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NR 509 Week 4 Midterm Review With Rationales

$25
Contributor
Cressida Bonas
Category
Nursing
Course
NR 509 Advanced Physical Assessment
Institute
Chamberlain
Pages
36

i Which of the following statements best describes a differential diagnosis list? It is a list of planned interventions for the problems assessed during the visit. It is the list of concerns brought to the appointment by the patient. It is a list of different diagnoses experienced by the patient in the past. It is a list of potential/plausible diagnoses that may be causing the patient’s signs and symptoms. E.It is a list of diagnoses that have already been ruled out as causes for the chief complaint. Pg 83 It is also important to ask about the presence or absence of additional symptoms or other relevant information—such as risk factors for coronary artery disease in patients with chest pain, or current medications in patients with syncope—that may help you generate a list of possible causes (differential diagnosis) to explain the patient’s problem or condition. This list will include the most likely and, at times, the most serious causes, even if less likely. When clinicians obtain a history, they are continually generating possible explanations in their minds, allowing the patient’s answers to direct the logical use of additional probing questions. This process of probing with questions is similar to testing a hypothesis. With each question, the list of probable diagnoses (or hypotheses) is pared down until a few likely choices are left from a formerly longer list of diagnostic possibilities. A 66-year-old female presents to the primary care office with complaints of jaw pain, fatigue, and nausea for the last 48 hours. What course of action is appropriate in the treatment of this patient? Refer the patient to an otolaryngologist to evaluate for jaw pain. Prescribe the medication for the jaw pain and nausea and reevaluate in 2-3 days. Order x-rays of the jaw and abdomen to further evaluate. Recognize these could be atypical symptoms of acute coronary syndrome and proceed accordingly. Order screening blood work to evaluate for thyroid disease. Pg 503 Upper back pain, neck or gaw pain, SOB; paroxysmal nocturnal dyspnea; N&V = careful history taking is especially important Atypical symptoms are particularly seen in woman esp if over the age of 65 In an adult over the age of 40, an S3 assessment finding on cardiac auscultation may be indicative of what? Select all that apply. anemia myocardial infarction C. heart failure pg 551 D. normal for athletes - pg 522 E. ventricular volume overload from aortic or mitral regurgitation - pg 551 Pg 551 Pathologic S3 or ventricular gallop sounds like a physiological S3 - in adult over 40 is usually pathologic, arising from high left ventricular filling pressures and abrupt deceleration of inflow across the mitral valve at the end of the rapid filling phase of diastole. Causes include decreased myocardial contractility, heart failure, and ventricular volume overload from aortic or mitral regurgitation and left to right shunts Pg 548 MI can cause soft S1; pg 495 MI causes pathological ventricular stiffness which marks an S4 heart sound right before the S1 (also heard in HTN) Pg 1049 Chronic Anemia and following exercise can cause pulmonary flow murmurs - in the presence of volume overload A 72-year-old male is admitted to intensive care from the Emergency Room for the initial complaint of chest pain. After the history and physical examination, the NP documents the following cardiovascular findings: JVP is 5 cm above the sternal angle with the head of the bed elevated to 50°. Carotid upstrokes are brisk; a bruit is heard over the left carotid artery. The PMI is diffuse, 3 cm in diameter, palpated at the anterior axillary line in the fifth and sixth intercostal spaces. S1 and S2 are soft. S3 is present at the apex. High-pitched harsh 2/6 holosystolic murmur best heard at the apex, radiating to the axilla. Which of the following possible diagnoses is based on the accurate interpretation of the assessment findings? These findings suggest heart failure. These findings suggest previous myocardial infarction. These findings suggest right carotid occlusion. These findings suggest mitral stenosis. These findings suggest aortic aneurysm. This scenario is word for word on pg 530 answer in red = these findings suggest heart failure with volume overload with possible left carotid occlusion and mitral regurgitation A 76-year-old male presents to the office for a routine physical examination. The NP documents the following skin findings: Decreased elasticity