BMTCN UPDATED 2026 EXAM SCRIPT QUESTIONS AND
SOLUTIONS RATED A+
✔✔Which of the following is recommended before considering a sibling donor for a
transplant?
A. Assessing whether childhood immunizations are current
B. Obtaining a psychosocial assessment
C. Observing how the donor and parents interact
D. Determining the donor's nutritional status - ✔✔B. Obtaining a psychosocial
assessment
✔✔Which intervention can reduce febrile platelet transfusion reactions?
A. Administering IV hydration concurrently with platelets
B. Using a leukocyte removal filter during transfusion
C. Depleting leukocytes after product collection
D. Administering HLA-matched platelet products - ✔✔C. Depleting leukocytes after
product collection
✔✔While supporting family members throughout the transplantation process, it is
important to recognize the burden on the caregiver:
A. is most severe immediately following the transplant during the inpatient stay.
B. is least impacted during times of unemployment due to financial strain.
C. may continue to be high throughout the recovery process.
D. is less emotionally and physically taxing than compared to the patient themselves. -
✔✔C. may continue to be high throughout the recovery process.
✔✔Which of the following is beneficial for a patient with graft-versus-host disease who
is reporting weakness and fatigue?
A. Tapering the patient's steroid dose
B. Encouraging the patient to perform resistive exercise
C. Increasing nap times during the day
D. Obtaining a prescription for an antidepressant - ✔✔B. Encouraging the patient to
perform resistive exercise
Many studies show that regular aerobic or resistance exercise decreases fatigue, and
can help with muscular issues associated with steroid use.
✔✔What ethical principle is challenged for the child who was conceived in order to
provide stem cells for a sibling?
A. Fidelity
, B. Justice
C. Veracity
D. Coercion - ✔✔B. Justice
The donor is not being provided with what is owed them (justice).
✔✔A patient who is day +150 following an allogeneic HSCT reports visual changes
including floaters, blurred vision, and blind spots. The nurse anticipates an order for:
A. ganciclovir.
B. entecavir.
C. oseltamivir.
D. acyclovir. - ✔✔A. ganciclovir.
CMV reactivation tends to be a late infection primarily affecting allogeneic recipients.
Visual changes that include floaters, blurred vision, and blind spots are consistent with
CMV retinitis. The treatment includes ganciclovir.
✔✔Which ethical principle is being violated if a physician enrolls a patient in a bone
marrow transplant clinical trial that is unlikely to help the patient?
A. Autonomy
B. Justice
C. Integrity
D. Beneficence - ✔✔D. Beneficence
Beneficence is the duty to do what is most beneficial for a patient.
✔✔Total body irradiation in children can increase the incidence of which of the
following?
A. Gingival hyperplasia
B. Feeding difficulties
C. Impaired root development
D. Cortical blindness - ✔✔C. Impaired root development
Root agenesis, root thinning and shortening are common in patients who received
radiation to the head, neck or mantle region.
✔✔A patient who received a myeloblative allogeneic transplant was treated with
methotrexate and conditioned with TBI. The patient is at high risk for the development of
which of the following complications?
A. Renal disease
B. Peripheral vascular disease
SOLUTIONS RATED A+
✔✔Which of the following is recommended before considering a sibling donor for a
transplant?
A. Assessing whether childhood immunizations are current
B. Obtaining a psychosocial assessment
C. Observing how the donor and parents interact
D. Determining the donor's nutritional status - ✔✔B. Obtaining a psychosocial
assessment
✔✔Which intervention can reduce febrile platelet transfusion reactions?
A. Administering IV hydration concurrently with platelets
B. Using a leukocyte removal filter during transfusion
C. Depleting leukocytes after product collection
D. Administering HLA-matched platelet products - ✔✔C. Depleting leukocytes after
product collection
✔✔While supporting family members throughout the transplantation process, it is
important to recognize the burden on the caregiver:
A. is most severe immediately following the transplant during the inpatient stay.
B. is least impacted during times of unemployment due to financial strain.
C. may continue to be high throughout the recovery process.
D. is less emotionally and physically taxing than compared to the patient themselves. -
✔✔C. may continue to be high throughout the recovery process.
✔✔Which of the following is beneficial for a patient with graft-versus-host disease who
is reporting weakness and fatigue?
A. Tapering the patient's steroid dose
B. Encouraging the patient to perform resistive exercise
C. Increasing nap times during the day
D. Obtaining a prescription for an antidepressant - ✔✔B. Encouraging the patient to
perform resistive exercise
Many studies show that regular aerobic or resistance exercise decreases fatigue, and
can help with muscular issues associated with steroid use.
✔✔What ethical principle is challenged for the child who was conceived in order to
provide stem cells for a sibling?
A. Fidelity
, B. Justice
C. Veracity
D. Coercion - ✔✔B. Justice
The donor is not being provided with what is owed them (justice).
✔✔A patient who is day +150 following an allogeneic HSCT reports visual changes
including floaters, blurred vision, and blind spots. The nurse anticipates an order for:
A. ganciclovir.
B. entecavir.
C. oseltamivir.
D. acyclovir. - ✔✔A. ganciclovir.
CMV reactivation tends to be a late infection primarily affecting allogeneic recipients.
Visual changes that include floaters, blurred vision, and blind spots are consistent with
CMV retinitis. The treatment includes ganciclovir.
✔✔Which ethical principle is being violated if a physician enrolls a patient in a bone
marrow transplant clinical trial that is unlikely to help the patient?
A. Autonomy
B. Justice
C. Integrity
D. Beneficence - ✔✔D. Beneficence
Beneficence is the duty to do what is most beneficial for a patient.
✔✔Total body irradiation in children can increase the incidence of which of the
following?
A. Gingival hyperplasia
B. Feeding difficulties
C. Impaired root development
D. Cortical blindness - ✔✔C. Impaired root development
Root agenesis, root thinning and shortening are common in patients who received
radiation to the head, neck or mantle region.
✔✔A patient who received a myeloblative allogeneic transplant was treated with
methotrexate and conditioned with TBI. The patient is at high risk for the development of
which of the following complications?
A. Renal disease
B. Peripheral vascular disease
