Page 1 of 91
“BMTCN PRACTICE QUESTIONS (REVIEW
MANUAL AND CERT REVIEW)EXAM “
NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
BMTCN Practice Questions (Review Manual and Cert Review)
A patient's preparative regimen includes thiotepa. Essential patient education
includes:
the importance of showering 2-3 times a day for 24 hours after the infusion.
hemorrahagic cystitis is a complication of thiotepa administration.
the use of moisturizers on the skin to prevent skin irritation.
kidney dysfunction is common with thiotepa administration.
importance of 2-3 showers/day for 24 hours after infusion
Which of the following is a strong predictor of a relapse following allogeneic
HSCT?
A patient inquires about re-immunization six months after an HSCT. The nurse
knows re-immunization:
begins 2 years post transplant.
, Page 2 of 91
generally begins approximately 12 months following HSCT.
can begin anytime following transplant.
is not required following transplant as prior antibodies are still present.
begins approximately 12 months following transplant
Premature ovarian failure after an HSCT is related to which of the following?
Prescribed immunosuppressive medications
Treatment with alkylating agents
Disease relapse
Graft vs host disease
Alkylating agents used in conditioing
The patient's preparative regimen includes busulfan, fludarabine and
antithymocyte globulin. The nurse plans to administer which medication prior
to the antithymocyte globulin infusion?
Ondansetron
Diphenhydramine
Aspirin
Mannitol
benadryl (diphenhydramine) as it is highly reactive/anaphylaxis is common - AKA
REACTION MED
Which of the following factors increases the risk of squamous cell carcinoma
following transplant?
History of non-Hodgkin lymphoma
History of acute myelogenous leukemia
Previous diagnosis of aGVHD
Underlying diagnosis of Fanconi anemia
Hx of fanconi anemia (FA)
Two years after an HSCT, a patient reports a dry cough, dyspnea, and
wheezing. What does the nurse suspect?
Bronchiolitis obliterans
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Engraftment syndrome
Acute graft versus host disease
Diffuse alveolar hemorrhage
Reveal Rationale and Reference
Bronchiolitis obliterans
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:
post traumatic stress disorder.
posterior reversible encephalopathy syndrome.
bipolar disorder.
tacrolimus toxicity.
PTSD
Which of the following decreases the risk of developing acute GVHD after an
allogeneic transplant for a male patient?
Human leukocyte antigen disparity
Depletion of T lymphocytes from allograft
Infusion of increased number of stem cells
Unrelated female donor
T cell depletion from allo graft
During the preparative phase of HSCT, TBI is most often used to treat which of
the following types of malignancies?
Myeloid
Lymphoid
Endodermal
Myeloblast
Lymphoid
Which of the following is the first step in the pathophysiological process for
acute GVHD?
, Page 4 of 91
Cytokine release syndrome
Damage of host tissue
Engraftment syndrome
Inflammatory effectors
Damage of host tissue
Which medication is used in conjunction with extracorporeal photopheresis?
Methoxsalen
Thioguanine
Mercaptopurine
Fluorouracil
Methoxsalen (used with ECP)
Eight months after an allogeneic HSCT, a patient is reporting a gritty sensation
in the eyes and sensitivity to light. Which of the following interventions will
most likely be ordered?
Phototherapy
Systemic corticosteriods
Digital eye exam
Schirmer's test
Schirmer's test
What is the diagnostic test necessary for ocular (eye) GVHD?
Schirmer's Test
What is the best initial step in determining the evidence available to support a
current nursing intervention?
Evidence is not necessary to guide nursing practice.
Ask fellow nurses on the unit what their current practice is.
Conduct a research study comparing two different processes to see which is
better.
Review current literature regarding the intervention, identify gaps or
inconsistencies in nursing practice.