with multiple lentiginous macules on habitually sun-exposed skin. Multiple, discrete, brown, stuck-on, non-indurated, verrucous plaques on the back and abdomen varying from 1-2 centimeters. Which of the following is the most accurate interpretation of these findings? These findings suggest seborrheic keratoses. These findings suggest actinic keratoses. These findings suggest malignant melanoma. These findings suggest lichen planus. This exact scenario is described on pg 286 = seborrheic keratosis Description elements = number, color, shape, texture, primary lesion, location and configuration These findings suggest psoriasis. Seborrheic keratoses Pg 286 5 mm - 2 cm tan to brown, oval, stuck on, flat topped verrucous (cauliflower like) plaques on the back and abd, following skin tension lines Actinic keratoses Pg 313 Superficial keratotic papules come and go on sun-damaged skin - keratotic scales can evolve and SCC (squamous cell carcinoma) is formed by keratin and can result in cutaneous horn - (scalp, lip, ears) Malignant melanoma Pg 286 Melanoma with all the classic features from the ABCD method: Asymmetry, Border irregularity, Color variation, and Diameter >6mm. When screening moles for melanomas, ABCD-EFG method. Asymmetry, boarder irregularity - ragged, notched, or blurred; color variation (more than 2 colors, esp blu-black, white or red); diameter >6 mm; evolving or changing rapidly in size, symptoms or morphology; elevation; firmness to palpation and proggressive Growing over several weeks…. Lichen planus 290 freq on wrist, forearms, genitals and lower legs. Psoriasis Pg 290 freq affects the scalp, extensor surfaces of the elbows and knees, umbilicus and the gluteal cleft.- 288 psoriasis commonly form plaques A 14-year-old male presents to the clinic with his grandmother for a complaint of a sore throat. The patient is afebrile and denies cough. After completing the history and physical examination, the NP documented the following partial assessment findings: Throat—Oral mucosa pink, dental caries in lower molars, tongue midline, uvula, and pharynx erythematous, bilateral tonsils enlarged, no exudates. Neck—Trachea midline. Neck supple; thyroid isthmus midline, lobes palpable but not enlarged. Lymph Nodes—Submandibular and anterior cervical lymph nodes tender, 1 cm × 1 cm, rubbery and mobile; no posterior cervical, epitrochlear, axillary, or inguinal lymphadenopathy. Which of the following is the most accurate interpretation of the findings? These findings suggest pharyngitis. These findings suggest tonsillar abscess. These findings suggest lymphoma. These findings suggest mononucleosis. These findings suggest upper respiratory illness. Pg 427 this scenario is detailed with - these findings suggest pharyngitis or mild tonsillitis Pg 1018 Tonsillar abscess - a peritonsillar abscess is suggested by erythema and asymmetric protrusion of one tonsil, pain, difficulty opening mouth (trismus), and lateral displacement of the uvula. Pg 427 Asymmetry tonsils particularly when associated with other symptoms, may signify and underlying pathology such as lymphoma Pg 432 - infectious mononucleosis - enlarged posterior cervical lymph nodes (or general lymphadenopathy pg 345); fatigue pg 212; pg 1047 an adolescent with persistent fever, sore throat, swollen tonsils and cervical lympadenopathy may have streptococcal pharyngitis or infectious mononucleosis Pg 402 - Upper respiratory infection - Is nasal or sinus congestion preceded by a viral upper respiratory tract infection? Is there purulent nasal discharge, loss of smell, tooth pain, facial pain made worse by bending forward, ear pressure, cough or fever? - Acute bacterial sinusitis (rhinosinusitis) is unlikely until viral URI symptoms persist more than 7 days; both purulent drainage and facial pain should be present for diagnosis (sensitivity and specificity are above 50%) if nasal congestion only on one side - consider nasal septum, nasal polyp, foreign body, granulomatous disease or CA The NP is assuming care for a 56-year-old female resident of a long-term assisted living facility. The woman is seated in a wheelchair next to a window in her private room. After completing the history and physical examination, the NP documented the following mental status findings: The patient appears sad and fatigued; clothes are wrinkled. Speech is slow and words are mumbled. Thought processes are coherent, but insight into current life reverses is limited. The patient is oriented to person, place, and time. Digit span, serial 7s, and calculations accurate, but responses delayed. Clock drawing is good. Which of the following is the most accurate interpretation of the