Certified Procurement Transplant Coordinator (CPTC) Practice Exam

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• In which condition is Hetastarch (Hespan) contraindicated?
• Which factor can impact organ viability significantly during the procurement process?
• What is the primary concern when treating a cadaveric donor with steroid therapy?
• What is a common reason people hesitate to discuss organ donation with their families, according to public opinion polls?
• Which condition may invalidate the determination of brain death?
• Which condition is described by high pH, low HCO3, and low PaCO2?
• Which act provides a medically sound base for determining death?
• What does the presence of IgM anti-HBc indicate in a hepatitis B infection?
• A donor's chest X-ray shows a 25% pneumothorax. What is the appropriate action for the Coordinator?
• Who is directly paid by the transplant center for costs associated with transplantation?
• A 2 y/o donor arrives in the OR with a single 20-gauge peripheral IV and low blood pressure. What is the first recommendation by the Procurement Coordinator?
• What can death record review data help determine about hospital units?
• What information must a procurement coordinator provide UNOS when arranging commercial transportation for a pancreas?
• During the management of a multi-organ donor, the PaO2 decreased significantly. What action should the coordinator take next?
• Which medication should be avoided for volume expansion due to its hyperkalemic effects?
• A 2-year-old donor has a SaO2 of 88%. What should the Procurement Coordinator do first?
• What condition is characterized by a drop in blood pressure and rapid heart rate during donor transport?
• What is the name of the federal contract awarded to UNOS that governs allocation policy and data management?
• What were some goals of the Omnibus Reconciliation Act of 1986?
• What should a procurement coordinator do upon learning that a liver donor's serology results are reactive for hepatitis C virus?
• Which legislation requires hospitals to refer patients to the OPO?
• In the context of organ donation, what is the significance of "decoupling" during the donation process?
• Which medications would be effective in resuscitating an organ donor during cardiac arrest?
• In the context of organ donation, why is it important to monitor fluid balance?
• What is the normal pH range for healthy human blood?
• What should the Coordinator do if a 23-year-old potential donor is anti-HCV reactive but other serology is non-reactive?
• The United Network for Organ Sharing (UNOS) was created for which of the following purposes?
• What is typically the recommended treatment for metabolic acidosis?
• What is the role of past medical history in the context of organ donation?
• What is true about the recovery of tissue typing material after organ removal for transplant?
• During organ recovery, if a donor with low blood pressure is being monitored, which parameter should be checked repeatedly?
• An alternate point assignment approved by the UNOS board of Directors is referred to as what?
• Which factors should a Procurement Coordinator consider when planning professional education programs?
• What information is crucial to gather for a new referral?
• Collins, Via Span, and cardioplegia should not be used for volume expansion because they are:
• Which characteristic is crucial for a Procurement Coordinator to possess?
• Which elements should be included in planning educational activities in a donor hospital?
• Which legislation defines when an individual is considered dead?
• A 23-year-old male donor has a serum creatinine level of 2.5 mg/dl and remains oliguric after treatment. The Coordinator should administer:
• Which best describes the objectives of death record reviews in assessing donation potential?
• What should be documented in a patient's medical records, according to JCHAO requirements?
• Which factor is crucial when determining a potential donor's eligibility for donation?
• What physiological change is typically observed in respiratory acidosis?
• What recipient information is NOT needed for OPO records regarding a heart transplant?
• What is an appropriate first step if the CVP reading is low in a potential organ donor?
• To ensure the accuracy of Central Venous Pressure (CVP) readings, the coordinator should confirm the catheter tip is located in which area?
• What is the purpose of providing documentation of the brain death declaration in organ procurement?
• What action should be taken if the OPO and transplant center cannot agree on a procurement time?
• A 28-week-old infant who is declared brain dead is classified as?
• If a potential multi-organ donor is HepC virus antibody-reactive, what should the procurement coordinator offer?
• When a liver donor is also known to have hepatitis B, what should be done regarding the donor's organs?
• What is the most appropriate antibiotic to select for a patient with sensitivity to Cephalosporin, Penicillin, and Vancomycin?
