BMTCN Practice Exam: Comprehensive
HSCT Nursing Review (GVHD, Infections &
Complications)|Latest Update Complete
Questions with Verified A+ Graded Answers
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 - 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. - 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?
1
,A. III
B. IV
C. I
D. II - 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 - 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 - answer-B. Patient's disease
2
, 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 - 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 - 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. - answer-B. slow the infusion.
Which of the following actions should the nurse take prior to collecting autologous stem cells
3
HSCT Nursing Review (GVHD, Infections &
Complications)|Latest Update Complete
Questions with Verified A+ Graded Answers
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 - 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. - 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?
1
,A. III
B. IV
C. I
D. II - 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 - 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 - answer-B. Patient's disease
2
, 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 - 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 - 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. - answer-B. slow the infusion.
Which of the following actions should the nurse take prior to collecting autologous stem cells
3
