Integumentary System Practice Test 1
Integumentary System NCLEX Practice Test
Integumentary System, within the NCLEX test plan under Nursing Science → Clinical Foundations, reflects the core knowledge domains and conceptual competencies directly related to what the exam evaluates. The targeted number of questions is 50; designed with realistic clinical scenarios and conceptual variety to help you identify both your strengths and improvement areas.
This test is the 1st part of the Integumentary System section. To explore all practice tests under this topic, use the “Back to Main Topic” button at the end of the page.
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In the Integumentary System Study Cards section, shared by real NCLEX candidates, you’ll find concise summaries and high-yield insights related to the most tested concepts. It’s a perfect space to reinforce challenging topics and sharpen your recall through quick, focused repetitions. Short, powerful, and repeatable!
Integumentary System Practice Test 1
Skin helps in to protect from pathogens and?
- Sensory stimuli external environment
- Sensory stimuli internal environment
- Heat
- Danger
Explanation: Answer reason: The skin not only protects the body from pathogens and physical injury but also contains sensory receptors that detect external stimuli such as touch, pressure, pain, and temperature. These receptors allow the body to respond appropriately to environmental changes.
The dermis is the ______ layer of skin?
- Superficial
- Middle
- Deep
- None of these
Explanation: Answer reason: Skin proper has two layers: epidermis (superficial) and dermis (deeper). Thus the dermis is the deep layer beneath the epidermis.
Skin consists of ______ rows of stacked squamous epithelial cells?
- 30
- 40
- 50
- 60
- 20-30
Explanation: Answer reason: The epidermis’ stratum corneum typically has about 20–30 layers of flattened, keratinized squamous cells.
Collagen Fibres in the skin that forms creases are also known as ____________?
- Collagen lines
- Lamb's lines
- Langer's Lines
- Langer's Fibres
- Long lines
Explanation: Answer reason: Skin cleavage lines correspond to the orientation of dermal collagen fibers and are called Langer's lines.
What causes pimples?
- Hormonal changes
- Poor hygiene
- Allergic reactions
- Bacterial infection
Explanation: Answer reason: Acne (pimples) is primarily driven by hormonal changes—especially androgens—which increase sebum production and cause follicular plugging; hygiene and allergies are not primary causes, and bacteria are contributory rather than the initial cause.
Which of the following is responsible for the regeneration of the epidermis?
- Stratum corneum
- Stratum lucidum
- Stratum granulosum
- Stratum basale
Explanation: Answer reason: Epidermal regeneration is driven by mitotically active stem cells in the stratum basale (germinativum); the upper layers are differentiated and non-proliferative.
Which factor primarily affects skin color?
- Haemoglobin
- Temperature
- Melanin
- Hormone
Explanation: Answer reason: Melanin produced by melanocytes is the primary determinant of baseline skin pigmentation. Hemoglobin and temperature can transiently influence skin hue, and hormones may modulate melanin, but they are not the primary factors.
How many layers are in the skin?
- 5
- 3
- 4
- 2
Explanation: Answer reason: The skin is commonly described as having three layers: the epidermis, the dermis, and the subcutaneous (hypodermis) layer.
What is the outer protective cover of the body?
- Skeleton
- Hair
- Skin
- None of these.
Explanation: Answer reason: Skin forms the body's outer protective covering; the skeleton is internal, and hair does not cover or protect the entire body.
Which of the following is the largest organ in the human body?
- Liver
- Lungs
- Skin
- Brain
Explanation: Answer reason: The skin is the body's largest organ by surface area and weight, comprising about 16% of body mass.
Which type of protein is found in hair and nails?
- Collagen
- Hemoglobin
- Keratin
- Insulin
Explanation: Answer reason: Hair and nails are composed primarily of the fibrous structural protein keratin; collagen is connective tissue; hemoglobin carries oxygen in the blood; and insulin is a hormone.
Which degree of burn may involve eschar formation?
- First-degree
- Second degree
- Third degree
- Fourth degree
Explanation: Answer reason: Eschar is characteristic of full-thickness burns; third-degree burns cause coagulation necrosis, producing a tough, leathery eschar.
Which of the following is a structural fibrous protein found in the dermis?
- Collagen
- Heparin
- Lipocyte
- Melanin
- sebum
Explanation: Answer reason: Collagen is the main structural fibrous protein of the dermis; the others are a pigment (melanin), a lipid secretion (sebum), an anticoagulant (heparin), or a fat cell (lipocyte).
In which layer of the skin are blood vessels found?
- Epidermal layer
- Dermis layer
- Both epidermis and dermis layers
- Neither in the epidermis nor in the dermis.
Explanation: Answer reason: The epidermis is avascular; blood vessels are located in the dermis, which supplies nutrients to the epidermis via diffusion.
What causes the black color of hair?
- Dopamine
- Tryptophan
- Dopa
Explanation: Answer reason: Black hair color is due to melanin synthesized from DOPA (dihydroxyphenylalanine) in melanocytes; dopamine and tryptophan are not responsible for hair pigmentation.