Review current and identify gaps or inconsistencies in practice
“BMTCN PRACTICE QUESTIONS (REVIEW
MANUAL AND CERT REVIEW)EXAM “
NEWEST UPDATED EXAM 2025 – 2026
SOLVED QUESTIONS & ANSWERS
VERIFIED 100% GRADED A+ (LATEST
VERSION)
BMTCN Practice Questions (Review Manual and Cert Review)
A patient's preparative regimen includes thiotepa. Essential patient education
includes:
the importance of showering 2-3 times a day for 24 hours after the infusion.
hemorrahagic cystitis is a complication of thiotepa administration.
the use of moisturizers on the skin to prevent skin irritation.
kidney dysfunction is common with thiotepa administration.
importance of 2-3 showers/day for 24 hours after infusion
Which of the following is a strong predictor of a relapse following allogeneic
HSCT?
A patient inquires about re-immunization six months after an HSCT. The nurse
knows re-immunization:
begins 2 years post transplant.
, Page 2 of 91
generally begins approximately 12 months following HSCT.
can begin anytime following transplant.
is not required following transplant as prior antibodies are still present.
begins approximately 12 months following transplant
Premature ovarian failure after an HSCT is related to which of the following?
Prescribed immunosuppressive medications
Treatment with alkylating agents
Disease relapse
Graft vs host disease
Alkylating agents used in conditioing
The patient's preparative regimen includes busulfan, fludarabine and
antithymocyte globulin. The nurse plans to administer which medication prior
to the antithymocyte globulin infusion?
Ondansetron
Diphenhydramine
Aspirin
Mannitol
benadryl (diphenhydramine) as it is highly reactive/anaphylaxis is common - AKA
REACTION MED
Which of the following factors increases the risk of squamous cell carcinoma
following transplant?
History of non-Hodgkin lymphoma
History of acute myelogenous leukemia
Previous diagnosis of aGVHD
Underlying diagnosis of Fanconi anemia
Hx of fanconi anemia (FA)
Two years after an HSCT, a patient reports a dry cough, dyspnea, and
wheezing. What does the nurse suspect?
Bronchiolitis obliterans
, Page 3 of 91
Engraftment syndrome
Acute graft versus host disease
Diffuse alveolar hemorrhage
Reveal Rationale and Reference
Bronchiolitis obliterans
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:
post traumatic stress disorder.
posterior reversible encephalopathy syndrome.
bipolar disorder.
tacrolimus toxicity.
PTSD
Which of the following decreases the risk of developing acute GVHD after an
allogeneic transplant for a male patient?
Human leukocyte antigen disparity
Depletion of T lymphocytes from allograft
Infusion of increased number of stem cells
Unrelated female donor
T cell depletion from allo graft
During the preparative phase of HSCT, TBI is most often used to treat which of
the following types of malignancies?
Myeloid
Lymphoid
Endodermal
Myeloblast
Lymphoid
Which of the following is the first step in the pathophysiological process for
acute GVHD?
, Page 4 of 91
Cytokine release syndrome
Damage of host tissue
Engraftment syndrome
Inflammatory effectors
Damage of host tissue
Which medication is used in conjunction with extracorporeal photopheresis?
Methoxsalen
Thioguanine
Mercaptopurine
Fluorouracil
Methoxsalen (used with ECP)
Eight months after an allogeneic HSCT, a patient is reporting a gritty sensation
in the eyes and sensitivity to light. Which of the following interventions will
most likely be ordered?
Phototherapy
Systemic corticosteriods
Digital eye exam
Schirmer's test
Schirmer's test
What is the diagnostic test necessary for ocular (eye) GVHD?
Schirmer's Test
What is the best initial step in determining the evidence available to support a
current nursing intervention?
Evidence is not necessary to guide nursing practice.
Ask fellow nurses on the unit what their current practice is.
Conduct a research study comparing two different processes to see which is
better.
Review current literature regarding the intervention, identify gaps or
inconsistencies in nursing practice.
Review current and identify gaps or inconsistencies in practice
