Integumentary Med Surg Exam UPDATED
Exam Questions and CORRECT Answers
What population is at greatest risk for skin related issues? - CORRECT ANSWER -
elderly population
What are the three structures of the skin - CORRECT ANSWER - Epidermis-layer of
squamous epithelial cells
Dermis-dense irregular connective tissue composed of collagen, blood/lymph vessels, nerves,
sweat glands & hair roots
Subcutaneous fatty tissue- connective & fatty tissue
Keratin - CORRECT ANSWER - is found in the epidermis and is a tough fibrous protein
produced by keratinocytes
Melanin - CORRECT ANSWER - is found in the epidermis and is the pigment that gives
the skin its color made by melanocytes
Sebum - CORRECT ANSWER - is found in the dermis and is an oily substance secreted
by the sebaceous glands that lubricates the skin and keeps it soft and protects the skin from
bacteria
Sweat glands - CORRECT ANSWER - are in the dermis. There are two types:
eccrine- found over most of the body and help regulate body heat through perspiration
apocrine- found in the axillae, anal, scrotum produce BO
What are the four functions of the skin - CORRECT ANSWER - Protection-
Temperature regulation
sensory perception
fluid electrolyte balance
, What is the purpose of hair - CORRECT ANSWER - protects the scalp from ultraviolet
rays and cushions a blow to the head
What are 5 effects of aging - CORRECT ANSWER - Skin vascularity/sweat glands
decrease affecting thermoregulation
Inflammatory response/pain response decrease increasing risk from noxious stimuli
Thinning epidermis/delayed healing= more prone to injury & infection
Decrease blood flow= dryness
Hair thins due to decrease number of hair follicles
How to assess integrity? - CORRECT ANSWER - skin intact, no diseased or injury to
tissue
Normal skin color - CORRECT ANSWER - natural to patient
Temperature and moisture - CORRECT ANSWER - should be warm & dry depending on
environmental temp
Texture of skin should be - CORRECT ANSWER - smooth and soft
turgor and mobility should be - CORRECT ANSWER - less than three seconds and move
freely w/ no edema present
sensation should be - CORRECT ANSWER - able to distinguish between hot/cold, sharp
and dull
vascularity of skin should be - CORRECT ANSWER - clear with no discoloration
Exam Questions and CORRECT Answers
What population is at greatest risk for skin related issues? - CORRECT ANSWER -
elderly population
What are the three structures of the skin - CORRECT ANSWER - Epidermis-layer of
squamous epithelial cells
Dermis-dense irregular connective tissue composed of collagen, blood/lymph vessels, nerves,
sweat glands & hair roots
Subcutaneous fatty tissue- connective & fatty tissue
Keratin - CORRECT ANSWER - is found in the epidermis and is a tough fibrous protein
produced by keratinocytes
Melanin - CORRECT ANSWER - is found in the epidermis and is the pigment that gives
the skin its color made by melanocytes
Sebum - CORRECT ANSWER - is found in the dermis and is an oily substance secreted
by the sebaceous glands that lubricates the skin and keeps it soft and protects the skin from
bacteria
Sweat glands - CORRECT ANSWER - are in the dermis. There are two types:
eccrine- found over most of the body and help regulate body heat through perspiration
apocrine- found in the axillae, anal, scrotum produce BO
What are the four functions of the skin - CORRECT ANSWER - Protection-
Temperature regulation
sensory perception
fluid electrolyte balance
, What is the purpose of hair - CORRECT ANSWER - protects the scalp from ultraviolet
rays and cushions a blow to the head
What are 5 effects of aging - CORRECT ANSWER - Skin vascularity/sweat glands
decrease affecting thermoregulation
Inflammatory response/pain response decrease increasing risk from noxious stimuli
Thinning epidermis/delayed healing= more prone to injury & infection
Decrease blood flow= dryness
Hair thins due to decrease number of hair follicles
How to assess integrity? - CORRECT ANSWER - skin intact, no diseased or injury to
tissue
Normal skin color - CORRECT ANSWER - natural to patient
Temperature and moisture - CORRECT ANSWER - should be warm & dry depending on
environmental temp
Texture of skin should be - CORRECT ANSWER - smooth and soft
turgor and mobility should be - CORRECT ANSWER - less than three seconds and move
freely w/ no edema present
sensation should be - CORRECT ANSWER - able to distinguish between hot/cold, sharp
and dull
vascularity of skin should be - CORRECT ANSWER - clear with no discoloration
