when assessing for criteria that signify malnutrition risk which element would most likely be included as part of the functional assessment data

ATI RN

ATI Nutrition Proctored

1. When assessing for criteria that signify malnutrition risk, which element would most likely be included as part of the functional assessment data?

A. severity of illness
B. presence of pressure sores
C. localized edema
D. generalized weakness

Correct answer: D

Rationale: Generalized weakness is a key indicator of malnutrition and is often assessed as part of functional status, reflecting muscle wasting and reduced physical function. The other choices, such as severity of illness, presence of pressure sores, and localized edema, are important factors to consider in a clinical assessment but are not primarily indicative of malnutrition risk. Generalized weakness directly relates to the functional impact of malnutrition on physical performance.

2. An emerging technique in screening for Breast Cancer in developing countries like the Philippines is:

A. Mammography once a year starting at the age of 50
B. Clinical BSE Once a year
C. BSE Once a month
D. Pap smear starting at the age of 18 or earlier if sexually active

Correct answer: D

Rationale: Understanding the underlying pathology and therapeutic techniques ensures that nursing care is not only reactive but also preventative, reducing the risk of complications.

3. A patient following a vegetarian diet might be at risk for deficiency in which nutrient?

A. Vitamin C
B. Vitamin B12
C. Vitamin A
D. Vitamin D

Correct answer: B

Rationale: Vitamin B12 is primarily found in animal products, so vegetarians may need supplementation.

4. Patients with kidney stones should increase their intake of:

A. fluids
B. vitamin C
C. oxalates
D. protein

Correct answer: A

Rationale: Patients with kidney stones should increase their intake of fluids. Increasing fluid intake helps to dilute the urine and reduce the risk of kidney stones forming by flushing out minerals that can crystallize. This promotes the passage of small stones and helps prevent the formation of new ones. Vitamin C and protein intake should be moderated as excessive consumption may lead to the formation of certain types of kidney stones. Oxalates should be limited in the diet as they can contribute to the formation of calcium oxalate stones, a common type of kidney stone.