BMTCN FINAL EXAM 2026 ACTUAL QUESTIONS AND
SOLUTIONS RATED A+
✔✔Which of the following should the nurse expect to be ordered when a patient, who
130 days following a transplant, reports gritty and dry eyes?
A. Cyclosporine level
B. Antibiotic eye drops
C. Schirmer's test
D. Glaucoma test - ✔✔C. Schirmer's test
A Schirmer's test is used to measure the amount of tear production, confirming a
diagnosis of ocular graft-versus-host disease.
✔✔Which of the following supplements are required for a patient with chronic graft-
versus-host disease who is receiving steroids?
A. Calcium and vitamin D
B. Potassium and vitamin C
C. Iron and vitamin K
D. Magnesium and vitamin B12 - ✔✔A. Calcium and vitamin D
Calcium and vitamin D supplementation are specific treatments for osteopenia, a side
effect of corticosteroids.
✔✔Following a transplant, a patient reports fatigue and insomnia. The nurse should
also assess:
A. the caregiver.
B. the quality improvement plan.
C. for hyperthyroidism.
D. for cachexia-anorexia syndrome. - ✔✔A. the caregiver.
Caregiver fatigue should be assessed following a transplant.
✔✔According to the Foundation for the Accreditation of Cellular Therapy, who must be
notified of a positive microbial result on a cellular therapy product?
A. Donor
B. American Association of Blood Banks
C. Recipient
D. Food and Drug Administration - ✔✔C. Recipient
At minimum, FACT requires the recipient be notified of the positive microbial product.
, ✔✔A donor leukocyte infusion is highly effective for a patient who has relapsed
following an allogeneic HSCT for:
A. acute lymphoblastic leukemia.
B. severe aplastic anemia.
C. multiple myeloma.
D. chronic myeloid leukemia. - ✔✔D. chronic myeloid leukemia.
Donor leukocyte infusion has an intermediate effect in relapsed chronic myeloid
leukemia post allogeneic transplant.
✔✔What is a benefit for using umbilical cord blood for a stem cell transplant?
A. Shortened time for engraftment
B. Decreased incidence of GVHD
C. Higher levels of mesenchymal stromal cells
D. Lower incidence of post-transplant infections - ✔✔B. Decreased incidence of GVHD
Umbilical cord blood transplants have a decreased incidence of GVHD.
✔✔What is the most likely cause for the development of pink-tinged urine following an
autologous stem cell infusion?
A. Hemolysis of the recipient's red cells
B. Early onset of hemorrhagic cystitis
C. Hemorrhage from anticoagulants in the stem cell product
D. Hemolysis of red cells in the cryopreserved product - ✔✔D. Hemolysis of red cells in
the cryopreserved product
Red blood cells contained in the cryopreserved product lyse upon thawing, resulting in
pink colored urine as the body attempts to clear the dead red blood cells.
✔✔Which medication classification is used to prevent graft-versus-host disease?
A. Calcineurin inhibitors
B. Alkylating agents
C. Cyclic lipopeptides
D. Anti-CD3 monoclonal antibodies - ✔✔A. Calcineurin inhibitors
✔✔Which of the following is a recommended practice for a preschool-aged child with
symptoms of graft-versus-host disease of the oral mucosa?
A. Viscous lidocaine
B. Chlorhexidine mouthwash
C. Magnesium hydroxide/aluminum hydroxide swish and swallow
SOLUTIONS RATED A+
✔✔Which of the following should the nurse expect to be ordered when a patient, who
130 days following a transplant, reports gritty and dry eyes?
A. Cyclosporine level
B. Antibiotic eye drops
C. Schirmer's test
D. Glaucoma test - ✔✔C. Schirmer's test
A Schirmer's test is used to measure the amount of tear production, confirming a
diagnosis of ocular graft-versus-host disease.
✔✔Which of the following supplements are required for a patient with chronic graft-
versus-host disease who is receiving steroids?
A. Calcium and vitamin D
B. Potassium and vitamin C
C. Iron and vitamin K
D. Magnesium and vitamin B12 - ✔✔A. Calcium and vitamin D
Calcium and vitamin D supplementation are specific treatments for osteopenia, a side
effect of corticosteroids.
✔✔Following a transplant, a patient reports fatigue and insomnia. The nurse should
also assess:
A. the caregiver.
B. the quality improvement plan.
C. for hyperthyroidism.
D. for cachexia-anorexia syndrome. - ✔✔A. the caregiver.
Caregiver fatigue should be assessed following a transplant.
✔✔According to the Foundation for the Accreditation of Cellular Therapy, who must be
notified of a positive microbial result on a cellular therapy product?
A. Donor
B. American Association of Blood Banks
C. Recipient
D. Food and Drug Administration - ✔✔C. Recipient
At minimum, FACT requires the recipient be notified of the positive microbial product.
, ✔✔A donor leukocyte infusion is highly effective for a patient who has relapsed
following an allogeneic HSCT for:
A. acute lymphoblastic leukemia.
B. severe aplastic anemia.
C. multiple myeloma.
D. chronic myeloid leukemia. - ✔✔D. chronic myeloid leukemia.
Donor leukocyte infusion has an intermediate effect in relapsed chronic myeloid
leukemia post allogeneic transplant.
✔✔What is a benefit for using umbilical cord blood for a stem cell transplant?
A. Shortened time for engraftment
B. Decreased incidence of GVHD
C. Higher levels of mesenchymal stromal cells
D. Lower incidence of post-transplant infections - ✔✔B. Decreased incidence of GVHD
Umbilical cord blood transplants have a decreased incidence of GVHD.
✔✔What is the most likely cause for the development of pink-tinged urine following an
autologous stem cell infusion?
A. Hemolysis of the recipient's red cells
B. Early onset of hemorrhagic cystitis
C. Hemorrhage from anticoagulants in the stem cell product
D. Hemolysis of red cells in the cryopreserved product - ✔✔D. Hemolysis of red cells in
the cryopreserved product
Red blood cells contained in the cryopreserved product lyse upon thawing, resulting in
pink colored urine as the body attempts to clear the dead red blood cells.
✔✔Which medication classification is used to prevent graft-versus-host disease?
A. Calcineurin inhibitors
B. Alkylating agents
C. Cyclic lipopeptides
D. Anti-CD3 monoclonal antibodies - ✔✔A. Calcineurin inhibitors
✔✔Which of the following is a recommended practice for a preschool-aged child with
symptoms of graft-versus-host disease of the oral mucosa?
A. Viscous lidocaine
B. Chlorhexidine mouthwash
C. Magnesium hydroxide/aluminum hydroxide swish and swallow
