TISSUE INTEGRITY ATI EXAM
QUESTIONS AND ANSWERS
(LATEST)
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? - 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? - ANSWERS-Increased blood glucose
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? - ANSWERS-Dermatitis
A nurse is providing teaching for a client who has a prescription for
alginate dressing for a wound. Which of the following statements by
the client indicates an understanding of alginate dressing? -
ANSWERS-"This type of dressing will need a secondary dressing for
reinforcement".
A nurse is reviewing strategies to reduce the risk of wound dehiscence
with a client following abdominal surgery. Which of the following
, responses by the client indicates an understanding of the information?
- ANSWERS-"I should report pain at my wound site".
A nurse is observing an assistive personnel (AP) care for a client.
Which of the following actions by the AP places the client at risk for
alterations in skin integrity? - ANSWERS-The AP places the client in
high-Fowler's position
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? - ANSWERS-"This type of healing begins in the wound
bed with the generation of granulation tissue".
A nurse in an outpatient clinic is assessing the incision site of a client
who is 7 days postoperative. Which of the following findings should
the nurse expect? - ANSWERS-A bright pink incision site that is
absent of exudate
A nurse is providing discharge teaching to the caregiver for a client
who has a stage 1 pressure injury to the sacrum. Which of the
following instructions should be included to the caregiver to prevent
further skin breakdown? - ANSWERS-Flex the client's knees while in
bed
A nurse is providing teaching to 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? -
QUESTIONS AND ANSWERS
(LATEST)
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? - 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? - ANSWERS-Increased blood glucose
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? - ANSWERS-Dermatitis
A nurse is providing teaching for a client who has a prescription for
alginate dressing for a wound. Which of the following statements by
the client indicates an understanding of alginate dressing? -
ANSWERS-"This type of dressing will need a secondary dressing for
reinforcement".
A nurse is reviewing strategies to reduce the risk of wound dehiscence
with a client following abdominal surgery. Which of the following
, responses by the client indicates an understanding of the information?
- ANSWERS-"I should report pain at my wound site".
A nurse is observing an assistive personnel (AP) care for a client.
Which of the following actions by the AP places the client at risk for
alterations in skin integrity? - ANSWERS-The AP places the client in
high-Fowler's position
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? - ANSWERS-"This type of healing begins in the wound
bed with the generation of granulation tissue".
A nurse in an outpatient clinic is assessing the incision site of a client
who is 7 days postoperative. Which of the following findings should
the nurse expect? - ANSWERS-A bright pink incision site that is
absent of exudate
A nurse is providing discharge teaching to the caregiver for a client
who has a stage 1 pressure injury to the sacrum. Which of the
following instructions should be included to the caregiver to prevent
further skin breakdown? - ANSWERS-Flex the client's knees while in
bed
A nurse is providing teaching to 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? -
