You could solve this by putting a sort value in the key and using a range query, but this wouldn't work if you want the most recent items keyed with time, because the items could be unevenly spaced back in time.
Pagination is coming soon; it's in riak_kv master already, but in buyer-beware #yolo territory.
LevelDB is also supposedly slower than Bitcask, the default backend, but I'm not sure if this is still true.
Bitcask is faster when all the keys fit in memory: it's designed to load any value with a single disk seek. LevelDB can't make that guarantee, but neither can Bitcask with too many keys for available memory.
I've been trying to think of ways around these problems. A simple thought I had was to simply cache the response as pages in Riak. Although this introduces new problems like how to know how often to reset the cache, too often and I may as well not have this cache, too infrequently and users get stale data.
Caching is one of the two hard problems in software engineering (along with "naming things" and "off-by-one errors"), so good luck :) If you're not opposed to running a separate service, Memcache is what I'd use.