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. A nurse is teaching a client who needs to increase their daily fluid intake. Which of the following foods has the highest percentage of water by weight?
- A. Yogurt
- B. Milk
- C. Lettuce
- D. Honey
Correct answer: C: Lettuce
Rationale: The correct answer is Lettuce. Lettuce has the highest percentage of water by weight among the options provided, making it an excellent choice to increase fluid intake. Yogurt and milk have some water content but are not as high in water percentage as lettuce. Honey, on the other hand, contains very little water and is not a good choice for increasing fluid intake.
3. This special form is used when the patient is admitted to the unit. The nurse completes the information in this record particularly his/her basic personal data, current illness, previous health history, health history of the family, emotional profile, environmental history as well as physical assessment together with nursing diagnosis on admission. What do you call this record?
- A. Nursing Kardex
- B. Nursing Health History and Assessment Worksheet
- C. Medicine and Treatment Record
- D. Discharge Summary
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.
4. Muscle weakness due to wasting would most likely be evaluated by which test?
- A. recall of food intake
- B. skinfold thickness
- C. handgrip strength
- D. red blood cell levels
Correct answer: C
Rationale: Handgrip strength is a reliable test to assess muscle function and detect muscle weakness due to wasting. It is often used to identify conditions like sarcopenia in clinical settings. Options A, B, and D are not suitable for evaluating muscle weakness. Food intake recall does not directly measure muscle function, skinfold thickness assesses body fat but not muscle strength, and red blood cell levels are unrelated to muscle wasting.
5. Which step of the management process is concerned with Policy making and Stating the goals and objective of the institution?
- A. Planning
- B. Organizing
- C. Directing
- D. Controlling
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.