ATI RN
NCLEX Pediatric Musculoskeletal Questions Questions
Question 1 of 5
Most children exhibit an eczematous eruption composed of red, excoriated papules and nodules. The classic linear papule or burrow is often difficult to find. Distribution is the most diagnostic finding; the papules are found in the axillae, umbilicus, groin, penis, instep of the foot, and web spaces of the fingers and toes.
Correct Answer: A
Rationale: The distribution and description match scabies, a parasitic infestation causing itchy, excoriated papules in characteristic locations like web spaces and groin.
Question 2 of 5
Leg-length discrepancy (LLD) is common and may be due to differences in the femur, tibia, or both bones. The MOST accurate method with reduced-radiation to measure (LLD) is
Correct Answer: D
Rationale: EOS/slot scanning provides accurate LLD measurement with lower radiation exposure compared to traditional methods.
Question 3 of 5
Scoliosis is alterations in normal spinal alignment that occur in the anteroposterior plane. Of the following, the myopathic disease which cause scoliosis is
Correct Answer: D
Rationale: Arthrogryposis, a condition with multiple joint contractures, can lead to scoliosis due to muscle imbalance.
Question 4 of 5
A 4-year-old child presented with back pain, abdominal pain, irritability, and refusal to walk or sit. The child holds his spine in a straight position with loss of lumbar lordosis. The white blood cell count is normal, but the ESR and CRP are high. Of the following, the MOST likely cause is
Correct Answer: A
Rationale: Diskitis, an infection of the disc space, matches the systemic symptoms and inflammatory markers in a young child.
Question 5 of 5
Matching: Paresthesias
Correct Answer: A
Rationale: Paresthesias (tingling) are common in polyneuropathy due to sensory nerve involvement. Myopathy, neuromuscular junction defects, and upper motor neuron defects typically lack sensory symptoms.