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. Discharge plans of diabetic clients include injection site rotation. You should emphasize that the space between sites should be:

A. 6.0 cm.
B. 5.0 cm.
C. 2.5 cm.
D. 4.0 cm.

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. Why is a pulse oximeter attached to Mr. Dizon's finger?

A. To determine if the patient's hemoglobin level is low and if he requires a blood transfusion
B. To check the level of the patient's tissue perfusion
C. To measure the effectiveness of the patient's anti-hypertensive medications
D. To detect oxygen saturation of arterial blood before symptoms of hypoxemia develop

Correct answer: D

Rationale: A pulse oximeter is used to detect the oxygen saturation levels in arterial blood before the onset of hypoxemia symptoms. This device provides essential information about the effectiveness of oxygen transportation to the body's tissues. Choice A is incorrect because a pulse oximeter does not directly measure hemoglobin levels nor determine the need for a blood transfusion. Choice B is incorrect because a pulse oximeter is designed specifically to assess oxygen saturation, not tissue perfusion. Choice C is incorrect because a pulse oximeter is not used to measure the efficacy of anti-hypertensive medications, but rather to monitor oxygen levels in the blood.

4. Nutrients that may help decrease high blood pressure levels include:

A. magnesium and sodium
B. protein and monounsaturated fat
C. calcium and potassium
D. dietary fiber and plant sterols

Correct answer: C

Rationale: Calcium and potassium play vital roles in regulating blood pressure, with potassium helping to balance the negative effects of sodium.

5. A nurse should be cognizant that professional programs for specialty certification by the Board of Nursing accredited through the:

A. Professional Regulation Commission
B. Nursing Specialty Certification Council
C. Association of Deans of Philippine Colleges of Nursing
D. Philippine Nurse Association

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.