• During a liver allocation, if Center B declines for patient two due to donor history, what should the coordinator do next?
• How does the timeline of organ recovery impact transplant success rates?
• The ABG results of a donor show metabolic acidosis. What are the key indicators for this condition?
• What does the OPO Coordinator use to demonstrate that the potential for organ donation has remained constant?
• According to JCAHO standards, what must be included in a donor's hospital chart in addition to brain death and consent documentation?
• Which factors should be considered when educating medical professionals about organ and tissue donation?
• The most common cause of increased PaCO2 in brain-dead donors is?
• Which organization created a modern donor registry?
• Upon receiving donor information, what is the first action the coordinator should take with a reported SBP of 80 mmHg?
• What is the preferred preoperative source of T and B lymphocyte isolation in a cadaveric donor receiving multiple blood transfusions?
• How is warm ischemia defined in a transplant scenario?
• How is a 75-year-old male declared brain dead classified?
• Manipulation of the liver during surgical recovery can commonly result in:
• What is an early indicator of a donor's compromised perfusion status?
• What should be considered when evaluating potential organ donors with a history of drug use?
• Which legislation allows for the reimbursement of costs associated with donation?
• What is a necessary consideration for successful donor hospital development?
• In the context of organ procurement, what factor is critical for maintaining organ functionality?
• A donor showing ventricular tachycardia with a systolic pressure of 50mmHg becomes asystolic. What should the Procurement Coordinator facilitate during organ recovery preparation?
• What is the primary purpose of HLA typing in organ donation?
• What result indicates someone is susceptible to hepatitis B?
• What are individuals called who support organ donation and advocate for it within hospitals?
• Which demographic data is NOT necessary for obtaining a UNOS number on a potential multiorgan donor?
• Which fluid is most appropriate to treat hypernatremia?
• In the event of a cardiac arrest under asystolic conditions, what information is critical for documenting organ recovery?
• What does the "80/20" rule indicate in the context of organ donation?
• What is the ultimate goal of an organ donation strategic plan?
• After in-servicing ICU nursing staff, on what area should further training be focused?
• What is the priority treatment for a donor experiencing oliguria and normotension?
• What is a key consideration when matching an organ donor's blood type with potential recipients?
• Which of the following is NOT an acceptable method for documenting death notification in compliance with CMS conditions of Participation?
• What is the classification of a 30-year-old male who is not formally declared brain dead but exhibits severe neurological signs?
• What indicates a metabolic alkalosis condition in blood gas analysis?
• Which entities are involved in creating hospital and OPO brain death policies?
• Which of the following is NOT a referral trigger for organ donation?
• What condition indicates a person is acutely infected with hepatitis B?
• Which vessel is most commonly cannulated for insitu perfusion of cadaver donor kidneys?
• Which of the following reasons is NOT a valid justification for documenting professional education activities?
• During the consent process in organ donation, who is typically the primary decision-maker within the family?
• What condition is indicated by low pH, low HCO3, and low PaCO2?
• Which components are part of a standard organ recovery operation report?
• What is the normal range for PaCO2 in a healthy individual?
• Which act provides reimbursement for organ transplantation?
• When an OPO is billed by a hospital for donor charges, what should the OPO's most appropriate response be?
• What is the correct interpretation when HBsAg is neg, Anti-HBc is pos, and Anti-HBs is neg?
• Given the organ referral statistics, how should hospital development activity be prioritized?
• Which of the following methods of packaging a kidney recovered for transplantation is compliant with UNOS policy?
• Which condition is implied if a donor's chest X-ray shows fluid accumulation following central venous pressure insertion?
• What is the significance of the differential in a blood test?
• What does organs transplanted per donor refer to?
• Which scenario describes a chronically infected hepatitis B patient?
• If a donor becomes asystolic while on the OR table and does not respond to ACLS, what should be administered quickly to enhance kidney transplant suitability?
• What does a negative Anti-HBs test indicate?
• When planning educational activities, which data points are essential to gather during death record reviews?
• Which documentation is required by UNOS to accompany each organ from the host OPO?
