CMSRN FREE CMSRN Transplant Questions and Answers 2

Question 1

A patient is 48 hours post-kidney transplant and develops oliguria, fever, and tenderness over the graft site. Which complication should the nurse suspect first?

Accepted Answer

Acute rejection

Answer

Acute rejection typically occurs days to weeks after transplant and presents with decreased urine output, fever, and graft tenderness.

Question 2

Which laboratory value is MOST important for the nurse to monitor in a patient receiving tacrolimus after a liver transplant?

Accepted Answer

Serum creatinine

Answer

Tacrolimus is nephrotoxic, so serum creatinine must be closely monitored to detect renal impairment early.

Question 3

A nurse is educating a heart transplant recipient about infection prevention. Which statement by the patient indicates a need for further teaching?

Accepted Answer

I can eat fresh salads from any restaurant without worry

Answer

Immunosuppressed transplant recipients should avoid raw, unwashed produce from uncertain sources due to increased infection risk.

Question 4

During the immediate postoperative period after a lung transplant, which assessment finding requires the MOST urgent nursing intervention?

Accepted Answer

Oxygen saturation dropping to 88% on 2L nasal cannula

Answer

A significant drop in oxygen saturation in a new lung transplant patient may indicate primary graft dysfunction or airway complications requiring immediate intervention.

Question 5

Which immunosuppressive protocol is considered standard induction therapy to prevent early rejection in solid organ transplantation?

Accepted Answer

Basiliximab with corticosteroids

Answer

Basiliximab, an IL-2 receptor antagonist, combined with corticosteroids is a standard induction regimen to prevent early acute rejection.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN FREE CMSRN Transplant Questions and Answers 2