1. When a patient senses a leaking in IV site during a chemotherapy infusion, what does the
nurse do first?
A. Please warning signs across the area to alert others to the spill
B. Restart chemotherapy with a new order
C. Put on the right safety gear
D. Environmental programs should be contacted - ANSWER A. Place warning signs across
the area to alert others to the spill
2. Which of the following is the leading cause of death after a cord blood transplant?
A. Infection
B. Bleeding
C. Malnutrition
D. Renal failure - ANSWER A. Infection
3. Which of the following drugs will most likely lead to heart failure as being used in the con-
ditioning regimen?
A. Busulfan
B. Cytarabine
C. Fludarabine
D. Cyclophosphamide - ANSWER D. Cyclophosphamide (Cytoxan)
4. Daisy has leukemia. She will require HSCT treatment. In this situation, which of the follow-
ing is the most important thing for the nurse to consider while teaching her caregiver?
A. Request that the teaching be done by a nurse who is not caring for the patient
1
,B. Discuss the probability of transferring the details to someone other than the caregiver
C. Concentrate on details about the present stage of treatment
D. Keep track of the caregiver's emotional reaction - ANSWER C. Concentrate on details
about the present stage of treatment
5. Under utilization for certain diseases occurs due to transplant-related toxicity. For which
of the following disease is transplant-related toxicity a barrier?
A. Neuroblastoma
B. Arrhythmia
C. Acute myeloid leukemia
D. Sickle cell disease - ANSWER D. Sickle cell disease
6. Identify which among the following electrolyte abnormalities, is not characterized as an
acute tumor lysis syndrome (TLS)?
A. HYPOcalcemia
B. HYPERkalemia
C. HYPERuricemia
D. HYPOphosphatemia - ANSWER D. HYPOphosphatemia
7. A medical treatment that removes blood via machine and isolates white blood cells has
shown to reduce the severity of oral chronic GVHD. Identify the treatment from below?
A. Methotrexate
B. Mercaptopurine (6MP)
C. ECP
D. IBD - ANSWER C. ECP
8. Non-squamous cell carcinoma has been diagnosed in a patient who obtained an allogenic
HSCT twelve years ago. Which of the following factors does the nurse believe contributed to
the development of this secondary malignancy?
2
,A. Effect of alkylating agents as part of the chemotherapy treatment previously
B. Record of previous condition regimen with radiation therapy
C. Attack of EBV
D. Gender and age of the patient - ANSWER B. Record of previous condition regimen with
radiation therapy
9. Alex underwent as HSCT a couple of weeks back. His wife Emma is the caregiver for him.
She noticed some behavior changes in Alex like agitation, severe anxiety, insomnia, depres-
sion, and hypervigilance recently and reported to the staff nurse. What will be the primary
suspect of the nurse?
A. Emma is under stress and exaggerating
B. Alex is trying to be self-pity
C. Emma is having PTSD
D. Alex is having PTSD - ANSWER D. Alex is having PTSD
10. What immunosuppressive medication can result in serum sickness?
A. Calcineurin inhibitors
B. ATG
C. Steroids
D. All of the above - ANSWER D? --> B!
11. Although xerostomia is not a disease, it may be a symptom of a variety of illnesses or a
side effect of radiation therapy. As a result, which of the following will occur?
A. Hyperemesis gravidarum
B. Cerebral palsy
C. Dental caries
D. Acid Reflux - ANSWER D? --> C!
3
, 12. A cyclosporine (CSA)-treated patient was given a prescription for voriconazole, which he
could self-administer. The nurse recognizes the following:
A. When voriconazole and cyclosporine (CSA) are taken together, liver toxicity can occur
B. After starting vori, CSA levels should be closely monitored
C. Vori is not recommended for people who are taking CSA
D. When CSA is combined with vori, hyperglycermia can occur - ANSWER A? --> B (you
knew this)
13. Identify an example of myeloid cell from the following?
A. T cells
B. Megakaryocytes
C. Neuroglial cells
D. Monocytes - ANSWER ? --> D
14. Which of the below is a good reason to use high dose TBI while conditioning?
A. Reduce long-term toxicity
B. Locate and reach tumor-bearing zone in the body
C. Toxic chemotherapy is no longer needed
D. Prevent pancytopenia from developing - ANSWER B? YAY
15. Based on the research process, which of the following is an example of delivering effec-
tive, high-quality care?
A. Evaluation of abilities
B. Evidence based practice (EBP)
C. Statutory requirements
D. Certification requirements - ANSWER B YAY
16. During the stem cell infusion, a patient experiences facial swelling. What drug does the
nurse expect an order for when the infusion is decided to stop?
