ATI RN
NCLEX Pediatric Musculoskeletal Questions Questions
Question 1 of 5
Which of the following findings is considered abnormal on urinalysis of a patient with dehydration?
Correct Answer: B
Rationale: Granular casts indicate tubular damage, abnormal in simple dehydration, whereas hyaline casts can be normal in concentrated urine.
Question 2 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 3 of 5
Bilateral developmental dysplasia of the hip (DDH) presents a diagnostic dilemma. Of the following, the MOST useful test in this situation is
Correct Answer: D
Rationale: Galeazzi sign (unequal knee heights) is most useful in bilateral DDH as other tests may be symmetric and less diagnostic.
Question 4 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 5 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.