1|Page
Pediatric Musculoskeletal Questions And Answers Graded
A+ 100% Correct
Which is an accurate statement concerning a C. Because soft tissues are resilient in children, dislocations and sprains are less common than
childs musculoskeletal system and how it may in adults. A childs growth occurs because of an increase in size rather than an increase in the
be different from adults? number of the muscle fibers. Fractures in children younger than 1 year are unusual because a
a. Growth occurs in children as a result of an large amount of force is necessary to fracture their bones. A childs bones have greater blood
increase in the number of muscle fibers. b. flow than an adults bones.
Infants are at greater risk for fractures because
their epiphyseal plates are not fused.
c. Because soft tissues are resilient
inchildren, dislocations and sprains are less
common than in adults.
d. Their bones have less blood flow.
When infants are seen for fractures, which C
nursing intervention is a priority? Fractures in infants warrant further investigation to rule out child abuse. Fractures in children
a. No intervention is necessary. It is not younger than 1 year are not common because of the cartilaginous quality of the skeleton; a large
uncommon for infants to fracture bones. b. amount of force is necessary to fracture their bones. Infants should be cared for in a safe
Assess the familys safety practices. Fractures in environment and should not be falling. Fractures in infancy are usually nonaccidental rather than
infants usually result from falls. c. Assess for related to a genetic factor.
child abuse. Fractures in infants are often
nonaccidental. d. Assess for genetic factors.
Which nursing assessment is appropriate for D
determining neurovascular competency? A neurovascular evaluation includes assessing skin color and temperature, ability to move the
a. affected extremity, degree of sensation experienced, and speed of capillary refill in the
Degree of motion and ability to position the extremity. The degree of motion in the affected extremity and the ability to position the
extremity b. extremity are incomplete assessments of neurovascular competency. The length, diameter,
Length, diameter, and shape of the and shape of the extremity are not assessment criteria in a neurovascular evaluation.
extremity c. Although the amount of swelling is an important factor in assessing an extremity, it is not a
Amount of swelling noted in the extremity and criterion for a neurovascular assessment.
pain intensity d.
Skin color, temperature, movement,
sensation, and capillary refill of the
extremity
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A mother whose 7-year-old child has been A
placed in a cast for a fractured right arm reports Unrelieved pain and the childs inability to extend his fingers are signs of compartmental
he will not stop crying even after taking Tylenol syndrome, which requires immediate attention. Placing ice on the extremity is an
with codeine. He also will not straighten the inappropriate action for the presenting symptoms. It is inappropriate for the nurse to tell the
fingers on his right arm. mother who is concerned about her child to avoid letting him get so tired. A child who has
The nurse tells the mother to do which? a. signs and symptoms of compartmental syndrome should be seen immediately. Waiting an
Take him to the emergency department. b. hour could compromise the recovery of the child.
Put ice on the injury. c.
Avoid letting him get so tired. d.
Wait another hour. If he is still crying, call back.
A 4-year-old child with a long leg cast C
complains of fire in his cast. The nurse A burning sensation under the cast is an indication of tissue ischemia. It may be an early
should: a. notify the physician on his next indication of serious neurovascular compromise, such as compartment syndrome, that
rounds. b. requires immediate attention. The childs presenting symptom requires immediate attention.
chart the complaint in the nurses notes. c. Notifying the physician on the next rounds is inappropriate. Charting the complaint in the
notify the physician immediately. d. nurses notes is an inappropriate action. Careful notation of symptoms is important, but the
report the complaint to the next nurse on duty. priority action is to contact the physician. Communication across shifts is important to the
continuing assessment of the child; however, this symptom requires immediate evaluation,
and the physician should be contacted.
Pediatric Musculoskeletal Questions And Answers Graded
A+ 100% Correct
Which is an accurate statement concerning a C. Because soft tissues are resilient in children, dislocations and sprains are less common than
childs musculoskeletal system and how it may in adults. A childs growth occurs because of an increase in size rather than an increase in the
be different from adults? number of the muscle fibers. Fractures in children younger than 1 year are unusual because a
a. Growth occurs in children as a result of an large amount of force is necessary to fracture their bones. A childs bones have greater blood
increase in the number of muscle fibers. b. flow than an adults bones.
Infants are at greater risk for fractures because
their epiphyseal plates are not fused.
c. Because soft tissues are resilient
inchildren, dislocations and sprains are less
common than in adults.
d. Their bones have less blood flow.
When infants are seen for fractures, which C
nursing intervention is a priority? Fractures in infants warrant further investigation to rule out child abuse. Fractures in children
a. No intervention is necessary. It is not younger than 1 year are not common because of the cartilaginous quality of the skeleton; a large
uncommon for infants to fracture bones. b. amount of force is necessary to fracture their bones. Infants should be cared for in a safe
Assess the familys safety practices. Fractures in environment and should not be falling. Fractures in infancy are usually nonaccidental rather than
infants usually result from falls. c. Assess for related to a genetic factor.
child abuse. Fractures in infants are often
nonaccidental. d. Assess for genetic factors.
Which nursing assessment is appropriate for D
determining neurovascular competency? A neurovascular evaluation includes assessing skin color and temperature, ability to move the
a. affected extremity, degree of sensation experienced, and speed of capillary refill in the
Degree of motion and ability to position the extremity. The degree of motion in the affected extremity and the ability to position the
extremity b. extremity are incomplete assessments of neurovascular competency. The length, diameter,
Length, diameter, and shape of the and shape of the extremity are not assessment criteria in a neurovascular evaluation.
extremity c. Although the amount of swelling is an important factor in assessing an extremity, it is not a
Amount of swelling noted in the extremity and criterion for a neurovascular assessment.
pain intensity d.
Skin color, temperature, movement,
sensation, and capillary refill of the
extremity
, 2|Page
A mother whose 7-year-old child has been A
placed in a cast for a fractured right arm reports Unrelieved pain and the childs inability to extend his fingers are signs of compartmental
he will not stop crying even after taking Tylenol syndrome, which requires immediate attention. Placing ice on the extremity is an
with codeine. He also will not straighten the inappropriate action for the presenting symptoms. It is inappropriate for the nurse to tell the
fingers on his right arm. mother who is concerned about her child to avoid letting him get so tired. A child who has
The nurse tells the mother to do which? a. signs and symptoms of compartmental syndrome should be seen immediately. Waiting an
Take him to the emergency department. b. hour could compromise the recovery of the child.
Put ice on the injury. c.
Avoid letting him get so tired. d.
Wait another hour. If he is still crying, call back.
A 4-year-old child with a long leg cast C
complains of fire in his cast. The nurse A burning sensation under the cast is an indication of tissue ischemia. It may be an early
should: a. notify the physician on his next indication of serious neurovascular compromise, such as compartment syndrome, that
rounds. b. requires immediate attention. The childs presenting symptom requires immediate attention.
chart the complaint in the nurses notes. c. Notifying the physician on the next rounds is inappropriate. Charting the complaint in the
notify the physician immediately. d. nurses notes is an inappropriate action. Careful notation of symptoms is important, but the
report the complaint to the next nurse on duty. priority action is to contact the physician. Communication across shifts is important to the
continuing assessment of the child; however, this symptom requires immediate evaluation,
and the physician should be contacted.
