WorksheetsTransplant Nursing Worksheet Questions (Grade 13)
Total questions: 25
Worksheet time: 13mins
A patient 3 weeks post-heart transplant presents with fatigue, tachycardia, hypotension, and mild fever. Which is the nurse’s priority intervention?
Administer acetaminophen for fever
Notify the transplant team immediately
Encourage ambulation to improve cardiac output
Increase oral fluid intake
Which clinical finding most strongly suggests acute heart transplant rejection?
Bradycardia with stable blood pressure
Tachycardia with decreased ejection fraction
Hypertension with bounding pulses
Normal ECG with mild fatigue
Which nursing priorities apply to a patient with suspected heart transplant rejection? Select all that apply.
Monitor cardiac output and hemodynamics
Administer immunosuppressive therapy as ordered
Encourage high-protein diet immediately
Prepare for endomyocardial biopsy
Delay reporting until symptoms worsen
A patient 2 months post-lung transplant develops dyspnea, nonproductive cough, and hypoxemia. What is the nurse’s priority?
Administer bronchodilators
Assess oxygen saturation and notify provider
Encourage incentive spirometry
Increase fluid intake
Which symptom differentiates lung transplant rejection from infection?
Fever
Hypoxemia unresponsive to oxygen therapy
Productive cough with purulent sputum
Elevated WBC count
Nursing interventions for suspected lung transplant rejection include: Select all that apply.
Monitor ABGs and oxygenation
Administer immunosuppressants as ordered
Prepare patient for bronchoscopy and biopsy
Encourage coughing and deep breathing
Delay interventions until chest x-ray results return
A patient 5 days post-liver transplant presents with jaundice, dark urine, elevated ALT/AST, and hepatomegaly. What is the nurse’s priority?
Administer antiemetics for nausea
Notify provider and monitor LFTs closely
Encourage ambulation to reduce fatigue
Increase oral fluids
Which lab finding is most concerning in suspected liver transplant rejection?
ALT 45 U/L
AST 50 U/L
Bilirubin 5.0 mg/dL
INR 1.0
Nursing priorities for liver transplant rejection include:
Monitor coagulation (INR/PT)
Assess for ascites and edema
Administer immunosuppressants
Prepare for liver biopsy
Delay interventions until bilirubin exceeds 10 mg/dL
A patient 2 weeks post-kidney transplant presents with decreased urine output, hypertension, and elevated creatinine. What is the nurse’s priority?
Encourage fluid intake
Notify provider and monitor renal labs
Administer diuretics
Delay reporting until creatinine > 4.0 mg/dL
Which finding is most specific to kidney transplant rejection?
Fever and malaise
Decreased urine output with rising creatinine
Hypertension with normal urine output
Mild edema with stable labs
Nursing interventions for suspected kidney transplant rejection include:
Monitor urine output hourly
Assess BUN and creatinine
Administer immunosuppressants
Prepare for renal biopsy
Delay interventions until edema worsens
Which type of rejection occurs within minutes to hours after transplant?
Acute rejection
Chronic rejection
Hyperacute rejection
Which rejection type is most common within the first year post-transplant?
Hyperacute
Acute
Chronic
Delayed
Which rejection type leads to gradual organ dysfunction over years?
Acute
Chronic
Hyperacute
Immediate
General nursing priorities for transplant rejection include: Select all that apply.
Monitor organ-specific function tests
Administer immunosuppressants
Prepare for biopsy
Educate patient on adherence to therapy
Delay interventions until symptoms worsen
Which immunosuppressive drug requires monitoring for nephrotoxicity?
Tacrolimus
Prednisone
Azathioprine
Mycophenolate
Which symptom is common across all organ transplant rejections?
Organ-specific dysfunction
Fever
Fatigue
All of the above
Which nursing intervention best prevents transplant rejection?
Strict adherence to immunosuppressive therapy
Encouraging fluid intake
Monitoring vital signs daily
Limiting physical activity
Which lab finding suggests kidney transplant rejection?
Creatinine 2.8 mg/dL
ALT 50 U/L
Bilirubin 1.0 mg/dL
WBC 7.0 × 10^9/L
Which lab finding suggests liver transplant rejection?
ALT 550 U/L
Creatinine 1.0 mg/dL
Which symptom suggests lung transplant rejection?
Hypoxemia unresponsive to oxygen
Productive cough with purulent sputum
Elevated WBC count
Fever only
Which symptom suggests heart transplant rejection?
Tachycardia with decreased ejection fraction
Bradycardia with stable blood pressure
Hypertension with bounding pulses
Normal ECG with mild fatigue
Which are common nursing priorities across all transplant rejections? Select all that apply.
Monitor organ-specific labs
Notify the provider immediately
Administer immunosuppressants
Prepare for biopsy
Delay interventions until symptoms worsen
A patient post–kidney transplant reports missing several doses of tacrolimus. Which nursing intervention is most important?
Educate on strict adherence to immunosuppressants
Encourage increased oral fluid intake
Schedule a routine follow-up visit next month
Assess the surgical incision site only