findings? These findings suggest depression. These findings suggest anxiety. These findings suggest mood disorder. These findings suggest a neurocognitive disorder. These findings suggest intellectual disability. This scenario is detailed on page 262 - these findings suggest depression Pg 245 - Anxiety - common risk factors in patient with anxiety and related disorders include family history of anxiety personal history of anxiety or mood disorder, childhood stressful life events or trauma, being female, chronic medical illness and behavioral inhibition. Pg 247 Anxiety is often comorbid with substance use and mood disorders Pg 250 Sudden-onset memory problems are concerning for major vascular neurocognitive disorders, wherein vascular occlusion damages structures important for memory. Rapid-onset memory problems after a head injury should raise suspicion for a major neurocognitive disorder due to TBI. delirium and dementia fall under neurocognitive disorders pg 249; mini mental is best known screening for dementia pg 264 Intellectual disability - poor scoring in constructional ability (daw these simple shapes) pg 261; poor abstract thinking - ask what a proverb means (don’t count your chickens before they hatch) pg 261; impaired recent memory pg 260; poor performance in serial 7s pg 259; digit span - poor performance at - repeat # back pg 259; poor judgment pg 258; The NP conducted a physical assessment on a 74-year-old male with a complaint of shortness of breath. His history is significant for a 20 pack-year history of smoking. He uses 2 inhalers daily (medication unknown) but did not bring them with him to his appointment. The documentation for the respiratory findings is as follows: Which of the following is the most accurate interpretation of the findings? These findings suggest COPD. - total guess (2 inhalers - smoker? - makes me think emphysema not list) These findings suggest pneumonia. These findings suggest asthma. These findings suggest chronic bronchitis. These findings suggest left-sided heart failure. COPD - unable to speak more than two or three words at a time due to shortness of breath. He has intercostal muscle retraction when breathing and sits upright in bed. He is thin, with diffuse muscle wasting. Height is 6 ft 2 in; weight, 175 lb; BP, 160/95, right arm; HR, 108 and irregular; RR, 32 and labored; temperature, 101.2°F.” Pneumonia - pg 87 fever and cough - hx of smoking - rhinorrhea, asymmetric chest wall excursion and dullness to chest w/ percussion p 145; exudates seen on c ray; pleuritic pain with deep inspiration pg 448; sputum often green with bacterial pneumonia pg 450 Asthma - pg 483 WH pg 455 retraction occurs in severe asthma Chronic bronchitis - pg 477 - chronic cough; sputum mucoid to purulent, may be blood-streaked or even bloody - often recurrent WH and dyspnea and prolonged hx of tobacco Left-side HF - rales or crackles ( pg 462); orthopnea and PND pg 504; increase JVP (508) A 28-year-old female presents to the office for an annual physical examination. The NP is evaluating the cranial nerves (CNs) while assessing the eyes. The findings are represented in this image. Damage or inflammation of which of the following cranial nerve(s) is demonstrated in this image? ADA Description: Eyes looking right and looking left. CN II CN III somewhat of a guess CN IV CN V CN VI I Smell II Visual acuity, visual fields, and ocular fundi II, III Pupillary light reflex III, IV, VI Extraocular movements V Facial sensation (sensory) and jaw movements (motor) V, VII Corneal reflex VII Facial movements and strength VIII Hearing IX, X Swallowing and palatal movement, gag reflex V, VII, X, XIIVoice and speech XI Shoulder and neck movements (head rotation, shoulder elevation) Tongue symmetry, position, and movement XII Otoscopic examination of the patient's left ear reveals the assessment findings represented in this image. What is the best documentation for the assessment findings of the tympanic membrane and external auditory canal? ADA Description: Left ear, tympanic membrane, and external canal. Bulging TM with gray, translucent appearance. No effusion. Non-erythematous external canal without exudate. Retracted TM with gray, translucent appearance. No effusion. Erythematous, edematous, external canal without exudate. Retracted TM. Effusion with amber fluid. Non-erythematous external canal without exudate. Bulging TM with yellow, purulent, fluid level. Erythematous, edematous, external canal without exudate. Bulging TM with yellow, translucent fluid. Non-erythematous external canal without exudate. Hard to answer with out pict… i would do A Normally ™ would be described as neutral