the nurse is preparing to administer atenolol tenormin to a client with angina which vital sign would cause the nurse to question administering this d the nurse is preparing to administer atenolol tenormin to a client with angina which vital sign would cause the nurse to question administering this d
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Nursing Elites

ATI RN

Pharmacology ATI Proctored Exam 2023

1. The healthcare professional is preparing to administer atenolol (Tenormin) to a client with angina. Which vital sign would cause the healthcare professional to question administering this drug?

Correct answer: B

Rationale: Atenolol is a beta-blocker medication that can lower heart rate. A pulse of 52 beats per minute is relatively low and administering atenolol could further decrease the heart rate, potentially leading to bradycardia. Monitoring the pulse rate and holding the medication if the pulse is below the prescribed parameters is crucial to prevent adverse effects such as bradycardia and hypotension.

2. Which of the following best describes the purpose of a root cause analysis (RCA)?

Correct answer: C

Rationale: The correct answer is C: 'Discover the underlying causes of an error.' Root cause analysis (RCA) focuses on identifying the fundamental reason(s) that led to an error or problem rather than placing blame on individuals. Choice A and B are incorrect as RCA is not about pinpointing a specific person to blame or determining disciplinary actions. Choice D is also incorrect as the primary goal of RCA is not to evaluate policy effectiveness but to uncover the root causes of issues for effective problem-solving.

3. Which of the following is not a common causative agent of bacterial meningitis?

Correct answer: C: Staphylococcus aureus

Rationale: Bacterial meningitis is commonly caused by Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Staphylococcus aureus is not a typical causative agent of bacterial meningitis. This bacterium is more commonly associated with skin and soft tissue infections rather than meningitis.

4. Testosterone production is regulated by which of the following glands?

Correct answer: D

Rationale: Testosterone production is regulated by the pituitary gland. The pituitary gland secretes luteinizing hormone (LH), which stimulates the Leydig cells in the testes to produce testosterone. This hormone is not regulated by the Pineal, Thymus, or Parathyroid glands. The Pineal gland is responsible for secreting melatonin, the Thymus gland is involved in immune function, and the Parathyroid glands regulate calcium levels in the blood.

5. Which statement demonstrates a well-structured attempt at limit setting?

Correct answer: A

Rationale: Choice A, 'Hitting me when you are angry is unacceptable,' demonstrates a well-structured attempt at limit setting because it clearly defines the unacceptable behavior without ambiguity. This statement sets a clear boundary and clearly communicates the consequence for the behavior. In contrast, choices B, C, and D are less effective in setting limits as they are either vague expectations or commands without specific consequences for crossing the limit.

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