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

Hyperacute rejection

Answer

Chronic rejection

Answer

Urinary tract infection

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

Serum sodium

Answer

Hemoglobin

Answer

Platelet count

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

I should avoid crowds during flu season

Answer

I need to wash my hands frequently

Answer

I should report any fever to my transplant team immediately

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

Temperature of 99.2°F (37.3°C)

Answer

Pain rating of 6 out of 10

Answer

Urine output of 40 mL/hour

Question 5

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

Accepted Answer

Basiliximab with corticosteroids

Answer

Methotrexate alone

Answer

Rituximab with plasmapheresis

Answer

Intravenous immunoglobulin only

Question 6

A pancreas transplant recipient reports persistent hyperglycemia despite a functioning graft confirmed by C-peptide levels. What should the nurse assess NEXT?

Accepted Answer

Medication compliance with immunosuppressants

Answer

Dietary carbohydrate intake only

Answer

Whether the patient needs insulin sliding scale

Answer

Blood type compatibility records