position, pearly gray, translucent… A 44-year-old female presents with a painful skin rash on her neck for several days (see image). How would you best document the integumentary findings? ADA Description: Rash on the neck. grouped, 2-5 mm vesicles on erythematous base on left anterior neck in a dermatomal distribution that does not cross the midline clustered, yellow 2-5 mm pustules involving the skin creases of the left anterior neck scattered, 3-6 mm erythematous papules and vesicles with transudate crust, some with linear arrays, on left neck and chest multiple, discrete 3–6 mm erythematous pustules with a 1 cm central bulla on the left anterior neck and upper chest scattered, erythematous round drop-like, flat-topped well-circumscribed scaling papules on the left anterior neck that does not cross the midline Cannot do without photo An NP is caring for a patient with depression. The patient reports not feeling suicidal although still depressed on their current regimen of medication. Documenting the lack of suicidal ideation is an example of what important aspect of clinical documentation? including pertinent negatives including sufficient detail to support the diagnosis and plan including pertinent positives keeping a neutral and professional tone establishing a problem list Pertinent negatives - pg 86 - note absence of symptoms r/t differential dx = expected symptoms or signs that are not present, facts that you expect to find if a possible cause for a patient’s problem were true - which weakens dx There was no fever, cough with sputum production, chest pain, nausea or vomiting. He has no prior history of coronary artery disease or anxiety.” Historical information that may be possible causes of shortness of breath to consider in this example is lung infections (fever, cough with sputum production), heart attack (history of coronary artery disease, chest pain), and anxiety. = pertinent positives especially the negatives clarify the possible causes of the patient’s condition as well as eliminate other less likely possibilities based on the patient’s story. The NP is establishing rapport with a patient during an initial encounter and prepares to ask the patient how they would like to be addressed. What additional consideration should the NP acknowledge when asking patients about their pronouns? Patients will likely feel uncomfortable with gender identification questions. When asking patients about their own pronouns, it can be helpful to share your own. Addressing patients using depersonalized names can avoid conflict or uncomfortable feelings during the clinical encounter. Children are less likely to share how they prefer to be addressed. You should select the pronoun that best matched the person’s physical appearance. Page 7 - When asking patients about their pronouns, it can be helpful to share your own pronouns with patients, asking: “Which gender pronouns do you use?” (Box 1-3). For example, “I use . . . he and him/she and hers/they and theirs.” Some of your patients may use nontraditional pronouns. Orthopnea and paroxysmal nocturnal dyspnea (PND) generally occur in the following conditions? Select all that apply. left ventricular heart failure B. mitral stenosis obstructive lung disease pulmonary embolus spontaneous pneumothorax Page 504 - Orthopnea and PND occur in left ventricular heart failure and mitral stenosis and also in obstructive lung disease. A 19-year-old male sustained a laceration to the ulnar aspect of his mid-forearm. He did not have his injury evaluated at that time and is now noticing purulent discharge and increasing pain from the wound along with fever and chills. Where would the NP expect to find the first signs of lymphadenopathy? anterior cervical chain nodes central axillary nodes lateral axillary nodes D. epitrochlear nodes E. infraclavicular nodes An enlarged epitrochlear node suggests local or distal infection or may be associated with lymphadenopathy from lymphoma or human immunodeficiency virus (HIV). Page 573 Rationale: Patients with dissecting aortic aneurysms typically present with chest pain, many times described as a “tearing” type pain. They are usually elderly, and, due to the dissection of the aorta, asymmetric pulses in blood pressures in the extremities may be present. Coarctation of the aorta can also cause similar symptoms; however, it would be unlikely due to the patient’s age as this is a congenital defect. MI, PE, and pericarditis are also common causes of concerning chest pain; however, neither typically will cause asymmetric blood pressures or pulses in the extremities. An NP is evaluating a 74-year-old female for an open wound on the right