08/18/2026
π©Ί **NCLEX MUST-KNOW: PERIPHERAL SKIN ASSESSMENT** π©Ί
A quick peripheral assessment can give you **important clues about circulation, hydration, fluid balance, nutrition, and overall health.** π©ββοΈ
Here are **5 key areas every nursing student should know:**
π©Έ **1. Capillary Refill**
Check peripheral circulation by pressing the nail bed and observing how quickly color returns.
π **NCLEX tip:** Normal capillary refill is generally **< 2 seconds**.
π§ **2. Skin Turgor**
Helps assess skin elasticity and hydration status.
π **Remember:** Delayed return of the skin may suggest dehydration, but assess alongside other clinical findings.
𦡠**3. Edema**
Know the difference:
β‘οΈ **Pitting edema:** indentation remains after pressure.
β‘οΈ **Non-pitting edema:** no indentation remains.
πββοΈ **4. Hair Assessment**
Look at **distribution, texture, amount, color**, and abnormalities such as hair loss, thinning, or brittle hair.
π
**5. Nail Assessment**
Assess **color, shape, thickness, texture, cleanliness, and capillary refill**.
Changes in nails can provide clues to underlying health problems.
π― **NCLEX PRIORITY:**
**LOOK β FEEL β COMPARE β DOCUMENT**
Don't just notice an abnormal findingβ**assess it, compare both sides, consider the patient's overall condition, and document appropriately.**
π **APEX RN PREP**
Making NCLEX concepts simple, visual, and easy to remember!
π¬ **NCLEX Challenge:**
A nurse presses a patient's swollen ankle for 5 seconds and an indentation remains after the pressure is released.
**What type of edema is this?** π