NSG 101 INTEGUMENTARY EXAM
REVIEWED 2026/2027
QUESTIONS WITH ANSWERS ILLUSTRATED
WITH DIAGRAMS (BRAND NEW!!)
3. In darker skin tone patients, what should you do if the sclera looks slightly yellow?: Verify it's
abnormal: ask if it's normal for them, and check palms and soles for yellowing too.
4. What is cyanosis?: Bluish discoloration due to low oxygen.
5. Where can cyanosis can be seen besides fingertips?: Around the mouth and in the eyes.
6. what about cyanosis as an oxygenation sign?: It's a late sign—if you see it, oxygenation problems
are already significant.
7. What is pallor?: Pale color due to decreased blood flow or anemia.
8. Where can pallor be best seen in very fair/light skin patients?: In the mucosa (ex:
conjunctiva/inner eyelid and mouth mucosa).
9. Why might contact dermatitis be hard to catch on inspection
Sometimes you can't see it, but you can feel bumps.
10. What safety precaution to take with contact dermatitis?: It can be contagious, so be cautious (use
PPE appropriately).
11. Dermatosis papulose nigra: Benign dark papules common in darker skin tone
s.
12. Melasma "mask of pregnancy": Cheeks, across the nose, forehead, and sometimes around the
mouth, can fade overtime or stay.
13. Mongolian spots: Bluish birthmarks in infants.
, 14. Why are Mongolian spots important to recognize?: They can look like bruises (ecchymosis) but
are a normal birthmark, common in darker skin, and not concerning.
15. What is a keloid?: Excess Scar tissue that grows beyond the borders
16. What is pseudo folliculitis and why should you pay attention to it?: It's ingrown
hairs causing bumps + inflammation; can become infected, so monitor for infection signs
17. What is a "positive" turgor test and what does it mean?: Tenting o dehydration. ccurs ’suggests
18. Why are elderly patients commonly dehydrated: They may drink less due to fear of
incontinence/toileting, and meds may worsen dehydration.
19. How should normal turgor respond?: Skin should bounce back quickly because it's normally
supple.
20. Who commonly has decreased elasticity?: Elderly patients.
21. What does skin tenting indicate?: Dehydration.
22. What is pitting edema?: Fluid accumulation in tissues leaving indentation.
23. How is edema graded?: +1 to +4.
24. What cardiac condition is linked with pitting edema?: Congestive heart failure (CHF)
(cardiovascular system)
25. What does edematous skin often look like: Shiny, tight, very putty.
REVIEWED 2026/2027
QUESTIONS WITH ANSWERS ILLUSTRATED
WITH DIAGRAMS (BRAND NEW!!)
3. In darker skin tone patients, what should you do if the sclera looks slightly yellow?: Verify it's
abnormal: ask if it's normal for them, and check palms and soles for yellowing too.
4. What is cyanosis?: Bluish discoloration due to low oxygen.
5. Where can cyanosis can be seen besides fingertips?: Around the mouth and in the eyes.
6. what about cyanosis as an oxygenation sign?: It's a late sign—if you see it, oxygenation problems
are already significant.
7. What is pallor?: Pale color due to decreased blood flow or anemia.
8. Where can pallor be best seen in very fair/light skin patients?: In the mucosa (ex:
conjunctiva/inner eyelid and mouth mucosa).
9. Why might contact dermatitis be hard to catch on inspection
Sometimes you can't see it, but you can feel bumps.
10. What safety precaution to take with contact dermatitis?: It can be contagious, so be cautious (use
PPE appropriately).
11. Dermatosis papulose nigra: Benign dark papules common in darker skin tone
s.
12. Melasma "mask of pregnancy": Cheeks, across the nose, forehead, and sometimes around the
mouth, can fade overtime or stay.
13. Mongolian spots: Bluish birthmarks in infants.
, 14. Why are Mongolian spots important to recognize?: They can look like bruises (ecchymosis) but
are a normal birthmark, common in darker skin, and not concerning.
15. What is a keloid?: Excess Scar tissue that grows beyond the borders
16. What is pseudo folliculitis and why should you pay attention to it?: It's ingrown
hairs causing bumps + inflammation; can become infected, so monitor for infection signs
17. What is a "positive" turgor test and what does it mean?: Tenting o dehydration. ccurs ’suggests
18. Why are elderly patients commonly dehydrated: They may drink less due to fear of
incontinence/toileting, and meds may worsen dehydration.
19. How should normal turgor respond?: Skin should bounce back quickly because it's normally
supple.
20. Who commonly has decreased elasticity?: Elderly patients.
21. What does skin tenting indicate?: Dehydration.
22. What is pitting edema?: Fluid accumulation in tissues leaving indentation.
23. How is edema graded?: +1 to +4.
24. What cardiac condition is linked with pitting edema?: Congestive heart failure (CHF)
(cardiovascular system)
25. What does edematous skin often look like: Shiny, tight, very putty.