lower leg (see image). She denies injury and reports the wound is very painful. On examination, the NP does not note any odor from the wound or increased warmth with palpation. Based on history and physical examination, which of the following most likely explains her signs and symptoms? ADA Description: Right, lower leg with open wound above the lateral ankle chronic venous insufficiency without having picture peripheral artery disease gangrenous wound chronic atrial insufficiency neuropathic ulcer Chronic Venous Insufficiency - pg 589 usually medial & sometimes the lateral malleolus - small, painful granulation tissue and fibrin; necrosis or exposed tendons are rare. Borders are irregular, flat, or slightly steep. Pain affects quality of life in 75% of patients. Associated findings include edema, reddish pigmentation and purpura, venous varicosities, the eczematous changes of stasis dermatitis (redness, scaling, and pruritus), and at times cyanosis of the foot when dependent. Gangrene is rare. Arterial Insufficiency - pg 589 - occurs in the toes, feet, or possibly areas of trauma (e.g., the shins). Surrounding skin shows no callus or excess pigment, although it may be atrophic. Pain = severe unless masked by neuropathy. May be accompanied by gangrene, along with decreased pulses, trophic changes, foot pallor on elevation, and dusky rubor on dependency. Gangrenous wound - pg 569 - Hair loss over the anterior tibiae points to decreased arterial perfusion. “Dry” or brown-black ulcers from gangrene may ensue. Neuropathic Ulcer - pg 589 - in pressure points of areas with diminished sensation; = diabetic neuropathy, neurologic disorders, and Hansen disease. The surrounding skin is calloused. There is no pain, so the ulcer may go unnoticed. In uncomplicated cases, there is no gangrene. Associated signs include decreased sensation and absent ankle jerks. A 42-year-old male complains of pain in his left leg. He does not remember injuring his leg; however, he notes that there is a small wound on the lateral aspect of his mid-shin. Upon examination, some mild erythema surrounding the wound and flat, nonpalpable red streaks progressing up his leg are noted. What do these streaks likely represent? thrombus formation in a superficial vein B. draining lymphatic channels - unsure dilated arterioles dilated veins secondary to incompetent valves occluded arterial vessels Sounds like pt has more then one thing causing issue… So focusing on the streaks I think it is likely Acute Lymphangitis = red streatks on the skin with tenderness, enlarged, tender lymph nodes and fever- caused by acute infection usually from staph, spread up the lymphatic channels from distal portal of entry such as skin abrasion, ulcer or dog bite (pg 587) Pg 574 - Calf asymmetry >3 cm increases the LR for DVT to >2.20 Also consider muscle tear or trauma, Baker cyst (posterior knee), and muscular atrophy. Local swelling, redness, warmth, and a subcutaneous cord signal superficial thrombophlebitis, an emerging risk factor for DVT.22 Asymmetric warmth and redness over the calf signal cellulitis. Unilateral calf and ankle swelling, and edema suggest venous thromboembolism (VTE) from DVT, chronic venous insufficiency from prior DVT, or incompetent venous valves; or it may be lymphedema. If you detect unilateral swelling or edema, measure the calves 10 cm below the tibial tuberosity. Bilateral edema is present in heart failure, cirrhosis, and nephrotic syndrome. Venous distention suggests a venous cause of edema. Rationale: Acute lymphangitis is typically caused from an acute bacterial infection of the skin that causes red streaks from distal drainage through the lymphatic system. The streaks are typically flat, not palpable cords as found in thrombus formation in a superficial vein. Dilated veins also are not flat. Occluded arterial vessels are not superficial or visible. Dilated arterioles are still too small to be visible at the skin surface. A 61-year-old female was recently diagnosed with ovarian cancer. She has not been feeling well lately and presents to the clinic with a cough and some mild shortness of breath for the past couple of days as well as worsening pain and swelling in her right groin and leg for about a week. On physical examination, 2+ edema of the right leg up to the thigh; 1+ femoral, popliteal, dorsalis pedis, and posterior tibial pulses; and no significant erythema are noted. Based on the history and symptomatology, the NP should consider which high-risk differential diagnosis? acute lymphangitis ovarian metastasis C. pulmonary embolism D. acute arterial occlusion Pg 148 - Pulmonary embolism is likely as the patient has sh

