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Simulation Mode: NCLEX-RN | Next-Gen (CAT)
02:45:36
A 68-year-old male patient with a history of heart failure is admitted with acute shortness of breath. Assessment reveals bilateral crackles, JVD, and +3 pitting edema. The nurse administers furosemide 40 mg IV as ordered. Which finding would best indicate the medication is effective?
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Adaptive Difficulty: Hard (Estimated 78% pass probability)
AI Performance Analysis
Safe & Effective Care
Management of Care
82%
Safety & Infection Control
76%
Physiological Integrity
Basic Care & Comfort
88%
Pharmacological Therapies
65%
Clinical Judgment
Recognize Cues
92%
Take Action
78%
Identified Knowledge Gaps
Cardiac Glycosides Mechanism
Difficulty with questions about digoxin therapeutic range and toxicity management (3 incorrect attempts)
Fluid Restriction Calculations
Struggled with calculating daily fluid allowances for patients with CHF (2 incorrect attempts)
Priority Setting in Emergencies
Challenges identifying immediate vs. subsequent nursing actions in acute scenarios