PEDIATRIC MUSCULOSKELETAL PRACTICE QUESTIONS AND 100% CORRECT ANSWERS|LATEST 2025/2026 |GRADED A+|ACCURATE AND VERIFIED ANSWERS

PEDIATRIC MUSCULOSKELETAL PRACTICE
QUESTIONS AND 100% CORRECT
ANSWERS|LATEST 2025/2026 |GRADED
A+|ACCURATE AND VERIFIED ANSWERS
Which is an accurate statement concerning a childs musculoskeletal system and how it may be
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different from adults?
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a. Growth occurs in children as a result of an increase in the number of muscle fibers.
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b. Infants are at greater risk for fractures because their epiphyseal plates are not fused.
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c. Because soft tissues are resilient in children, dislocations and sprains are less common than i
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n adults.
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d. Their bones have less blood flow. - ANSWER-
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C. Because soft tissues are resilient in children, dislocations and sprains are less commo
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n than in adults. A childs growth occurs because of an increase in size rather than an increase i
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n the number of the muscle fibers. Fractures in children younger than 1 year are unusual beca
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use a large amount of force is necessary to fracture their bones. A childs bones have greater bl
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ood flow than an adults bones.
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When infants are seen for fractures, which nursing intervention is a priority?
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a. No intervention is necessary. It is not uncommon for infants to fracture bones.
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b. Assess the familys safety practices. Fractures in infants usually result from falls.
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c. Assess for child abuse. Fractures in infants are often nonaccidental.
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d. Assess for genetic factors. - ANSWER-
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Fractures in infants warrant further investigation to rule out child abuse. Fractures in children
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younger than 1 year are not common because of the cartilaginous quality of the skeleton; a lar
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ge amount of force is necessary to fracture their bones. Infants should be cared for in a safe en
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vironment and should not be falling. Fractures in infancy are usually nonaccidental rather than
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related to a genetic factor.
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Which nursing assessment is appropriate for determining neurovascular competency?
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a.

Degree of motion and ability to position the extremity
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, b.

Length, diameter, and shape of the extremity
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c.

Amount of swelling noted in the extremity and pain intensity
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d.

Skin color, temperature, movement, sensation, and capillary refill of the extremity - ANSWER-
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D

A neurovascular evaluation includes assessing skin color and temperature, ability to move the
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affected extremity, degree of sensation experienced, and speed of capillary refill in the extrem
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ity. The degree of motion in the affected extremity and the ability to position the extremity are
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Bincomplete assessments of neurovascular competency. The length, diameter, and shape of th
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e extremity are not assessment criteria in a neurovascular evaluation. Although the amount of
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Bswelling is an important factor in assessing an extremity, it is not a criterion for a neurovascula
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r assessment.
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A mother whose 7-year-
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old child has been placed in a cast for a fractured right arm reports he will not stop crying even
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after taking Tylenol with codeine. He also will not straighten the fingers on his right arm. The n
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urse tells the mother to do which?
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a.

Take him to the emergency department.
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b.

Put ice on the injury.
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c.

Avoid letting him get so tired. B B B B B




d.

Wait another hour. If he is still crying, call back. - ANSWER-
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Unrelieved pain and the childs inability to extend his fingers are signs of compartmental syndr
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ome, which requires immediate attention. Placing ice on the extremity is an inappropriate acti
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on for the presenting symptoms. It is inappropriate for the nurse to tell the mother who is con
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cerned about her child to avoid letting him get so tired. A child who has signs and symptoms of
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compartmental syndrome should be seen immediately. Waiting an hour could compromise th
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e recovery of the child.
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2
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