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Blood and Marrow Transplant Certified Nurse Practice Test

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ONCC-BMTCN
ONCC Blood and Marrow Transplant Certified Nurse
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Question: 1
Which of the following is a common adverse effect of total body irradiation
(TBI) as part of the preparative regimen for hematopoietic stem cell
transplantation?
A. Hypercalcemia
B. Pulmonary fibrosis
C. Thrombocytopenia
D. Hypoglycemia
Answer: B
Explanation: Pulmonary fibrosis is a common adverse effect of total body
irradiation (TBI) in the context of hematopoietic stem cell transplantation. TBI
can cause damage to lung tissue, leading to the development of fibrosis and
impaired lung function. Regular monitoring and supportive care are important
to manage this complication.
Question: 2
Which of the following is an important aspect of late post-transplant
management and education?
A. Blood type compatibility testing
B. Genetic counseling
C. Fertility preservation options
D. Allogeneic rescue transplant
Answer: B
Explanation: Genetic counseling is an important aspect of late post-transplant
management and education. Transplant recipients and their families may
benefit from genetic counseling to understand the genetic implications of the
transplant, potential recurrence risks, and family planning options. This can
help them make informed decisions regarding their future health and
reproductive choices.
Question: 3
Which of the following is a key component of early post-transplant
management and education?
A. Maintenance chemotherapy
B. Infection prevention and management
C. Long-term follow-up planning
D. Donor lymphocyte infusion
Answer: B
Explanation: Infection prevention and management are key components of
early post-transplant management and education. Transplant recipients are at
increased risk of infections due to immunosuppression and the impact of the
preparative regimen. Proper infection prevention measures, early detection, and
prompt treatment are vital to minimize infectious complications.
Question: 4
Which of the following is a commonly used mobilization agent for peripheral
blood stem cell collection?
A. Filgrastim (G-CSF)
B. Etoposide
C. Cyclophosphamide
D. Methotrexate
Answer: A
Explanation: Filgrastim (G-CSF) is a commonly used mobilization agent for
peripheral blood stem cell collection. It stimulates the production and release of
hematopoietic stem cells from the bone marrow into the peripheral blood. This
allows for easier collection and subsequent infusion in the transplant recipient.
Question: 5
Which of the following is a long-term complication commonly associated with
chronic graft-versus-host disease (GVHD)?
A. Hypertension
B. Diabetes mellitus
C. Osteoporosis
D. Hyperthyroidism
Answer: C
Explanation: Osteoporosis is a long-term complication commonly associated
with chronic graft-versus-host disease (GVHD). Chronic GVHD can affect
bone health and lead to decreased bone density, increasing the risk of fractures
and osteoporosis. Regular monitoring, adequate calcium and vitamin D intake,
and appropriate interventions are important in the management of this
complication.
Question: 6
Which of the following is the primary determinant of HLA compatibility
between a donor and a recipient in hematopoietic stem cell transplantation?
A. HLA-A antigens
B. HLA-B antigens
C. HLA-DR antigens
D. HLA-DQ antigens
Answer: C
Explanation: HLA-DR antigens are the primary determinants of compatibility
in hematopoietic stem cell transplantation. These antigens are cell surface
proteins encoded by genes within the human leukocyte antigen (HLA)
complex. Matching HLA-DR antigens between a donor and a recipient is
crucial for minimizing the risk of graft rejection and graft-versus-host disease
(GVHD).
Question: 7
Which of the following is a professional performance expectation for a
BMTCN (ONCC Blood & Marrow Transplant Certified Nurse)?
A. Performing stem cell collection procedures
B. Prescribing immunosuppressive medications
C. Participating in research studies
D. Administering chemotherapy agents
Answer: C
Explanation: Participating in research studies is a professional performance
expectation for a BMTCN (ONCC Blood & Marrow Transplant Certified
Nurse). BMTCNs are expected to actively engage in evidence-based practice
and contribute to advancements in the field of blood and marrow
transplantation. This includes participating in research studies, promoting best
practices, and sharing knowledge with colleagues and the widerprofessional
community.
Question: 8
Which of the following is a common quality-of-life concern for long-term
survivors of hematopoietic stem cell transplantation?
A. Hair loss
B. Nausea and vomiting
C. Neuropathy
D. Fatigue
Answer: D
Explanation: Fatigue is a common quality-of-life concern for long-term
survivors of hematopoietic stem cell transplantation. Many survivors
experience persistent fatigue even years after the transplant. This can have a
significant impact on their overall well-being and daily functioning. Supportive
care measures and appropriate interventions are important in managing fatigue
and improving quality of life.
Question: 9
Which of the following is an essential component of the informed consent
process for hematopoietic stem cell transplantation?
A. Describing potential complications in detail
B. Guaranteeing a successful outcome
C. Withholding information about alternative treatment options
D. Obtaining consent from only the recipient
Answer: A
Explanation: Describing potential complications in detail is an essential
component of the informed consent process for hematopoietic stem cell
transplantation. The informed consent process involves providing
comprehensive information about the procedure, potential risks and benefits,
alternative treatment options, and the expected outcomes. It is important to
ensure that patients and their families have a clear understanding of the
potential complications involved before giving their consent.
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Blood and Marrow Transplant Certified Nurse Practice Test

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