CCTN Trivia 5

Question 1

Which criterion is part of the standard brain death determination process?

Accepted Answer

Absence of all brain stem reflexes with a known irreversible cause

Answer

Brain death requires demonstration of coma, absence of all brainstem reflexes, and apnea, with a known irreversible etiology confirmed by clinical exam.

Question 2

What is 'delayed graft function' (DGF) in kidney transplantation?

Accepted Answer

Need for dialysis within the first week post-transplant due to ATN

Answer

DGF is defined as the need for dialysis in the first week post-transplant and is most commonly caused by ischemia-reperfusion injury leading to ATN.

Question 3

Which of the following is a common gastrointestinal side effect of mycophenolate mofetil (MMF)?

Accepted Answer

Diarrhea, nausea, and abdominal cramping

Answer

MMF commonly causes GI side effects including diarrhea, nausea, and cramping, which may be reduced by switching to enteric-coated mycophenolate sodium.

Question 4

What is the nurse's priority action when a kidney transplant patient reports no urine output 2 hours post-operatively?

Accepted Answer

Assess catheter patency, check vitals, and notify the surgeon immediately

Answer

Anuria post-kidney transplant may indicate surgical complications, vascular thrombosis, or urinary obstruction — all require immediate evaluation.

Question 5

Which electrolyte abnormality is a well-known adverse effect of tacrolimus and cyclosporine?

Accepted Answer

Hypomagnesemia and hyperkalemia

Answer

Calcineurin inhibitors commonly cause both hyperkalemia (via reduced renal potassium excretion) and hypomagnesemia (via renal wasting).

CCTN - Certified Clinical Transplant Nurse Practice Test

CCTN - Certified Clinical Transplant Nurse Practice Test

CCTN Trivia 5