4
nurse do first?
A. Please warning signs across the area to alert others to the spill
B. Restart chemotherapy with a new order
C. Put on the right safety gear
D. Environmental programs should be contacted - ANSWER A. Place warning signs across
the area to alert others to the spill
2. Which of the following is the leading cause of death after a cord blood transplant?
A. Infection
B. Bleeding
C. Malnutrition
D. Renal failure - ANSWER A. Infection
3. Which of the following drugs will most likely lead to heart failure as being used in the con-
ditioning regimen?
A. Busulfan
B. Cytarabine
C. Fludarabine
D. Cyclophosphamide - ANSWER D. Cyclophosphamide (Cytoxan)
4. Daisy has leukemia. She will require HSCT treatment. In this situation, which of the follow-
ing is the most important thing for the nurse to consider while teaching her caregiver?
A. Request that the teaching be done by a nurse who is not caring for the patient
1
,B. Discuss the probability of transferring the details to someone other than the caregiver
C. Concentrate on details about the present stage of treatment
D. Keep track of the caregiver's emotional reaction - ANSWER C. Concentrate on details
about the present stage of treatment
5. Under utilization for certain diseases occurs due to transplant-related toxicity. For which
of the following disease is transplant-related toxicity a barrier?
A. Neuroblastoma
B. Arrhythmia
C. Acute myeloid leukemia
D. Sickle cell disease - ANSWER D. Sickle cell disease
6. Identify which among the following electrolyte abnormalities, is not characterized as an
acute tumor lysis syndrome (TLS)?
A. HYPOcalcemia
B. HYPERkalemia
C. HYPERuricemia
D. HYPOphosphatemia - ANSWER D. HYPOphosphatemia
7. A medical treatment that removes blood via machine and isolates white blood cells has
shown to reduce the severity of oral chronic GVHD. Identify the treatment from below?
A. Methotrexate
B. Mercaptopurine (6MP)
C. ECP
D. IBD - ANSWER C. ECP
8. Non-squamous cell carcinoma has been diagnosed in a patient who obtained an allogenic
HSCT twelve years ago. Which of the following factors does the nurse believe contributed to
the development of this secondary malignancy?
2
,A. Effect of alkylating agents as part of the chemotherapy treatment previously
B. Record of previous condition regimen with radiation therapy
C. Attack of EBV
D. Gender and age of the patient - ANSWER B. Record of previous condition regimen with
radiation therapy
9. Alex underwent as HSCT a couple of weeks back. His wife Emma is the caregiver for him.
She noticed some behavior changes in Alex like agitation, severe anxiety, insomnia, depres-
sion, and hypervigilance recently and reported to the staff nurse. What will be the primary
suspect of the nurse?
A. Emma is under stress and exaggerating
B. Alex is trying to be self-pity
C. Emma is having PTSD
D. Alex is having PTSD - ANSWER D. Alex is having PTSD
10. What immunosuppressive medication can result in serum sickness?
A. Calcineurin inhibitors
B. ATG
C. Steroids
D. All of the above - ANSWER D? --> B!
11. Although xerostomia is not a disease, it may be a symptom of a variety of illnesses or a
side effect of radiation therapy. As a result, which of the following will occur?
A. Hyperemesis gravidarum
B. Cerebral palsy
C. Dental caries
D. Acid Reflux - ANSWER D? --> C!
3
, 12. A cyclosporine (CSA)-treated patient was given a prescription for voriconazole, which he
could self-administer. The nurse recognizes the following:
A. When voriconazole and cyclosporine (CSA) are taken together, liver toxicity can occur
B. After starting vori, CSA levels should be closely monitored
C. Vori is not recommended for people who are taking CSA
D. When CSA is combined with vori, hyperglycermia can occur - ANSWER A? --> B (you
knew this)
13. Identify an example of myeloid cell from the following?
A. T cells
B. Megakaryocytes
C. Neuroglial cells
D. Monocytes - ANSWER ? --> D
14. Which of the below is a good reason to use high dose TBI while conditioning?
A. Reduce long-term toxicity
B. Locate and reach tumor-bearing zone in the body
C. Toxic chemotherapy is no longer needed
D. Prevent pancytopenia from developing - ANSWER B? YAY
15. Based on the research process, which of the following is an example of delivering effec-
tive, high-quality care?
A. Evaluation of abilities
B. Evidence based practice (EBP)
C. Statutory requirements
D. Certification requirements - ANSWER B YAY
16. During the stem cell infusion, a patient experiences facial swelling. What drug does the
nurse expect an order for when the infusion is decided to stop?
4