• A 63-year-old donor's liver numbers are normal, but there are no local recipients. What should the Coordinator begin liver placement by?
• A 24-year-old female with a closed-head injury has an HCT of 35% and has exceeded fluid intake by 250cc. What should the Coordinator suspect?
• What is one of the most important tests to confirm prior to organ procurement?
• After implementing a strategic plan, a Procurement Coordinator decides to modify the plan due to reaching only a fraction of the intended audience. What is the reason for this modification?
• What should the Coordinator do to handle unexpected delays in starting tissue recovery after organ donation?
• Given the ventilator settings of FI02-0.4, Ph-7.45, PC02-35 torr, and PO2 100 torr, what action should the Procurement Coordinator take?
• When addressing donor issues, what is the first step in evaluating hospital performance?
• Which component is included in the assessment of an organ donor's suitability?
• Which act established a national network for the coordination of clinical data pertaining to donors and organ allocation?
• In educating pastoral care staff, which topic is least relevant to their role?
• What equipment is required when preparing the OR for a heart recovery?
• Which process is important in increasing the hospital's organ donor referrals?
• Which organization supported the UAGA and the idea of first-person authorization?
• During transport, if a 40 y/o female donor's blood pressure drops significantly, what is the best action for the Procurement Coordinator?
• What is the expected action for respiratory alkalosis?
• What is the role of the Procurement Coordinator in relation to hospital education programs?
• Which organization created a Donor's Bill of Rights to support donor families?
• To assess the effectiveness of in-services, what data should be primarily evaluated?
• What is the most important function for anesthesia staff during an organ recovery?
• What does the presence of Anti-HBc alone signal in test results?
• When educating hospital staff, which aspect is critical for enhancing organ donation rates?
• What does the UAGA provide for healthcare professionals?
• A 25-year-old multi-organ donor has a heart rate of 104/min and mean arterial pressure of 70 mmHg. What should the Procurement Coordinator do?
• What should the Procurement Coordinator familiarize the OR Nursing staff with?
• Which of the following ABG findings is characteristic of respiratory alkalosis?
• What is marked by the end result of successful donation procedures?
• What should a Procurement Coordinator do first upon discovering a potential donor was not referred to the OPO?
• When a potential donor with a history of no contact with family for over 10 years is designated brain dead, what should the Coordinator do?
• What is the primary goal of organ allocation in transplantation?
• What federal regulation requires hospitals to notify organ procurement organizations of imminent death?
• In a case involving a pediatric patient, which family member is the most appropriate to obtain consent from when the father is missing?
• What is the primary focus during the stabilization of a multi-organ donor?
• What is an example of a clinical trigger for organ donation?
• What is the most appropriate action to take for a 26-year-old male donor with a pH of 7.25 and PCO2 of 52?
• What is considered the normal range for HCO3 in a healthy adult?
• What components were confirmed necessary for the organ donation process according to a study regarding sensitive timing issues?
• When transporting a kidney by commercial air, which of the following must be included in the TXPC container?
• What was the first non-steroidal immunosuppressive drug that significantly increased heart transplant success rates?
• Which condition is most likely to require PRBC transfusion?
• After transporting a donor to the OR, if the oxygen saturation drops significantly despite 100% FIO2, what should the Procurement Coordinator assess for first?
• Why is it essential to document donor consent accurately?
• For an adult donor with a heart rate of 140, BP of 90/60, and Na+ of 168, what should the Procurement Coordinator administer?
• What nephrotoxic antibiotic should be discontinued in a potential renal donor?
• When discussing organ recovery with the Funeral Director, what actions should the Procurement Coordinator take?
• Which is a criterion for OPTN exclusion?
• What effect does steroid treatment of a cadaveric organ donor have on the lymphocyte count?
• What is an initial approach a Procurement Coordinator can take to educate each group of residents?
• Which legislation provided federal grants to organ procurement organizations to enhance their reputation across states?
• Which act created the modern donor registry?
• According to the Uniform Determination of Death Act (UDDA), which requirement is NOT needed for declaring brain death?
