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It includes scenario-based Case 1 items with lab-test interpretation tasks for cardiovascular assessment, such as identifying markers of reinfarction and evaluating oxygenation data. 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Accuracy of questions may change without notice based on new research evidence or national practice standards, and it does not guarantee success on the national examination.",{"name":119,"@type":110,"acceptedAnswer":120},"According to Case 1 Question 1, which lab test best indicates reinfarction?",{"text":121,"@type":113},"Cardiac troponin is identified as best indicating reinfarction among the listed options, based on its prolonged elevation compared with creatinine kinase.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},457867,1791425464,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},5909892210082,"https://ap-avatar.wpscdn.com/avatar/56001069da27c9f41e8?x-image-process=image/resize,m_fixed,w_180,h_180&k=1789614185077863061","CACCN Certification Study Guide  \nFor use in preparing for the  \nCertified Nurse in Critical Care (Adult)– Canada examination  \nThese practice questions are for use by individual members of the Canadian Association of Critical Care Nurses (CACCN) only. Reproduction or electronic distribution without expressed written consent by CACCN is strictly prohibited.  \nThe following questions are intended for practice only and represent a random sampling (but not exhaustive list) of possible topics that could be tested as part of the critical care certification examination.  \nQuestions have been designed to test assorted competencies listed in the blueprint for the Canadian Nurses Association Certified Nurse in Critical Care Examination. The blueprint is available from the Canadian Nurses Association website at:  \n[http://www.cna-aiic.ca/CNA/documents/pdf/publications/CERT_Critical_Care_Adult_e.pdf](http://www.cna-aiic.ca/CNA/documents/pdf/publications/CERT_Critical_Care_Adult_e.pdf)  \nThe degree of difficulty for these questions may be higher or lower than questions on the actual examination; questions have been developed to encourage a review of a variety of topic areas. Questions have been developed independent of the Canadian Nurses Association Critical Care Certification Examination Committee review.  \nParticipant use of these questions does not guarantee success on the national examination. Accuracy of questions may change without notice based on new research evidence or national practice standards. CACCN is not responsible for any participant’s clinical decision-making.  \nProfessional Development Committee Certification Review Sub-Committee  \nMelanie Gauthier, M. Int. Care N. , RN, CNCC(C) Sarah Crowe, MN, RN, CNCC(C)  \nErinn Guy, BScN, BSc, RN, CNCC(C)  \nBarbara Fagan, BScN, RN, CNCC(C)  \nLinda Masse, MScN, RN, LLM,CSIP(C)  \nBrenda Morgan, MSc, BScN, RN, CNCC(C) Trudy Nernberg, MN, RN, CNCC(C)  \nCertification Study Guide Expert Reviewers  \nRenee Chauvin, MEd, BA, BScN, RN, CNCC(C) Marlies Ernst, BN, RN, CNCC(C)  \nAdam Gagnon, BN, RN, CNCC(C)  \nMary Mustard, MN, NP-Adult, CNCC(C), CNC(C) Mat Wenger, BScN, BSc, RN, CNCC(C) Zee Yang, RN  \nThese practice questions are for use by individual members of the Canadian Association of Critical Care Nurses (CACCN) only.  \nReproduction or electronic distribution without  \nexpressed written consent by CACCN is strictly prohibited.  \nCASE 1  \nMr. Jackle, 68 yrs old, is admitted with hypotension and respiratory distress requiring intubation following a large anterior-lateral ST elevation myocardial infarction.  \nCase 1: Question 1  \nBlueprint Competency Being Tested: 2.1b  \nInterprets data (initial and ongoing assessment or response to interventions) related to the cardiovascular system, including: laboratory results (e.g., cardiac enzymes and troponin, complete blood count [CBC], coagulation, arterial blood gases [ABGs], electrolytes, digoxin levels, lactate).  \n1. Mr. Jackle will be monitored for signs of reinfarction. Which one of the following lab tests would best indicate reinfarction?  \na. Creatinine kinase  \nb. Cardiac troponin  \nc. Lactate dehydrogenase  \nd. Venous oxygen saturation  \nANSWER A  \nRationale for Correct Response:  \nCreatinine kinase (CK) and cardiac troponin follow a similar pattern of elevation following myocardial injury (CK ~2-8 hours; cardiac troponin ~3-12 hours post injury) . CK will fall and normalize within 1-3 days, while cardiac troponin will remain elevated for 5-14 days. While troponin is more cardiac specific, its prolonged elevation can mask a secondary rise during reinfarction, that may be detected by the CK. Conversely, the persistent elevation in the troponin can be useful in detecting an infarct that is several days old.  \nTroponin is a protein that is important to the contraction of skeletal and heart muscles. Tests used to detect heart muscle are able to distinguish cardiac troponin from other muscle troponin. These tests are identified by cTn for cardi","cbCaijaFuO0X0MQ8","https://ap.wps.com/l/cbCaijaFuO0X0MQ8","pdf",2082850,131,"English","# Case 1\n## Question 1\n## Question 2","[{\"question\":\"What is the purpose of this CACCN Certification Study Guide?\",\"answer\":\"It provides practice questions intended for review for the Certified Nurse in Critical Care (Adult)– Canada examination. The questions are meant to represent a sampling of topics from the examination blueprint.\"},{\"question\":\"How does the guide frame the reliability and difficulty of its practice questions?\",\"answer\":\"Difficulty may be higher or lower than the actual examination. Accuracy of questions may change without notice based on new research evidence or national practice standards, and it does not guarantee success on the national examination.\"},{\"question\":\"According to Case 1 Question 1, which lab test best indicates reinfarction?\",\"answer\":\"Cardiac troponin is identified as best indicating reinfarction among the listed options, based on its prolonged elevation compared with creatinine kinase.\"}]","CACCN Certification Study Guide - Certified Nurse in Critical Care (Adult)– Canada Examination | PDF",1790750724,330]