CMSRN FREE CMSRN Transplant Questions and Answers 3

Question 1

A patient awaiting a liver transplant has a MELD score of 32. The nurse understands this score primarily reflects which factors?

Accepted Answer

Bilirubin, INR, and serum creatinine

Answer

Albumin, ascites severity, and encephalopathy grade

Answer

Hemoglobin, platelet count, and ammonia level

Answer

AST, ALT, and alkaline phosphatase

Question 2

A renal transplant patient on mycophenolate mofetil presents with severe diarrhea and a white blood cell count of 2,800/mm³. What is the priority nursing action?

Accepted Answer

Hold the medication and notify the transplant team

Answer

Administer loperamide and continue the medication

Answer

Increase fluid intake and monitor

Answer

Obtain a stool culture before any intervention

Question 3

Which clinical finding in a cardiac transplant recipient should alert the nurse to possible chronic rejection?

Accepted Answer

Progressive exercise intolerance and coronary artery vasculopathy on angiography

Answer

Sudden onset of chest pain radiating to the left arm

Answer

Fever and elevated white blood cell count within 24 hours of surgery

Answer

Acute pulmonary edema with pink frothy sputum

Question 4

A nurse is caring for a patient who received a living-donor liver transplant. Which postoperative complication is UNIQUE to living-donor liver recipients compared to deceased-donor recipients?

Accepted Answer

Small-for-size syndrome

Answer

Portal vein thrombosis

Answer

Bile leak

Answer

Hepatic artery stenosis

Question 5

A nurse notes that a kidney transplant patient's cyclosporine trough level is 450 ng/mL (therapeutic range: 100-300 ng/mL). Which symptom should the nurse monitor for MOST closely?

Accepted Answer

Tremors and elevated serum creatinine

Answer

Mouth ulcers and hair loss

Answer

Joint pain and skin rash

Answer

Excessive bruising and petechiae

Question 6

Which nursing intervention is ESSENTIAL before administering antithymocyte globulin (ATG) to a transplant patient?

Accepted Answer

Premedicate with acetaminophen, diphenhydramine, and corticosteroids

Answer

Verify a negative tuberculin skin test from the past year

Answer

Ensure the patient has fasted for 8 hours

Answer

Confirm a baseline echocardiogram is on file