Tissue Integrity ATI EXAM comprehensive
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2025 TEST!! Graded A+ | 2025|2026 EXAM
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Terms in this set (25)
A nurse is providing You should shift your weight off your buttocks at
teaching to a client who is intervals throughout the day
in a wheelchair about
measures to avoid skin Rationale: this action will increase circulation to the
breakdown. Which of the tissues and prevent skin breakdown.
following instructions by
the nurse is related to
preventing skin
breakdown?
A wound, ostomy and Pressure injury documentation includes location,
continence nurse (WOCN) stage, measurements and condition of the wound bed
is providing an in service and any drainage present
to a group of nurses about
documentation of
pressure injuries. Which of
the following statements
by one of the group
members indicates an
understanding of the
teaching?
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, 10/1/25, 12:39 PM Tissue Integrity ATI EXAM comprehensive questions and verified answers ACTUAL EXAM 2025 TEST!! Graded A+ | 2025|2026 E…
A nurse is caring for a Cover the client's wound with a sterile saline dressing
client who has sustained a
gunshot wound to the This prevents dressing from adhering to the tissue and
abdomen and is 6 hr protect the organs until the client is taken back to
postoperative. The nurse surgery.
notices protrusion of the
client's organs from the
incision site and call for
help. Which of the
following actions should
the nurse take?
A nurse is teaching The skin of older adults is thinner and has less
assistive personnel (AP) subcutaneous padding over bony prominences
about the skin of older
adults. Which of the Rationale: decrease in elasticity and subcutaneous
following statements by tissue. This increases the risk of injury to the skin for
the AP indicates an older adults.
understanding of the
teaching?
A nurse is preparing to Clean the wound with 0.9% sodium chloride
obtain a wound culture
from a client who has a Rationale: to collect a wound culture using a sterile
suspected wound cotton applicator, the nurse should first clean the
infection. Which of the wound with 0.9% sodium chloride to rinse away any
following actions should resident bacteria that may be present.
the nurse take?
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