NCLEX PN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH EXPLANATION . A GRADED

NCLEX PN ACTUAL EXAM 2024 QUESTIONS AND ANSWERS WITH EXPLANATION . A GRADED Question 1: A nurse is caring for a client with heart failure who is receiving furosemide (Lasix) 40 mg IV push. Which finding indicates the medication is effective? A) Blood pressure of 160/90 mmHg B) Urine output of 20 mL/hour C) Serum potassium level of 3.0 mEq/L D) Crackles audible in both lung bases Answer: B) Urine output of 20 mL/hour Explanation: Furosemide is a loop diuretic used to manage fluid overload. An increase in urine output indicates the medication is effectively mobilizing excess fluid. Option B is correct because it demonstrates the desired effect of furosemide. Option A: A high blood pressure reading indicates the medication is not yet effective in reducing fluid volume. Option C: A low serum potassium level (hypokalemia) is a common side effect of furosemide, but it does not indicate effectiveness. Option D: Crackles in the lungs indicate fluid accumulation, which means the medication is not yet effective.