BMTCN PRACTICE TEST QUESTIONS WITH ACCURATE
ANSWERS
10 days after an autologous transplant for myeloma, a patient experiences fever,
rash, weight gain, and rales upon auscultation. The nurse knows this is most likely
indicative of which of the following?
1) Thrombotic microangiopathies
2) Infection
3) Engraftment syndrome
4) SOS/VOD correct answer Engraftment syndrome
Engraftment syndrome is an inflammatory syndrome that can occur during
engraftment of an auto transplant. S/S - fever, weight gain and pulmonary edema.
200 days after an allogenic HSCT, a patient reports dry mouth, taste alterations,
and oral pain. The nurse anticipates receiving an order for which of the following?
1) Magic mouthwash
2) Topical steroid rinses
3) Oycodone
4) Nystatin suspension correct answer Topical steroid rinses
Topical steroids are first line treatment for oral GVHD
,A 45-year-old female with AML 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:
1) The cost of immunosuppression medication is high
2) Syngeneic transplants increase the risk of tumor relapse
3) The physicians prefers to use the NMDP
4) The patient's sister is also identified as her caregiver correct answer Syngeneic
transplants increase the risk of tumor relapse
Syngeneic transplants do not elicit a graft vs tumor effect
A nurse on an inpatient transplant unit reports experiencing altered slee patterns,
inability to concentrate, feeling helpless and indifferent following the death of a
patient. What is the nurse most likely experiencing?
1) Ethical conflict
2) Anxiety and depression
3) Compassion fatigue
4) Moral uncertainty correct answer Compassion fatigue
A nurse reflecting on professional practice may consider:
1) Side effects of a chemotherapy agent
2) the Three Rights of Delegation
3) Sharing details of patient care with a mutual friend
, 4) How to maintain professional boundaries correct answer How to maintain
professional boundaries
A patient continues to have symptoms of acute GVHD after a 14 day course of
glucocorticoids. What medication does the nurse anticipate an order for?
1) IVIG
2) ATG
3) Cyclosporine
4) Mineralocorticoids correct answer ATG
ATG is secondary treatment for GVHD not responding because it will begin to
deplete T lymphocytes.
A patient inquires about re-immunization six months after an HSCT. The nurse
knows re-immunization:
1) can begin anytime after transplant
2) is not required following transplant as prior antibodies are still present
3) generally begins 12 months following HSCT
4) begins 2 years post transplant correct answer Generally begins 12 months
following HSCT
Except MMR vaccine
ANSWERS
10 days after an autologous transplant for myeloma, a patient experiences fever,
rash, weight gain, and rales upon auscultation. The nurse knows this is most likely
indicative of which of the following?
1) Thrombotic microangiopathies
2) Infection
3) Engraftment syndrome
4) SOS/VOD correct answer Engraftment syndrome
Engraftment syndrome is an inflammatory syndrome that can occur during
engraftment of an auto transplant. S/S - fever, weight gain and pulmonary edema.
200 days after an allogenic HSCT, a patient reports dry mouth, taste alterations,
and oral pain. The nurse anticipates receiving an order for which of the following?
1) Magic mouthwash
2) Topical steroid rinses
3) Oycodone
4) Nystatin suspension correct answer Topical steroid rinses
Topical steroids are first line treatment for oral GVHD
,A 45-year-old female with AML 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:
1) The cost of immunosuppression medication is high
2) Syngeneic transplants increase the risk of tumor relapse
3) The physicians prefers to use the NMDP
4) The patient's sister is also identified as her caregiver correct answer Syngeneic
transplants increase the risk of tumor relapse
Syngeneic transplants do not elicit a graft vs tumor effect
A nurse on an inpatient transplant unit reports experiencing altered slee patterns,
inability to concentrate, feeling helpless and indifferent following the death of a
patient. What is the nurse most likely experiencing?
1) Ethical conflict
2) Anxiety and depression
3) Compassion fatigue
4) Moral uncertainty correct answer Compassion fatigue
A nurse reflecting on professional practice may consider:
1) Side effects of a chemotherapy agent
2) the Three Rights of Delegation
3) Sharing details of patient care with a mutual friend
, 4) How to maintain professional boundaries correct answer How to maintain
professional boundaries
A patient continues to have symptoms of acute GVHD after a 14 day course of
glucocorticoids. What medication does the nurse anticipate an order for?
1) IVIG
2) ATG
3) Cyclosporine
4) Mineralocorticoids correct answer ATG
ATG is secondary treatment for GVHD not responding because it will begin to
deplete T lymphocytes.
A patient inquires about re-immunization six months after an HSCT. The nurse
knows re-immunization:
1) can begin anytime after transplant
2) is not required following transplant as prior antibodies are still present
3) generally begins 12 months following HSCT
4) begins 2 years post transplant correct answer Generally begins 12 months
following HSCT
Except MMR vaccine
