ATI RN
Pediatric Musculoskeletal Disorders NCLEX Questions Questions
Question 1 of 5
It is important to inform families of children with in-toeing due to femoral anteversion and internal tibial torsion that it can take until
Correct Answer: C
Rationale: Femoral anteversion and tibial torsion often correct by 7-8 years as the child grows and skeletal alignment matures.
Question 2 of 5
A 9-month-old infant presented with adducted forefoot, normal midfoot and hindfoot, and a convex lateral border of his foot, while his ankle dorsiflexion and plantar flexion are normal. Of the following, the BEST action at this time is
Correct Answer: D
Rationale: Mild metatarsus adductus in a 9-month-old with normal flexibility often resolves spontaneously, warranting reassurance.
Question 3 of 5
More than 60% of patients with congenital scoliosis have other associated abnormalities. Of the following, the MOST common one is
Correct Answer: A
Rationale: Renal anomalies are the most frequent associated abnormality in congenital scoliosis due to embryonic development overlap.
Question 4 of 5
Red flags for childhood back pain include all the following EXCEPT
Correct Answer: D
Rationale: School age is not a red flag; the others suggest serious underlying conditions like infection or neurological issues.
Question 5 of 5
A 12-year-old female experienced diarrhea, which lasted for 3 days, 2 weeks before manifesting progressive weakness and inability to walk. She has intermittent tingling of her fingers and toes. Physical examination reveals marked peripheral muscle weakness without atrophy or fasciculations. The deep tendon reflexes are absent in her ankles and 1+ at her knees. Findings on the sensory examination are normal. Motor involvement is symmetric. The most likely diagnosis is
Correct Answer: B
Rationale: Guillain-Barré syndrome (GBS) is characterized by a history of preceding infection (e.g., diarrhea), symmetric progressive weakness, areflexia, and sensory symptoms like tingling, without atrophy or fasciculations. Transverse myelitis typically involves sensory loss and asymmetric findings; polio causes asymmetric weakness with atrophy; myasthenia gravis features fatigable weakness without sensory symptoms; mononeuritis multiplex is focal and asymmetric.