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Skin Anatomy & Physiology – Complete Nursing Study Guide with Answers and Rationales

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This comprehensive document covers essential topics in Integumentary System Anatomy, Physiology, and Nursing Care, including skin structure, wound healing, burns, and common skin disorders. It features 60 multiple-choice questions with correct answers and rationales, ideal for nursing students preparing for exams such as the NCLEX or clinical assessments. The material systematically explains functions, healing stages, and clinical manifestations for easy understanding and retention. Keywords: skin layers epidermis dermis hypodermis melanin keratin wound healing stages proliferative phase burn classification rule of nines pressure injuries psoriasis eczema contact dermatitis impetigo vitamin D synthesis nursing interventions infection prevention tissue repair granulation tissue

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Uploaded on
October 23, 2025
Number of pages
14
Written in
2025/2026
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Exam (elaborations)
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Skin Anatomy & Physiology (1–15)

1. The outermost layer of the skin, providing a barrier to infection and water loss, is the:
A. Dermis
B. Hypodermis
C. Epidermis
D. Subcutaneous tissue
Answer: C
Rationale: The epidermis is the outer protective layer of the skin composed mainly of
keratinized stratified squamous epithelium.



2. The cells responsible for producing melanin are called:
A. Keratinocytes
B. Melanocytes
C. Merkel cells
D. Langerhans cells
Answer: B
Rationale: Melanocytes, located in the basal layer, produce melanin that protects against
UV radiation.



3. The main structural protein that gives skin strength and waterproofing is:
A. Collagen
B. Elastin
C. Keratin
D. Actin
Answer: C
Rationale: Keratin is produced by keratinocytes and provides toughness and water
resistance to skin and hair.



4. The dermis primarily consists of:
A. Stratified squamous epithelium
B. Dense irregular connective tissue
C. Smooth muscle tissue
D. Reticular epithelial cells
Answer: B
Rationale: The dermis is made of dense irregular connective tissue containing collagen
and elastin fibers for strength and elasticity.

, 5. Which skin layer contains blood vessels, nerves, and glands?
A. Epidermis
B. Dermis
C. Stratum corneum
D. Hypodermis only
Answer: B
Rationale: The dermis houses blood vessels, sweat and sebaceous glands, sensory
receptors, and hair follicles.



6. The subcutaneous layer primarily functions to:
A. Provide keratin
B. Act as insulation and energy storage
C. Produce sebum
D. Exchange oxygen and carbon dioxide
Answer: B
Rationale: The hypodermis (subcutaneous tissue) contains adipose tissue that insulates
and cushions the body.



7. Sweat glands that help regulate body temperature are called:
A. Apocrine glands
B. Sebaceous glands
C. Eccrine glands
D. Ceruminous glands
Answer: C
Rationale: Eccrine glands produce watery sweat for thermoregulation.



8. Which sensory receptor detects light touch?
A. Pacinian corpuscles
B. Ruffini endings
C. Meissner’s corpuscles
D. Free nerve endings
Answer: C
Rationale: Meissner’s corpuscles detect light touch and are concentrated in fingertips
and lips.



9. Sebaceous glands secrete:
A. Sweat
B. Sebum
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