ATI tissue integrity exam 3 theory with
verified answers
A nurse is observing an assistive personnel care for a
client. Which of the following actions by the AP places the
client at risk for alterations in skin integrity? - CORRECT
ANSWERS ✔✔the ap places the client in high fowlers
position
A nurse is caring for a 6-month-old infant who has
diarrhea. The nurse should monitor the infant for which of
the following alterations in tissue integrity? - CORRECT
ANSWERS ✔✔dermatitis
inflammation of the skin - CORRECT ANSWERS ✔✔what is
dermatitis
A nurse is caring for a client who has a deep foot wound
with minimal exudate and necrotized tissue. For which of
the following dressing types should the nurse anticipate a
prescription to cover the wound? - CORRECT ANSWERS
✔✔hydrogel
A nurse is preparing to obtain a wound culture from a
client who has a suspected wound infection. Which of the
, following actions should the nurse take? - CORRECT
ANSWERS ✔✔Clean the wound with 0.9% sodium
chloride.
A nurse is caring for a client who has a portable wound
bulb suction device and notes that the drainage bulb is
three-fourths full. Which of the following actions should
the nurse take? - CORRECT ANSWERS ✔✔empty and
measure the drainage
A nurse is monitoring a client following a
cholecystectomy. Which of the following findings should
the nurse identify as a potential manifestation of sepsis? -
CORRECT ANSWERS ✔✔increase blood glucose
A nurse is performing an admission skin assessment on a
client and note that the client has a stage 3 pressure
injury to the coccyx. How should the nurse document the
appearance of this pressure injury? - CORRECT ANSWERS
✔✔"Stage 3 pressure injury to the coccyx observed with
full-thickness skin loss and visible adipose tissue."
A nurse is teaching a newly licensed nurse about wound
healing by secondary intention. Which of the following
statements by the newly licensed nurse indicates an
understanding of healing by secondary intention? -
verified answers
A nurse is observing an assistive personnel care for a
client. Which of the following actions by the AP places the
client at risk for alterations in skin integrity? - CORRECT
ANSWERS ✔✔the ap places the client in high fowlers
position
A nurse is caring for a 6-month-old infant who has
diarrhea. The nurse should monitor the infant for which of
the following alterations in tissue integrity? - CORRECT
ANSWERS ✔✔dermatitis
inflammation of the skin - CORRECT ANSWERS ✔✔what is
dermatitis
A nurse is caring for a client who has a deep foot wound
with minimal exudate and necrotized tissue. For which of
the following dressing types should the nurse anticipate a
prescription to cover the wound? - CORRECT ANSWERS
✔✔hydrogel
A nurse is preparing to obtain a wound culture from a
client who has a suspected wound infection. Which of the
, following actions should the nurse take? - CORRECT
ANSWERS ✔✔Clean the wound with 0.9% sodium
chloride.
A nurse is caring for a client who has a portable wound
bulb suction device and notes that the drainage bulb is
three-fourths full. Which of the following actions should
the nurse take? - CORRECT ANSWERS ✔✔empty and
measure the drainage
A nurse is monitoring a client following a
cholecystectomy. Which of the following findings should
the nurse identify as a potential manifestation of sepsis? -
CORRECT ANSWERS ✔✔increase blood glucose
A nurse is performing an admission skin assessment on a
client and note that the client has a stage 3 pressure
injury to the coccyx. How should the nurse document the
appearance of this pressure injury? - CORRECT ANSWERS
✔✔"Stage 3 pressure injury to the coccyx observed with
full-thickness skin loss and visible adipose tissue."
A nurse is teaching a newly licensed nurse about wound
healing by secondary intention. Which of the following
statements by the newly licensed nurse indicates an
understanding of healing by secondary intention? -