The following are the primary skin lesions, except?
- Macule
- Papule
- Ulcer
- Nodule
Explanation: Answer reason: Macules, papules, and nodules are primary lesions; an ulcer is a secondary lesion resulting from the loss of the skin surface.
The superficial part of the skin is called ____?
- Epidermis
- Dermis
- Both A and B
- None of these
Explanation: Answer reason: The most superficial layer of the skin is the epidermis; the dermis lies beneath it.
The layer of skin that is composed of dense connective tissue?
- Dermis
- Epidermis
- Both A and B.
- None of these.
Explanation: Answer reason: The dermis is primarily dense, irregular connective tissue containing collagen and elastic fibers; the epidermis is a stratified squamous epithelium.
Eczema, known as?
- Dermatitis
- Dermis
- Epidermis
Explanation: Answer reason: Eczema is an inflammatory skin condition, also called dermatitis; dermis and epidermis are skin layers, not the disease.
What is the largest organ in the human body?
- Heart
- Liver
- Skin
Explanation: Answer reason: The skin covers the entire body and is the largest organ by surface area and weight, larger than the liver or the heart.
The protein present in hair is?
- Myosin
- tropocollagen
- Elastin
- Keratin
Explanation: Answer reason: Hair shafts are composed primarily of the fibrous structural protein keratin. Myosin is a muscle protein, tropocollagen forms collagen in connective tissue, and elastin provides elasticity in tissues, not hair.
The nurse is caring for a client with a basal cell epithelioma. The primary cause of basal cell epithelioma is?
- Sun exposure
- Smoking
- Ingestion of alcohol
- Food preservatives
Explanation: Answer reason: Basal cell carcinoma (epithelioma) is primarily caused by cumulative ultraviolet radiation exposure from sunlight.
Which type of burn is painless?
- First degree
- Second degree
- Third degree
- None of these.
Explanation: Answer reason: Third-degree (full-thickness) burns destroy dermal nerve endings, so they are typically painless; first- and second-degree burns are painful.
Common sites for Mongolian spots are?
- Face
- Neck
- Lumbosacral area
- Leg
Explanation: Answer reason: Mongolian spots (congenital dermal melanocytosis) most commonly occur in the lumbosacral/buttock region; face, neck, and legs are uncommon sites.
A client is being admitted to the hospital for treatment of acute cellulitis of the lower left leg. During the admission assessment, the nurse expects to note which finding?
- An inflammation of the epidermis only
- A skin infection of the dermis and underlying hypodermis
- An acute superficial infection of the dermis and lymphatics
- An epidermal and lymphatic infection caused by Staphylococcus
Explanation: Answer reason: Cellulitis is a diffuse bacterial infection of the deeper dermis and subcutaneous tissue (hypodermis). Epidermis-only disease is impetigo; superficial dermis and lymphatics describes erysipelas, typically due to Streptococcus.
The protein present in hair is?
- Keratin
- Elastin
- Myosin
- Tropocollagen
Explanation: Answer reason: Hair is composed primarily of the structural protein keratin; elastin is in elastic fibers, myosin is a muscle protein, and tropocollagen is the collagen subunit.
White marks in finger nails is ....?
- Leukonychia
- Paranychia
Explanation: Answer reason: White spots or streaks on nails are termed leukonychia; paronychia is an infection of the tissue around the nail fold, not a white mark on the nail plate.
Blue-grey birthmark on the forehead and eye of a person indicate-?
- Scabies
- Impetigo
- Nevus of Ota
- Vitiligo
Explanation: Answer reason: Nevus of Ota is a dermal melanocytosis presenting as blue–gray hyperpigmentation over the forehead and periocular area with possible scleral involvement; the other options cause rashes or depigmented patches, not slate-blue birthmarks.
What is the treatment of choice for pyogenic granuloma?
- Topical antibiotics
- Surgical excision
- Laser therapy
- Cryotherapy
Explanation: Answer reason: Pyogenic granuloma (lobular capillary hemangioma) is best managed by complete surgical excision/curettage with cauterization for definitive removal and hemostasis. Antibiotics are ineffective, and laser or cryotherapy are alternatives but not first-line.
What give's the skin it's colour?
- Melanin
- Keratin
Explanation: Answer reason: Melanin pigment produced by melanocytes determines skin color; keratin is a structural protein that provides strength, not pigmentation.
Psoriasis affects mainly?
- Skin
- Bones
- Heart
- Kidneys
Explanation: Answer reason: Psoriasis is a chronic inflammatory disease that primarily affects the skin, causing erythematous, scaly plaques due to keratinocyte hyperproliferation.
What is the primary purpose of a split-thickness skin graft?
- To cover large, deep burns
- To enhance aesthetic appearance
- To provide coverage for wounds
- To facilitate providing permanent coverage
Explanation: Answer reason: Split-thickness skin grafts include epidermis and part of dermis, can be meshed to expand, and are primarily used to cover extensive deep burns where large surface area coverage is needed.
What is the condition called characterized by swelling and inflammation of the skin and underlying tissues?
