Question 1
Compared with a bone marrow graft from the same donor, a peripheral blood stem cell (PBSC) graft is associated with:
Show answer & explanation
Correct answer: C - A higher incidence of chronic GVHD
10 exam-style questions with answers and explanations, straight from our 1,030-question bank. Tap an answer to check yourself. When you're ready, take the scored version in the free practice test.
The BMTCN exam has 165 questions and runs 3 hours.
These 10 free BMTCN questions are organized by exam domain, so you can see how each part of the Blood and Marrow Transplant Certified Nurse blueprint is tested. Reveal the answer and explanation under each question.
Compared with a bone marrow graft from the same donor, a peripheral blood stem cell (PBSC) graft is associated with:
Correct answer: C - A higher incidence of chronic GVHD
A 58-year-old man with AML has no HLA-matched sibling and no suitable unrelated donor. His 28-year-old biological son is being evaluated as a donor. Which statement BEST describes the expected HLA relationship?
Correct answer: C - He will share one HLA haplotype with his father
A patient is beginning high-dose busulfan as part of a myeloablative conditioning regimen. Which prophylactic medication should the nurse anticipate administering?
Correct answer: A - Levetiracetam
During peripheral blood stem cell collection, a donor reports tingling around the mouth and in the fingertips and describes a metallic taste. What is the nurse's PRIORITY action?
Correct answer: A - Slow the blood return rate and give calcium per protocol
A patient on day +16 after allogeneic HSCT has gained 4.5 kg over three days, reports right upper quadrant tenderness, has a total bilirubin of 3.8 mg/dL, and has shown no platelet increment after two transfusions. Which complication is MOST likely?
Correct answer: B - Sinusoidal obstruction syndrome
Which donor and recipient cytomegalovirus (CMV) serostatus combination places an allogeneic HSCT recipient at the HIGHEST risk for CMV reactivation and disease?
Correct answer: B - Donor negative, recipient positive
A patient on day +28 after allogeneic HSCT has a maculopapular rash over approximately 40% of body surface area, a total bilirubin of 2.6 mg/dL, and 1,200 mL of diarrhea in 24 hours. Using MAGIC criteria, what is the LOWER GI stage?
Correct answer: B - Stage 2
A patient who received CD19-directed CAR T-cell therapy becomes confused with an ICE score of 4. He is afebrile, normotensive, and not hypoxic. Which treatment should the nurse anticipate?
Correct answer: D - Dexamethasone
Four days after CAR T-cell infusion, a patient has a temperature of 38.8 C, a blood pressure of 82/48 mmHg requiring one vasopressor, and an oxygen saturation of 94% on 3 L/min by nasal cannula. Using ASTCT consensus criteria, what is the cytokine release syndrome (CRS) grade?
Correct answer: C - Grade 3
A patient undergoing allogeneic HSCT with curative intent asks whether accepting a palliative care referral means the team is giving up on him. What is the nurse's BEST response?
Correct answer: C - Palliative care works alongside your transplant to manage symptoms
The BMTCN exam also covers these domains. Drill them in the full free practice test:
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