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Exam Code: NCLEX-RN
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NO.1 Prior to an amniocentesis, a fetal ultrasound is done in order to:
A. Ensure that the fetus is mature enough to perform the amniocentesis
B. Evaluate fetal lung maturity
C. Evaluate the amount of amniotic fluid
D. Locate the position of the placenta and fetus
Answer: D

NCLEX-RN Latest   
Explanation:
(A) Amniocentesis can be performed to assess for lung maturity. Fetal ultrasound can be used for
gestational dating, although it does not separately determine lung maturity. (B) Ultrasound can
evaluate amniotic fluid volume, which may be used to determine congenital anomalies. (C)
Amniocentesis involves removal of amniotic fluid for evaluation. The needle, inserted through the
abdomen, is guided by ultrasound to avoid needle injuries, and the test evaluates the position of the
placenta and the fetus. (D) Amniocentesis can be performed as early as the 15th-17th week of
pregnancy.

NO.2 A client states to his nurse that "I was told by the doctor not to take one of my drugs because
it seems to have caused decreasing blood cells." Based on this information, which drug might the
nurse expect to be discontinued?
A. Prednisone
B. Timolol maleate (Blocadren)
C. Garamycin (Gentamicin)
D. Phenytoin (Dilantin)
Answer: D

NCLEX-RN Resourse   
Explanation:
(A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is
metabolized by the liver. It has not been linked to blood dyscrasia. (C) Gentamicin is ototoxic and
nephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The
drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).