- Pallor
- Edema
- Clubbing
- Cellulitis
Explanation: Answer reason: Cellulitis is a bacterial infection of the dermis and subcutaneous tissues causing localized inflammation with redness, warmth, pain, and swelling. Edema is swelling without inflammation; pallor and clubbing are unrelated findings.
Which is the deeply penetrating structure of skin?
- Superficial fascia
- Deep fascia
- Sweat gland
- Sebaceous gland
Explanation: Answer reason: Eccrine sweat glands extend deep into the dermis and may reach the subcutaneous tissue; sebaceous glands are more superficial, and fasciae are not skin structures.
Layer of fat under mammalian skin acts as an?
- Electric insulator
- Protection from germs
- Protection from viruses
- Thermal insulator
Explanation: Answer reason: Subcutaneous adipose tissue minimizes heat loss and serves as insulation. It is not primarily an electrical insulator, and protection from microbes is mainly provided by the skin barrier and immune defenses, not the fat layer.
Which protein is present in hairs?
- Keratin
- Elastin
- Gliadin
- Actin
Explanation: Answer reason: Hair is composed primarily of the structural protein keratin; elastin is for elastic fibers, gliadin is a wheat protein, and actin is a muscle cytoskeletal protein.
What tissue is damaged in a 1st degree burn?
- Dermis
- Epidermis
- Tendon
- Bone
Explanation: Answer reason: First-degree burns are superficial and involve only the epidermis; the dermis and deeper tissues are not damaged.
Which of the following is the most severe type of burn?
- First-degree burn
- Second-degree burn
- Third-degree burn
- Fourth-degree burn
Explanation: Answer reason: Fourth-degree burns extend beyond the skin into deeper tissues such as muscle and bone, making them the most severe.
What type of psoriasis is characterized by red, scaly plaques commonly found on the elbows, knees, and scalp?
- Vulgar psoriasis
- Psoriatic erythroderma psoriasis
- Guttate psoriasis
- Inverse psoriasis
- Pustular psoriasis
Explanation: Answer reason: Plaque psoriasis (psoriasis vulgaris) presents as well-demarcated erythematous, scaly plaques on extensor surfaces such as elbows and knees and on the scalp; not guttate, inverse, pustular, or erythrodermic types.
What is the correct order of the layers of the epidermis from outer to inner side?
- Corneum - lucidum - granulosum - germinative
- Corneum - granulosum - lucidum - germinative
- Germinative - granulosum - corneum - lucidum
- Germinative - corneum - lucidum - granulosum
Explanation: Answer reason: Epidermal layers from superficial to deep are stratum corneum, stratum lucidum (in thick skin), stratum granulosum, then the basal/germinativum layer.
What is the largest organ of the human body?
- Heart
- Skin
- Liver
- Stomach
Explanation: Answer reason: The skin is the body's largest organ by surface area and weight, covering the entire exterior and providing protection and regulation.
What is the largest organ in the human body?
- Brain
- Skin
- Small intestine
- Liver
Explanation: Answer reason: The skin is the body’s largest organ by surface area and weight, exceeding other organs like the liver or brain.
What is the protective layer that covers the dermis called?
- Epidermis
- Epithelial
- Muscle
- Nerve
Explanation: Answer reason: The outer protective layer of the skin that overlies the dermis is the epidermis.
Which type of burn is painless?
- Third degree
- Second degree
- First degree
- None of the above
Explanation: Answer reason: Third-degree (full-thickness) burns destroy the dermis and nerve endings, so the injury itself is typically painless at the center, unlike first- or second-degree burns which are painful.
Nails contain which protein?
- Fibrin
- Keratin
- Myosin
- Thrombin
Explanation: Answer reason: Nails are composed of hard keratin. Fibrin and thrombin are clotting proteins, and myosin is a muscle contractile protein.
Which burn degree does NOT involve damage to the underlying layers of skin?
- First-degree
- Second-degree
- Third-degree
- Fourth-degree
Explanation: Answer reason: First-degree burns involve only the epidermis and do not damage underlying layers; deeper burns (second, third, fourth) involve dermis or deeper tissues.
Which protein is present in hairs?
- Keratin
- Elastin
- Gliadin
- Albumin
- Actin
Explanation: Answer reason: Hair shafts are composed primarily of hard alpha-keratin, the structural fibrous protein of hair, nails, and epidermis.
Which organ continues to function after death?
- Skin
- Brain
- Heart
Explanation: Answer reason: Some skin and hair follicle cells can remain metabolically active briefly after death, whereas brain and heart activity cease rapidly.
What is the largest organ in the human body?
- Brain
- Liver
- Skin
- Heart
Explanation: Answer reason: The skin is the body's largest organ by surface area and weight; the liver is the largest internal organ.
Which type of burn typically results in significant pain?
- First-degree
- Second-degree
- Third-degree
- Both A and B
Explanation: Answer reason: Superficial (first-degree) and partial-thickness (second-degree) burns leave nerve endings intact and inflamed, causing significant pain; full-thickness (third-degree) burns destroy nerve endings and are often less painful.
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