BMTCN Test Bank 2025/2026 – Real Exam Questions
WITH 100% RATED Correct Answers EXPERT VERIFIED
and Rationales for Blood and Marrow Transplant
Certified Nurses JUST RELEASED GET IT A+
Which of the following studies should be completed at regular intervals for a patient receiving
long-term steroids?
A. Positron emission tomography scan
B. Magnetic resonance imaging
C. Dual energy x-ray absorptiometry
D. Computed tomography scan ✔CORRECT ANSWER✔C. Dual energy x-ray absorptiometry
The major histocompatibility complex is responsible for:
A. identification of self versus non-self.
B. the release of histamine during a hemolytic transfusion reaction.
C. the release of hematopoietic stem cells from the bone marrow.
D. progenitor cell Golgi complex regulation. ✔CORRECT ANSWER✔A. identification of self
versus non-self.
,What is the overall grade of acute graft-versus-host disease for a patient following transplant
who has a maculopapular rash on the face and trunk, a direct bilirubin of 4 mg/dL, and
approximately 1,200 mL/day of diarrhea?
A. III
B. IV
C. I
D. II ✔CORRECT ANSWER✔A. III
Maculopapular rash 40.5% = grade 2
Bilirubin 4 mg/dL = grade 2
Diarrhea 1,200 mL/day = grade 2
What preventive measures can help reduce the occurrence of acute graft-versus-host disease?
A. Using ABO-compatible donors
B. Administering hematopoietic growth factor post-transplant
C. Administering alemtuzumab and fludarabine
D. Irradiating the stem cell product prior to infusion ✔CORRECT ANSWER✔C. Administering
alemtuzumab and fludarabine
Which of the following should be considered prior to administering a myeloablative
conditioning regimen?
A. Patient's gender
,B. Patient's disease
C. Donor's age
D. Donor's ethnicity ✔CORRECT ANSWER✔B. Patient's disease
A patient is currently taking cyclosporine and has a new order for fluconazole. The nurse
anticipates which of the following?
A. Administering medications at separate times
B. Suspecting blood medication levels will be inaccurate
C. Increasing the dose of fluconazole
D. Reducing the dose of cyclosporine ✔CORRECT ANSWER✔D. Reducing the dose of
cyclosporine
Which secondary malignancy is a patient most at risk for developing following an allogeneic
HSCT?
A. Colorectal cancer
B. Chronic myeloid leukemia
C. Ewing sarcoma
D. Post-transplant lymphroproliferative disease ✔CORRECT ANSWER✔D. Post-transplant
lymphroproliferative disease
Minutes after a cryopreserved stem cell infusion is initiated, a patient develops a cough and
mild wheezing. The nurse should next:
A. decrease the hydration rate.
, B. slow the infusion.
C. administer IM epinephrine.
D. obtain an order for chest x-ray. ✔CORRECT ANSWER✔B. slow the infusion.
Which of the following actions should the nurse take prior to collecting autologous stem cells
for a young child?
A. Obtaining additional peripheral IV access
B. Inserting a urinary catheter on the days of collection
C. Priming the machine with irradiated packed red blood cells
D. Decreasing the dose of filgrastim ✔CORRECT ANSWER✔C. Priming the machine with
irradiated packed red blood cells
Nonmyeloablative allogeneic hematopoietic stem cell transplantation was developed as a
treatment option for patients who:
A. have minimal disease.
B. do not have a related donor.
C. require less intense preparative regimens.
D. benefit from tandem transplants. ✔CORRECT ANSWER✔C. require less intense preparative
regimens.
What is a possible effect from sun exposure for a patient after transplant?
A. Palmar-plantar erythrodysesthesia
B. Radiation recall
WITH 100% RATED Correct Answers EXPERT VERIFIED
and Rationales for Blood and Marrow Transplant
Certified Nurses JUST RELEASED GET IT A+
Which of the following studies should be completed at regular intervals for a patient receiving
long-term steroids?
A. Positron emission tomography scan
B. Magnetic resonance imaging
C. Dual energy x-ray absorptiometry
D. Computed tomography scan ✔CORRECT ANSWER✔C. Dual energy x-ray absorptiometry
The major histocompatibility complex is responsible for:
A. identification of self versus non-self.
B. the release of histamine during a hemolytic transfusion reaction.
C. the release of hematopoietic stem cells from the bone marrow.
D. progenitor cell Golgi complex regulation. ✔CORRECT ANSWER✔A. identification of self
versus non-self.
,What is the overall grade of acute graft-versus-host disease for a patient following transplant
who has a maculopapular rash on the face and trunk, a direct bilirubin of 4 mg/dL, and
approximately 1,200 mL/day of diarrhea?
A. III
B. IV
C. I
D. II ✔CORRECT ANSWER✔A. III
Maculopapular rash 40.5% = grade 2
Bilirubin 4 mg/dL = grade 2
Diarrhea 1,200 mL/day = grade 2
What preventive measures can help reduce the occurrence of acute graft-versus-host disease?
A. Using ABO-compatible donors
B. Administering hematopoietic growth factor post-transplant
C. Administering alemtuzumab and fludarabine
D. Irradiating the stem cell product prior to infusion ✔CORRECT ANSWER✔C. Administering
alemtuzumab and fludarabine
Which of the following should be considered prior to administering a myeloablative
conditioning regimen?
A. Patient's gender
,B. Patient's disease
C. Donor's age
D. Donor's ethnicity ✔CORRECT ANSWER✔B. Patient's disease
A patient is currently taking cyclosporine and has a new order for fluconazole. The nurse
anticipates which of the following?
A. Administering medications at separate times
B. Suspecting blood medication levels will be inaccurate
C. Increasing the dose of fluconazole
D. Reducing the dose of cyclosporine ✔CORRECT ANSWER✔D. Reducing the dose of
cyclosporine
Which secondary malignancy is a patient most at risk for developing following an allogeneic
HSCT?
A. Colorectal cancer
B. Chronic myeloid leukemia
C. Ewing sarcoma
D. Post-transplant lymphroproliferative disease ✔CORRECT ANSWER✔D. Post-transplant
lymphroproliferative disease
Minutes after a cryopreserved stem cell infusion is initiated, a patient develops a cough and
mild wheezing. The nurse should next:
A. decrease the hydration rate.
, B. slow the infusion.
C. administer IM epinephrine.
D. obtain an order for chest x-ray. ✔CORRECT ANSWER✔B. slow the infusion.
Which of the following actions should the nurse take prior to collecting autologous stem cells
for a young child?
A. Obtaining additional peripheral IV access
B. Inserting a urinary catheter on the days of collection
C. Priming the machine with irradiated packed red blood cells
D. Decreasing the dose of filgrastim ✔CORRECT ANSWER✔C. Priming the machine with
irradiated packed red blood cells
Nonmyeloablative allogeneic hematopoietic stem cell transplantation was developed as a
treatment option for patients who:
A. have minimal disease.
B. do not have a related donor.
C. require less intense preparative regimens.
D. benefit from tandem transplants. ✔CORRECT ANSWER✔C. require less intense preparative
regimens.
What is a possible effect from sun exposure for a patient after transplant?
A. Palmar-plantar erythrodysesthesia
B. Radiation recall
