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. Which outcome has been shown to be most closely associated with breastfeeding infants of mothers who smoke?

A. poor temperature regulation
B. vision impairment
C. vomiting
D. elevated blood pressure

Correct answer: C

Rationale: The correct answer is C: vomiting. Infants breastfed by mothers who smoke are more likely to experience vomiting and gastrointestinal issues due to the transfer of nicotine and other harmful substances through breast milk. Choices A, B, and D are incorrect. Poor temperature regulation, vision impairment, and elevated blood pressure are not the primary outcomes closely associated with breastfeeding infants of mothers who smoke.

3. What differentiates one amino acid from another?

A. The amine group
B. The acid group
C. The side chain
D. None of the above

Correct answer: C

Rationale: The side chain, also known as the R group, is what differentiates one amino acid from another. It imparts unique properties to each amino acid, thereby influencing their roles and functions in proteins. The amine group (Choice A) and the acid group (Choice B) are components of all amino acids and do not cause the differences among various amino acids. Choice D is incorrect as it suggests that none of the given options account for the differences, which is not true as the side chain does.

4. The GAUGE size in ET tubes determines:

A. The external circumference of the tube
B. The internal diameter of the tube
C. The length of the tube
D. The tubeâ€™s volumetric capacity

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.