FREE CMSRN Transplant Questions and Answers

Question 1

When a patient receives a kidney transplant and is sent home on maintenance medication, which procedure or intervention should come first?

Accepted Answer

Monitoring for bacterial and fungal infections

Answer

Avoiding blood donation

Answer

Avoiding the use of table salt

Answer

Measuring abdominal girth daily

Question 2

A patient who had a kidney transplant two months prior experiences acute rejection and is admitted to the hospital. For this patient, which intervention is appropriate?

Accepted Answer

Organ biopsy to diagnose impaired function

Answer

Immediate removal of the transplanted kidney

Answer

Grief and loss counseling to prepare for loss of organ

Answer

Magnetic resonance imaging of organ

Question 3

The kidney transplant patient, who was recently moved from the recovery unit, is being attended to by the intensive care nurse. Which of the following findings during the first 12 hours following surgery is the most dangerous and has to be reported to the transplant surgeon right away?

Accepted Answer

Abrupt decrease in urine

Answer

Small clots in bladder irrigation fluid

Answer

Diuresis with increased output

Answer

Pink or dark reddish urine

Question 4

When a transplant is rejected, how does the immune system react to a graft?

Accepted Answer

Host's immune system starts inflammation and immunologic actions to destroy nonself cells

Answer

Systemic tissue destruction occurs because of inability to differentiate self from nonself cells

Answer

Collateral circulation develops and the transplanted organ becomes engorged

Answer

Opportunistic infections develop because the body is immunosuppressed

Question 5

A patient receiving a heart transplant undergoes organ rejection during surgery. This is what kind of rejection?

Accepted Answer

Hyperacute

Answer

Transplant

Answer

Acute

Answer

Chronic

Question 6

Which test is the most crucial one for a nurse to perform to find out if a kidney transplant is working?

Accepted Answer

Serum creatinine level

Answer

Twenty-four hour urinary output

Answer

White blood cell count

Answer

Renal ultrasound

Question 7

The patient's creatinine level in the postoperative phase following kidney transplant surgery is 3.1 mg/dL. In light of this laboratory result, what action should the nurse take first?

Accepted Answer

Assess for decreased urine output

Answer

Obtain current blood test results

Answer

Check the intravenous infusion

Answer

Notify the healthcare provider

Question 8

Three days ago, the patient under the nurse's care underwent kidney transplant surgery. Urine levels drop suddenly and abruptly, as noted by the nurse. When thrombosis is detected, the nurse notifies the medical professional. Which priority idea is the foundation of this complexity?

Accepted Answer

Perfusion

Answer

Cellular regulation

Answer

Infection

Answer

Elimination

Question 9

Immediately following surgery, the kidney transplant patient is under the nurse's care. How many hours will the nurse be monitoring the urine output at least every hour throughout this initial period?

Accepted Answer

First 48 hours

Answer

First 12 hours

Answer

First 8 hours

Answer

First 24 hours

Question 10

A patient's kidney function has been gradually declining since receiving a kidney transplant five years ago. For this patient, which intervention is appropriate?

Accepted Answer

Patient should be educated about retransplantation; related living donor should be sought

Answer

Drug management may limit the damage and allow the graft to be maintained

Answer

Patient should be admitted to intensive care for observation and possible dialysis

Answer

Patient should be immediately prepped for surgical removal of the organ