ATI RN
Musculoskeletal disorder Questions
Question 1 of 4
An overweight adolescent boy complains of pain in his hip that radiates to the medial aspect of his knee. He denies trauma and has not had a fever. You note upon exam that he is walking with a limp. The most likely diagnosis is:
Correct Answer: A
Rationale: Slipped capital femoral epiphysis (SCFE) (A) is common in overweight adolescents, presenting with hip pain radiating to the knee and a limp, without trauma or fever. Transient synovitis (B) is more common in younger children, Legg-Calve-Perthes (C) typically affects younger kids, and septic arthritis (D) usually involves fever.
Question 2 of 4
3-year-old Sarah is brought to the clinic by her mother who reports that the child refuses to use the right arm after being swung by both arms while playing. The child is sitting with the right arm held slightly flexed and close to the body. What will the primary care pediatric nurse practitioner do?
Correct Answer: B
Rationale: This is classic for nursemaid’s elbow (radial head subluxation), common after pulling injuries in young children. Gentle supination and flexion (B) often reduces it. Immobilization and referral (A) or x-ray (D) are unnecessary unless reduction fails, and maltreatment (C) isn’t indicated without other signs.
Question 3 of 4
Serum creatine kinase levels are increased when a person has which of the following?
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 4 of 4
Which of the following tests is usually done first to detect suspected bone abnormalities?
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.