to avoid skin breakdown.
Which of the following instructions by the nurse is related
to preventing skin breakdown?
, 3|Page
a. "You should shift your weight off your buttocks at
intervals throughout the day."
b. "You should be sure your legs are placed on the floor
prior to transferring."
c. "Position yourself in the back of the wheelchair after
transferring."
d. "Lock your brakes when you are sitting in the
wheelchair." - Answer-a. "You should shift your weight off
your buttocks at intervals throughout the day."
Rationale:
The nurse should instruct the client who is in a wheelchair
to shift their weight to relieve the pressure on the sacral
area at regular intervals throughout the day. This action
will increase circulation to the tissues and prevent skin
breakdown.
A nurse is collecting data from a client who has a stage 3
pressure injury on the coccyx. Which of the following
alteration in tissue integrity should the nurse expect to
find?
Tissue Integrity ATI EXAM ||2026 Actual
Comprehensive Real Verified Exam Questions And
Verified Answers (Correct Answers) Graded A+ |
Newest Exam!!!
A nurse is assisting with the care of a client who has
sustained a gunshot wound to the abdomen and is 6 hr
postoperative. The nurse notices protrusion of the client's
organs from the incision site and calls for help. Which of
the following actions should the nurse take?
a. Ask the client to bear down and cough.
b. Ask another nurse to bring icepacks to apply to the
wound.
c. Cover the client's wound with a sterile saline dressing.
d. Place the client in high-Fowler's position. - Answer-c.
Cover the client's wound with a sterile saline dressing.
Rationale:
The nurse should place a sterile, saline-soaked dressing
over the client's wound to prevent the dressing from
adhering to the tissue and protect the organs until the
client is taken back to surgery.
,2|Page
A nurse is contributing to the plan of care for an older adult
client who is bedridden. Which of the following actions
should the nurse include in the plane to prevent skin
breakdown?
a. Tilt the client on their side at 30°.
b. Firmly massage lotion into the client's skin.
c. Slide the client to the edge of the bed to transfer.
d. Keep the head of the bed at 45° when in the supine
position. - Answer-a. Tilt the client on their side at 30°.
Rationale:
The nurse should include in the client's plan of care to tilt
the client on their side at 20° to 30°. This prevents the
client from sliding down in bed, which can cause shearing
of the skin, while also relieving pressure to the client's hip.
Firmly massage lotion into the client's skin.
A nurse is reinforcing teaching with a client who is in a
wheelchair about measures to avoid skin breakdown.
Which of the following instructions by the nurse is related
to preventing skin breakdown?
, 3|Page
a. "You should shift your weight off your buttocks at
intervals throughout the day."
b. "You should be sure your legs are placed on the floor
prior to transferring."
c. "Position yourself in the back of the wheelchair after
transferring."
d. "Lock your brakes when you are sitting in the
wheelchair." - Answer-a. "You should shift your weight off
your buttocks at intervals throughout the day."
Rationale:
The nurse should instruct the client who is in a wheelchair
to shift their weight to relieve the pressure on the sacral
area at regular intervals throughout the day. This action
will increase circulation to the tissues and prevent skin
breakdown.
A nurse is collecting data from a client who has a stage 3
pressure injury on the coccyx. Which of the following
alteration in tissue integrity should the nurse expect to
find?