• During the in situ flushing of a kidney recovery, a poor flow rate is often caused by what?
• What is the first step recommended for Donor Hospital Development?
• What does first person authorization mean in the context of organ donation?
• During donor transport to the OR, which of the following is NOT appropriate for evaluating ventilation/oxygenation?
• A patient exhibiting heart rate of 110 bpm and decreased urine output may indicate what condition?
• What approach should be taken to assess the educational needs of resident physicians regarding organ donation?
• What does the referral rate measure?
• What medication is most effective in treating bradycardia in an organ donor?
• What factor is critical when determining the viability of organs for transplantation?
• In the case of a liver donor with blood type A, subtype A2, if the first liver candidate is blood type O, what action should the coordinator take?
• What important information should follow-up communication with physicians NOT include?
• What should a Coordinator inform hospital personnel that JCAHO surveyor will be assessing?
• What is the most appropriate action for a Procurement Coordinator when ICU staff reports low consent rates among potential donors?
• What classification applies to a 60-year-old female with overwhelming sepsis?
• Which statement is true regarding declaring Physicians under the UAGA?
• What is the threshold range for arterial oxygen saturation (SaO2)?
• During a death record review, which data is used to evaluate a hospital's donor potential?
• What is the optimal fluid type to rehydrate a patient presenting with severe hypernatremia?
• What common methodology can be used to improve education regarding organ donation in hospitals?
• Which legislation was enacted to improve organ and tissue allocation for transplants?
• How is the tidal volume (TV) for males calculated?
• If a donor's blood pressure is 88/56, CVP is 4, heart rate is 110, and urine output is less than 50cc/hr, what should the Coordinator first assess?
• What are the indicators for transfusion of PRBCs?
• When creating a strategic plan for a hospital's organ donor program, which document outline is recommended?
• What best defines conversion rate in transplant terms?
• All of the following are acceptable for proper packaging of a kidney except:
• A donation coordinator has completed organ assessment and finds hypertension in a donor. This could be caused by:
• Which of the following is a good indicator of adequate hydration in a renal donor with diabetes insipidus?
• When outlining a hospital's organ donation strategic plan, which element is considered most important?
• What is the next step to improve the strained relationship between the OPO and Tissue Bank?
• Which act supports the right to inform donor families rather than ask for authorization upon death?
• What role does a neurological assessment including GCS serve in donor evaluation?
• Which hematology study would help determine the source of an elevated WBC in a potential organ donor?
• What determines if a person has "immune due to natural infection" status?
• What is the primary objective of monitoring referrals from a hospital unit?
• What is the formula to calculate the new respiratory rate (RR)?
• What is the purpose of the National Organ Transplant Act (NOTA)?
• Which of the following documentation must the host OPO provide to the visiting procurement team?
• What must be submitted to UNOS after each organ recovery case?
• How is a 40-year-old female declared brain dead but whose family declines donation classified?
• Which items should the Procurement Coordinator recommend to be available for the anesthesiologist during the donor procedure?
• In addition to the consent form, what other documentation must accompany every organ?
• What is a primary benefit of achieving Donor Management Goals (DMGS)?
• From which region should preoperative lymph nodes for HLA typing be surgically obtained?
• In cases of cardiac arrest during organ recovery, which of the following actions can help maintain organ viability?
• In the absence of death record reviews, which is the best way to determine organ donation potential?
• During a physical exam, a procurement coordinator is suspicious of what if bilateral breath sounds are not verified and the ET tube is located below the carina?
• Which activities should be completed before setting up an appointment with hospital administrators?
• Following organ donation, what document should be updated to reflect the donation details?
• What signifies respiratory acidosis based on blood gas results?
• What guidelines require hospitals to manage potential donors?
• In evaluating a potential donor, if the ABG results indicate a pH of 7.51 and an elevated PaCO2, what is the recommended first action?
• Why is the tracking of coordinator activities essential within organ donation programs?
• What is the common route of administration for certain medications during intraoperative recovery of the whole pancreas?
• What strategy is essential when discussing organ donation with families during the referral process?
• Which result indicates natural immunity to hepatitis B?