1|Page
CCTC NATCO EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| NATCO CCTC REVIEW 2025
(BRAND NEW!!)
Which of the following diagnoses is a relative CONTRAINDICATION
to heart transplant?
a. HCVAb positive
b. sarcoidosis
c. pulmonary hypertension
d. hemochromatosis - Correct Answer - c. pulmonary hypertension
Which of the following medications can cause increased appetite, visual
changes, and decreased bone density?
a. prednisone
b. sirolimus
c. tacrolimus
d. bactrim - Correct Answer - a. prednisone
An enteric-drained pancreas recipient 1 month post transplant calls the
coordinator to report fever and abdominal pain. CT reveals intra-
abdominal fluid collection. Labs show WBC 18 and amylase 200. The
coordinator should anticipate:
pg. 1
,2|Page
a. colonoscopy
b. biopsy of the pancreas
c. percutaneous needle aspiration
d. KUB - Correct Answer - c. percutaneous needle aspiration
Which of the following is the best way to evaluate the patient's ability to
adhere to the complex post-op process?
a. literacy evaluation
b. nursing evaluation
c. neurological evaluation
d. psychosocial evaluation - Correct Answer - d. psychosocial evaluation
A carotid duplex scan of a transplant candidate shows 70% stenosis of
the right carotid artery and 50% stenosis of the left carotid artery. The
candidate should be referred to:
a. neurology
b. endocrinology
c. vascular surgery
d. hematology - Correct Answer - c. vascular surgery
A liver transplant recipient with hepatitis C presents with elevated liver
enzymes. A liver biopsy meets grade II Banff criteria. The coordinator
should suspect:
a. CMV infection
b. rejection episode
pg. 2
,3|Page
c. recurrent hepatitis C
d. bile duct obstruction - Correct Answer - b. rejection episode
A major component of cell-mediated rejection include lymphocytes
derived from
a. t cells
b. b cells
c. macrophages
d. granulocytes - Correct Answer - a. t cells
At 14 days posttransplant, a kidney transplant patient's creatinine level
has risen from 1.3 to 1.9 mg/dL. The patient has experienced a weight
gain of 1.5 kg (3.1 lb) over the past five days. Which of the following
tests should the transplant coordinator anticipate FIRST?
a. abdominal CT scan
b. kidney biopsy
c. bladder scan
d. kidney ultrasound - Correct Answer - d. kidney ultrasound
In the adolescent population, the MOST common cause of graft loss
after the first year of transplantation is
a. nonadherence
b. viral infection
c. bacterial infection
d. recurrent disease - Correct Answer - a. nonadherence
pg. 3
, 4|Page
A 55-year-old female four years post-liver transplant for primary biliary
cirrhosis is on prednisone and cyclosporine. She presents to the clinic
with right leg and knee pain with an altered gait for the last three
months. The transplant coordinator should suspect
a. arthritis
b. osteomyelitis
c. CMV infection
d. aseptic necrosis - Correct Answer - d. aseptic necrosis
Which of the following is the MOST important risk factor for Post-
Transplant Lymphoproliferative Disease (PTLD)?
a. concomitant CMV and EBV disease
b. induction with interleukin-2 receptor antagonist
c. high EBV polymer chain reaction at time of transplant
d. transplant of an EBV seropositive organ into a seronegative recipient -
Correct Answer - d. transplant of an EBV seropositive organ into a
seronegative recipient
Which of the following is a potential contraindication to living kidney
donation?
a. glomerular filtration rate of greater than 80 mL/min
b. history of recurrent nephrolithiasis
c. donor age of 18 or older
d. the donor being unrelated to the recipient - Correct Answer - b. history
of recurrent nephrolithiasis
pg. 4
CCTC NATCO EXAM NEWEST 2025 ACTUAL EXAM
TEST BANK| COMPLETE 300 REAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) GRADED A+| NATCO CCTC REVIEW 2025
(BRAND NEW!!)
Which of the following diagnoses is a relative CONTRAINDICATION
to heart transplant?
a. HCVAb positive
b. sarcoidosis
c. pulmonary hypertension
d. hemochromatosis - Correct Answer - c. pulmonary hypertension
Which of the following medications can cause increased appetite, visual
changes, and decreased bone density?
a. prednisone
b. sirolimus
c. tacrolimus
d. bactrim - Correct Answer - a. prednisone
An enteric-drained pancreas recipient 1 month post transplant calls the
coordinator to report fever and abdominal pain. CT reveals intra-
abdominal fluid collection. Labs show WBC 18 and amylase 200. The
coordinator should anticipate:
pg. 1
,2|Page
a. colonoscopy
b. biopsy of the pancreas
c. percutaneous needle aspiration
d. KUB - Correct Answer - c. percutaneous needle aspiration
Which of the following is the best way to evaluate the patient's ability to
adhere to the complex post-op process?
a. literacy evaluation
b. nursing evaluation
c. neurological evaluation
d. psychosocial evaluation - Correct Answer - d. psychosocial evaluation
A carotid duplex scan of a transplant candidate shows 70% stenosis of
the right carotid artery and 50% stenosis of the left carotid artery. The
candidate should be referred to:
a. neurology
b. endocrinology
c. vascular surgery
d. hematology - Correct Answer - c. vascular surgery
A liver transplant recipient with hepatitis C presents with elevated liver
enzymes. A liver biopsy meets grade II Banff criteria. The coordinator
should suspect:
a. CMV infection
b. rejection episode
pg. 2
,3|Page
c. recurrent hepatitis C
d. bile duct obstruction - Correct Answer - b. rejection episode
A major component of cell-mediated rejection include lymphocytes
derived from
a. t cells
b. b cells
c. macrophages
d. granulocytes - Correct Answer - a. t cells
At 14 days posttransplant, a kidney transplant patient's creatinine level
has risen from 1.3 to 1.9 mg/dL. The patient has experienced a weight
gain of 1.5 kg (3.1 lb) over the past five days. Which of the following
tests should the transplant coordinator anticipate FIRST?
a. abdominal CT scan
b. kidney biopsy
c. bladder scan
d. kidney ultrasound - Correct Answer - d. kidney ultrasound
In the adolescent population, the MOST common cause of graft loss
after the first year of transplantation is
a. nonadherence
b. viral infection
c. bacterial infection
d. recurrent disease - Correct Answer - a. nonadherence
pg. 3
, 4|Page
A 55-year-old female four years post-liver transplant for primary biliary
cirrhosis is on prednisone and cyclosporine. She presents to the clinic
with right leg and knee pain with an altered gait for the last three
months. The transplant coordinator should suspect
a. arthritis
b. osteomyelitis
c. CMV infection
d. aseptic necrosis - Correct Answer - d. aseptic necrosis
Which of the following is the MOST important risk factor for Post-
Transplant Lymphoproliferative Disease (PTLD)?
a. concomitant CMV and EBV disease
b. induction with interleukin-2 receptor antagonist
c. high EBV polymer chain reaction at time of transplant
d. transplant of an EBV seropositive organ into a seronegative recipient -
Correct Answer - d. transplant of an EBV seropositive organ into a
seronegative recipient
Which of the following is a potential contraindication to living kidney
donation?
a. glomerular filtration rate of greater than 80 mL/min
b. history of recurrent nephrolithiasis
c. donor age of 18 or older
d. the donor being unrelated to the recipient - Correct Answer - b. history
of recurrent nephrolithiasis
pg. 4
