Key Takeaways

  • Anatomy and physiology combined account for approximately 22 items (~36%) of the NEX Science section — nearly doubled from the old PAX
  • Levels of organization: atoms → molecules → organelles → cells → tissues → organs → organ systems → organism
  • Four tissue types: epithelial (covering/lining), connective (support/binding), muscle (movement), nervous (communication)
  • Anatomical position: body facing forward, arms at sides, palms facing forward — all directions reference this position
  • Body planes: sagittal (left/right), frontal/coronal (front/back), transverse (top/bottom)
  • The integumentary system (skin) has three layers: epidermis, dermis, and hypodermis (subcutaneous)
  • Skin functions include protection, temperature regulation, sensation, vitamin D synthesis, and excretion
  • The skeletal system has 206 bones in adults, providing support, protection, movement, blood cell production, and mineral storage
Last updated: February 2026

Body Organization, Integumentary & Skeletal Systems

Anatomy and Physiology (combined) make up approximately 22 items (~36%) of the NEX Science section — this is nearly double the coverage on the old PAX exam. Understanding body systems is critical for nursing school readiness.


Levels of Body Organization

LevelDescriptionExample
Chemical (Atoms)Smallest unit of matterCarbon, oxygen, hydrogen
MolecularAtoms bonded togetherWater (H₂O), glucose, DNA
OrganelleStructures within cellsMitochondria, nucleus, ribosomes
CellularBasic unit of lifeRed blood cell, neuron, epithelial cell
TissueGroup of similar cells with a shared functionEpithelial tissue, muscle tissue
OrganTwo or more tissues working togetherHeart, lungs, liver, kidneys
Organ SystemGroup of organs working togetherCardiovascular, respiratory, digestive
OrganismAll organ systems functioning togetherA human being

The Four Tissue Types

Tissue TypeFunctionLocationsExamples
EpithelialCovers surfaces, lines cavities, forms glandsSkin, organ linings, glandsSquamous, cuboidal, columnar
ConnectiveSupports, binds, protectsThroughout bodyBone, cartilage, blood, fat, tendons
MuscleProduces movementAttached to bones, heart, organ wallsSkeletal, cardiac, smooth
NervousTransmits electrical signalsBrain, spinal cord, nervesNeurons, glial cells

Three types of muscle tissue:

TypeControlLocationCharacteristics
SkeletalVoluntaryAttached to bonesStriated, multinucleated
CardiacInvoluntaryHeart onlyStriated, intercalated discs
SmoothInvoluntaryOrgan walls (stomach, blood vessels, etc.)Non-striated

Anatomical Terminology

Body Planes

PlaneDivides Body IntoExample
Sagittal (median)Left and right halvesCutting down the midline
Frontal (coronal)Front (anterior) and back (posterior)Cutting from ear to ear
Transverse (horizontal)Top (superior) and bottom (inferior)Cutting at the waist

Directional Terms

TermMeaningOppositeExample
SuperiorAbove, toward headInferiorThe heart is superior to the stomach
InferiorBelow, toward feetSuperiorThe bladder is inferior to the kidneys
Anterior (ventral)Front of the bodyPosteriorThe sternum is anterior to the spine
Posterior (dorsal)Back of the bodyAnteriorThe kidneys are posterior to the stomach
MedialToward the midlineLateralThe nose is medial to the eyes
LateralAway from the midlineMedialThe ears are lateral to the eyes
ProximalCloser to the trunk/originDistalThe elbow is proximal to the wrist
DistalFarther from the trunk/originProximalThe fingers are distal to the wrist
SuperficialNear the surfaceDeepThe skin is superficial to muscle
DeepAway from the surfaceSuperficialBones are deep to muscle

The Integumentary System (Skin)

The skin is the body's largest organ, with three main layers:

LayerDescriptionKey Structures
EpidermisOutermost layer; no blood vesselsKeratinocytes, melanocytes
DermisMiddle layer; contains blood vessels and nervesHair follicles, sweat glands, sebaceous glands, nerve endings
Hypodermis (subcutaneous)Deepest layer; fat and connective tissueAdipose tissue, blood vessels

Functions of the skin:

  • Protection from pathogens, UV radiation, physical trauma
  • Temperature regulation via sweating and blood vessel dilation/constriction
  • Sensation through nerve receptors (touch, pressure, pain, temperature)
  • Vitamin D synthesis when exposed to sunlight
  • Excretion of small amounts of waste through sweat

The Skeletal System

The adult human skeleton has 206 bones divided into two divisions:

DivisionDescriptionBones Included
Axial skeleton (80 bones)Central axis of the bodySkull, vertebral column, rib cage, sternum
Appendicular skeleton (126 bones)Limbs and their attachmentsArms, legs, pectoral girdle, pelvic girdle

Functions of the skeletal system:

  1. Support — provides structural framework
  2. Protection — skull protects brain, ribs protect heart/lungs
  3. Movement — serves as attachment points for muscles
  4. Blood cell production — red marrow produces blood cells (hematopoiesis)
  5. Mineral storage — stores calcium and phosphorus

Types of joints:

Joint TypeMovementExample
Fibrous (immovable)NoneSkull sutures
Cartilaginous (slightly movable)LimitedVertebral discs, pubic symphysis
Synovial (freely movable)Full rangeKnee, shoulder, hip, elbow
Test Your Knowledge

What are the four basic tissue types in the human body?

A
B
C
D
Test Your Knowledge

Which body plane divides the body into anterior (front) and posterior (back) portions?

A
B
C
D
Test Your Knowledge

Which layer of the skin contains blood vessels, hair follicles, and sweat glands?

A
B
C
D
Test Your KnowledgeFill in the Blank

The adult human skeleton contains _____ bones.

Type your answer below

Test Your KnowledgeMatching

Match each anatomical directional term to its correct meaning.

Match each item on the left with the correct item on the right

1
Superior
2
Anterior
3
Lateral
4
Proximal
5
Deep
Test Your Knowledge

Which type of muscle tissue is found ONLY in the heart?

A
B
C
D
Test Your Knowledge

The process of blood cell production in red bone marrow is called:

A
B
C
D
Test Your KnowledgeMulti-Select

Which of the following are functions of the skeletal system? (Select all that apply)

Select all that apply

Structural support for the body
Production of hormones
Protection of vital organs
Blood cell production (hematopoiesis)
Mineral storage (calcium, phosphorus)
Digestion of food
Test Your Knowledge

The correct hierarchy of body organization from simplest to most complex is:

A
B
C
D
Test Your Knowledge

Epithelial tissue is found in all of the following EXCEPT:

A
B
C
D
Test Your Knowledge

The transverse plane divides the body into which two portions?

A
B
C
D