BMTCN PRACTICE TEST
Which of the following is a disadvantage in the use of umbilical cord blood?
A) increased risk of graft failure
B) difficult collection process
C) higher risk of GVHD
D) cost - Correct Answers -A) increased risk of graft failure
which of the following is a characteristic of stroma cells? Stomal cells:
A) are the primary location of hematopoiesis
B) differentiate into epithelium
C) are responsible for producing immunoglobulins
D) are found in the brain - Correct Answers -A) are the primary location of
hematopoiesis
- bone marrow stroma is the center of cellular activity
A 45-year-old female with acute myeloid leukemia arrives for her pre-transplant
evaluation. The patient's twin sister offers to donate, but the physician opts to use a
donor from the National Marrow Donor Program because:
A) syngeneic transplants increase the risk for tumor relapse
B) the patient' sister is also identified as her caregiver
C) the cost of immunosuppression medications is high
D) the physician prefers to use the national marrow donor program - Correct Answers -
A) syngeneic transplants increase the risk for tumor relapse
The cluster of differentiation system is used to:
A) classify cell surface proteins on leukocytes
B) identify different types of cytokines
C) measure immune function
D) crossmatch for blood product transfusion - Correct Answers -A) classify cell surface
proteins on leukocytes
Types of granulocytic cells include which of the following?
, A) neutrophils
B) monocytes
C) lymphocytes
D) macrophages - Correct Answers -A) neutrophils
While explaining the goals for stem cell transplant to a patient with acute myeloid
leukemia, the nurse emphasizes that transplantation will:
A) produce a graft versus leukemia effect
B) provide a chimeric graft post-transplant
C) reduce tumor burden
D) improve immune system function - Correct Answers -A) produce a graft versus
leukemia effect
The caregiver of a patient at a clinic visit reports witnessing unusual and aggressive
behavior, sleep problems, and sadness. The nurse believes the patient may be
exhibiting signs of:
A) PTSD
B) posterior reversible encephalopathy syndrome
C) tacro toxicity
D) bipolar disorder - Correct Answers -A) PTSD
Following an allogeneic transplant, a patient arrives at clinic reporting weakness and
fatigue that has worsened over the past week. Which nursing intervention would be
most appropriate?
A) encourage the patient to incorporate regular aerobic and resistance exercises
B) obtain an order to transfuse one unit of pRBCs
C) request a referral to skilled nursing facility
D) suggest the patient take long naps during the day - Correct Answers -A) encourage
the patient to incorporate regular aerobic and resistance exercises
Which of the following is a potential barrier in advanced care planning for patients who
have received an HSCT?
A) provider discomfort discussing end of life issues
B) accessibility to a lawyer
C) length of time required to complete documents
D) difficulty understanding documents - Correct Answers -A) provider discomfort
discussing end of life issues
A pediatric patient with which of the following conditions can be treated with an
autologous transplant?
Which of the following is a disadvantage in the use of umbilical cord blood?
A) increased risk of graft failure
B) difficult collection process
C) higher risk of GVHD
D) cost - Correct Answers -A) increased risk of graft failure
which of the following is a characteristic of stroma cells? Stomal cells:
A) are the primary location of hematopoiesis
B) differentiate into epithelium
C) are responsible for producing immunoglobulins
D) are found in the brain - Correct Answers -A) are the primary location of
hematopoiesis
- bone marrow stroma is the center of cellular activity
A 45-year-old female with acute myeloid leukemia arrives for her pre-transplant
evaluation. The patient's twin sister offers to donate, but the physician opts to use a
donor from the National Marrow Donor Program because:
A) syngeneic transplants increase the risk for tumor relapse
B) the patient' sister is also identified as her caregiver
C) the cost of immunosuppression medications is high
D) the physician prefers to use the national marrow donor program - Correct Answers -
A) syngeneic transplants increase the risk for tumor relapse
The cluster of differentiation system is used to:
A) classify cell surface proteins on leukocytes
B) identify different types of cytokines
C) measure immune function
D) crossmatch for blood product transfusion - Correct Answers -A) classify cell surface
proteins on leukocytes
Types of granulocytic cells include which of the following?
, A) neutrophils
B) monocytes
C) lymphocytes
D) macrophages - Correct Answers -A) neutrophils
While explaining the goals for stem cell transplant to a patient with acute myeloid
leukemia, the nurse emphasizes that transplantation will:
A) produce a graft versus leukemia effect
B) provide a chimeric graft post-transplant
C) reduce tumor burden
D) improve immune system function - Correct Answers -A) produce a graft versus
leukemia effect
The caregiver of a patient at a clinic visit reports witnessing unusual and aggressive
behavior, sleep problems, and sadness. The nurse believes the patient may be
exhibiting signs of:
A) PTSD
B) posterior reversible encephalopathy syndrome
C) tacro toxicity
D) bipolar disorder - Correct Answers -A) PTSD
Following an allogeneic transplant, a patient arrives at clinic reporting weakness and
fatigue that has worsened over the past week. Which nursing intervention would be
most appropriate?
A) encourage the patient to incorporate regular aerobic and resistance exercises
B) obtain an order to transfuse one unit of pRBCs
C) request a referral to skilled nursing facility
D) suggest the patient take long naps during the day - Correct Answers -A) encourage
the patient to incorporate regular aerobic and resistance exercises
Which of the following is a potential barrier in advanced care planning for patients who
have received an HSCT?
A) provider discomfort discussing end of life issues
B) accessibility to a lawyer
C) length of time required to complete documents
D) difficulty understanding documents - Correct Answers -A) provider discomfort
discussing end of life issues
A pediatric patient with which of the following conditions can be treated with an
autologous transplant?
