CCTN Transplant Complications and Clinical Management 2

Question 1

Cytomegalovirus (CMV) infection in transplant recipients is most severe in which donor-recipient combination?

Accepted Answer

CMV donor positive / recipient negative (D+/R-)

Answer

CMV donor negative / recipient positive (D-/R+)

Answer

CMV donor positive / recipient positive (D+/R+)

Answer

CMV donor negative / recipient negative (D-/R-)

Question 2

Renal artery stenosis after kidney transplantation typically presents with which clinical findings?

Accepted Answer

Hypertension that is difficult to control and rising creatinine

Answer

Gross hematuria and flank pain

Answer

Fever and leukocytosis

Answer

Peripheral edema and weight gain

Question 3

A liver transplant patient develops ascites and elevated liver enzymes 2 weeks post-operatively. What complication should be suspected first?

Accepted Answer

Hepatic artery thrombosis

Answer

Acute rejection

Answer

Bile leak

Answer

Drug-induced hepatotoxicity

Question 4

What is the most important nursing assessment parameter in the first 24 hours after kidney transplantation?

Accepted Answer

Hourly urine output measurement

Answer

Blood glucose monitoring every 4 hours

Answer

Daily weight measurement only

Answer

Oral intake documentation

Question 5

Which post-transplant complication is caused by lymphatic disruption during surgery and typically presents as a fluid collection near the kidney?

Accepted Answer

Lymphocele

Answer

Urinoma

Answer

Hematoma

Answer

Perinephric abscess

Question 6

Post-transplant erythrocytosis (PTE) in kidney transplant recipients is best managed by which medication class?

Accepted Answer

ACE inhibitors or angiotensin receptor blockers

Answer

Erythropoiesis-stimulating agents

Answer

Calcium channel blockers

Answer

Diuretics