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NR 449 Week 3 Quiz 2...

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NR 449 Week 3 Quiz 2

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NR 449 Week 5 Quiz 3..

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NR 449 Week 5 Quiz 3...

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NR 541 Week 3 Discussion Question..

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NR 541 Week 1 Discussion Question..

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NR 541 Week 5 Discussion Question..

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NR 541 Week 6 Discussion Question..

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NR 542 Week 1 Discussion Board

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NR 542 Week 8 Discussion

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NR 542 Usability Assessment

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NR 546 Week 1 Discussion; Norepinephrine

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NR 546 Week 1 Test Your Knowledge Quiz

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NR 546 Week 4 Midterm Exam_Study Guide

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NR 546 Week 4 Midterm Study Guide

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NR 546 Week 2 Test Your Knowledge Quiz

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NR 546 Week 6 Addiction Medication Table

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NR 546 Week 6 Quiz 5 Notes

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NR 546 Week 5 Case Study

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NR 546 Week 5 Case Study; Venlafaxine XR

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NR 546 Week 8 Final Exam

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NR 546 Week 8 Reflection

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xNR 546 Dementia Medication Table

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NR 547 Week 3 Quiz Summary

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NR 547 Week 5 Quiz Summary

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NR 547 Week 6 Quiz Summary

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NR 547 Week 7 Discussion

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NR 547 Week 7 Quiz Summary

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NR 547 Week 8 Reflection on Learning

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NR 547 Week 1 Discussion

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NR 547 Week 1 Quiz Summary

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NR 547 Week 2 Quiz Summary

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NR 547 Week 2 Discussion

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NR 548 Week 1 Reflection on Learning

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NR 548 Week 2 Discussion; Standard 5B

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NR 548 Week 3 Discussion

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NR 565 Week 4 Midterm Study Guide

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NR 565 Week 8 Final Review

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NR 566 Week 4 Midterm Review

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NR 566 Week 4 Midterm Study Guide

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NR 566 Week 4 MidTerm-Review

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NR 566 Week 8 Final Exam Study Guide

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NR 566 Week 8 Final Review

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NR 568 Week 8 Course Reflection

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NR 576 Week 5 iHuman Reflection

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NR 576 Week 4 Midterm Study Guide

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NR 576 Week 6 Assignment; h.pylori Management Plan

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NR 576 Week 7 Peer Reviewer Template

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NR 576 Week 8 Course Reflection

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NR 576 Week 8 Reflection

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NR 576 Week 8_Reflection

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NR 576 Week 2 iHuman Reflection

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NR 576 Week 3 iHuman Reflection - Language barriers

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NR 576 Week 3 iHuman Reflection

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NR 576 Week 4 Collaboration Café

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NR 576 Week 4 Midterm Study Guide for Weeks 1-4

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NR 577 iHuman week 2, 3 and 5 Questions to ask

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NR 577 Week 5 Reflection

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NR 577 Week 6 iHuman- Questions to ask

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NR 577 Week 6 Reflection

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NR 577 Week 8 Reflection

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NR 577 Week 1 Case; Ebony Gray

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NR 577 Week 2 Reflection

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NR 578 Week 3 Reflection

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NR 578 Week 4 Discussion; Food Insecurity

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NR 578 Week 4 iHuman Case Suzi Green

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NR 578 Week 5 iHuman Case Clara Smith

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NR 578 Week 6 Reflection

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NR 578 Week 7 Pressure Ulcers

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NR 578 Week 8 Final Reflection

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NR 578 Week 3 Discussion; Memory Loss

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NR 578 Assignment; iHuman George King

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NR 578 Week 3 iHuman Case Janet Riley

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NR 579 Week 6 iHuman Reflection

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NR 579 Week 8 Reflection Assignment

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NR 579 Week 1 iHuman

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NR 579 Week 3 Reflection

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NR 579 Week 8 Reflection_Assignment

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NR 599 Week 4 Midterm Review Questions

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NR 599 Week 4 Midterm Study Guide

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NR 599 Week 8 Final Exam Study Guide

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NR 599 Week 8 Final Study Guide

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NR 599 Week 1 Discussion; Introduction.

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NR 599 Week 1 Discussion; Introduction..

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NR 599 Week 1 Quiz; Student Attestation

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NR 601 Week 2 Homework; Clinical Hours

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NR 601 Week 2 iHuman Case Chris Alvarez.

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NR 601 Week 2 iHuman Case Chris Alvarez

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NR 601 Week 2 iHuman Case Dylan Scott

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NR 601 Week 1 Homework; Clinical Hours

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NR 601 Week 4 Homework; Clinical Hours

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NR 601 Week 4 Midterm Exam

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NR 601 Week 4 MidTerm Practice

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NR 601 Week 4 Midterm Study Guide Outline

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NR 601 Week 3 Homework; Clinical Hours

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NR 601 Week 3 iHuman Case Regina Ricardo

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NR 601 Week 3 iHuman Reflection

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NR 601 Week 5 Homework; Clinical Hours

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NR 601 Week 6 Discussion..

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NR 601 Week 6 Discussion.

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NR 601 Week 6 iHuman Case Janet Riley

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NR 601 Week 6 iHuman Case Sophia King

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NR 601 Week 6 iHuman Reflection

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NR 601 Week 6 Quiz..

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NR 601 Week 6 Quiz.

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NR 601 Week 6 Quiz

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NR 601 Week 7 Homework; Clinical Hours

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NR 601 Week 8 Final Exam Study Guide

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NR 601 Week 8 Final Exam Study Questions

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NR 601 Week 8 Final Exam

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NR 601 Week 8 Homework; Clinical Hours

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NR 602 Week 1 Discussion

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NR 602 Week 3 iHuman Management Plan

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NR 602 Week 3 iHuman Management Plan_

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NR 602 Week 3 iHuman Reflection.

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NR 602 Week 3 iHuman Reflection

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NR 602 Week 3 iHuman_Reflection

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NR 602 Week 3 iHuman-Reflection

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NR 602 Week 1 Discussion, Response

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NR 602 Week 1 Discussion Board.

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NR 602 Week 1 Discussion Board

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NR 602 Week 1 Discussion Board_

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NR 602 Week 1 Discussion.

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NR 602 Week 5 iHuman Reflection.

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NR 602 Week 5 iHuman Reflection

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NR 602 Week 5 Reflection

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NR 602 Week 6 iHuman Case Angela Cortez

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NR 602 Week 6 iHuman Case Tommy Acker

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NR 602 Week 6 iHuman Reflection

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NR 602 Week 6 Quiz

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NR 602 Week 7 iHuman Reflection

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NR 602 Week 7 Nancy Campbell iHuman

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NR 602 Week 8 Discussion; Reflection

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NR 602 Week 8 Concept Review Week 5-8

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NR 602 Week 8 Final Exam Preparation

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NR 602 Week 8 Final Real Exam

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NR 602 Week 8 Final Study Guide

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NR 602 Week 8 Reflection on Learning.

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NR 602 Week 4 Brief Concept Review 1-4

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NR 602 Week 4 Midterm Exam Review

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NR 602 Week 4 Midterm Real Exam

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NR 602 Week 5 iHuman Management Plan

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NR 602 Week 4 Midterm Exam Points

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NR 603 Week 1 Quiz....

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NR 603 Week 1 Quiz...

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NR 603 Week 1 Quiz..

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NR 603 Week 1 Quiz.

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NR 603 Week 3 iHuman_Reflection

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NR 603 Week 4 Assignment; Vise Call

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NR 603 Week 4 iHuman Plan of Care

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NR 603 Week 4 iHuman Reflection

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NR 603 Week 4 iHuman_Reflection

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NR 603 Week 5 iHuman Reflection

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NR 603 Week 7 Discussion; Telehealt_Visits

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NR 603 Week 7 Discussion; Telehealth Visit

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NR 603 Week 7 iHuman Reflection

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NR 603 Week 8 Discussion; Reflection

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NR 603 Week 8 iHuman Reflection

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NR 603 Week 3 iHuman Reflection

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NR 603 Week 8_Discussion; Reflection

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NR 605 Week 6 Discussion Question

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NR 605 Week 6 Discussion

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NR 605 Week 8 Reflection.

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NR 605 Week 8 Reflection..

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NR 605 Week 8 Response to PowerPoint

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NR 605 Week 8 Reflection...

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NR 605 Week 2 Discussion

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NR 606 Week 3 Discussion

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NR 606 Week 4 Midterm Exam Review

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NR 606 Week 8 Final Exam Review

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NR 606 Week 8 Reflection

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NR 606 Week 1 Discussion

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NR 606 Week 2 Discussion

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NR 632 Week 3 Risk Register

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NR 632 Week 6 Completion Document

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NR 632 Week 8 Final Learning Agreement

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NR 632 Week 2 Gantt Chart

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NR 632 Week 2 Work Breakdown Structure

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NR 668 Week 4 Psycho pharmacology

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NR 668 Quizzes Week 1 - 7

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NR 703 Week 4 Discussion

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NR 703 All Reflections Week 1 - 7

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NR 717 Week 8 Discussion

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NR 717 Week 1 Discussion; Culturagram

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NR 717 Week 4 Discussion

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NR 717 Week 5 Assignment Brief

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NR 717 Week 6 Discussion

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NR 293 Week 6 Quiz 4

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NR 293 Week 8 Discussion; Glaucoma

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NR 293 Week 8 Final Exam Review

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NR 293 Week 8 Final ExamPractice

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NR 293 Week 8 In Class Quiz

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NR 293 Week 2 Quiz 1.

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NR 293 Week 2 Quiz 1

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NR 293 Week 3 Exam 1 in Progress

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NR 293 Week 3 Exam 1

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NR 293 Week 3, 4, 5 Quizzes

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NR 293 Week 4 Quiz 2 Case Studies

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NR 293 Week 5 Quiz 3

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NR 293 Week 6 Assignment; ATI Reportd

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NR 631 Week 1 and 8 Learning Agreement

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NR 499 Week 8 Final Exam Study Guide

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NR 499 Week 1 Discussion; Diagnosis - OTITIS

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NUNP 6531F-2 Week 6 Midterm Exam

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NRNP 6531 Week 11 Final Exam

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NRNP 6560 Week 11 Final Exam Review

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NRNP 6560 Week 6 Midterm Exam

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NRNP 6560 Week 6 Midterm Exam.

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NURS 6512N-34 Week 11 Final Exam

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NURS 6541 Week 6 Midterm Exam

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NURS 6541 Week 6 Quiz

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NURS 6521N-33 Week 11 Final Exam

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NURS 6521N-38 Week 11 Final Exam

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NURS 6650 Week 11 Final Exam

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NRNP 6568 Week 4 Quiz - Knowledge Check

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NRNP 6568 Week 5 Quiz - Knowledge Check

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NURS 3020 Midterm Exam

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NURS 6512 Week 11 Final Exam

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NURS 6521 Week 7 Midterm Exam - Drugs

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NRNP 6675 Week 6 Midterm Exam.

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NRNP 6675 Week 6 Midterm Study Guide

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NRNP 6675 Week 6 Midterm Exam..

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NURS 6512N-48 Week 11 Final Exam

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NURS 6521N-35, Week 11 Final Exam

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NURS 6512N Week 11 Final Exam

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NURS 6512N-14 Week 11 Final Exam

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NRNP 6540 Week 6 Exam; Midterm Study Guide

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NRNP 6541 Week 11 Final Exam

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NRNP 6541N-5, Week 11 Final Exam

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NRNP 6541N-9, Week 11 Final Exam..

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NRNP 6550 Week 4 DQ 1 and Responses

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NRNP 6550 Week 5 Knowledge Check

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NRNP 6550 Week 7 Knowledge Check

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NRNP 6550 Week 8 Knowledge Check

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NRNP 6550 Week 6 iHuman; Tom Bradford

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NRNP 6550 Week 6 Midterm Exam

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NRNP 6550 Week 10 Knowledge Check

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NRNP 6550 Week 11 Final Exam Solutions

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NRNP 6550 Week 11 Final Exam

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NRNP 6552 Week 2 Knowledge Check.

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NRNP 6552 Week 5 Knowledge Check....

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NRNP 6552 Week 5 Knowledge Check...

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NRNP 6552 Week 5 Knowledge Check.

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NRNP 6552 Week 5 Knowledge Check..

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NRNP 6552 Week 2 Knowledge Check..

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NRNP 6552 Week 6 Midterm Exam..

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NRNP 6552 Week 6 Midterm Exam.

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NRNP 6552 Week 10 Knowledge Check..

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NRNP 6552 Week 10 Knowledge Check.

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NRNP 6552 Week 11 Final Exam Review

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NRNP 6552 Week 11 Final Exam

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NRNP 6552 Week 6 Midterm Exam....

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NRNP 6552 Week 6 Midterm Exam...

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NRNP 6568 Week 3 Assignment 1; Study Plan

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NRNP 6635 Week 11 Final Exam

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NRNP 6665 Week 6 Midterm_Drugs

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NRNP 6665-01 Week 6 Midterm Exam

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NRNP 6675 Week 2 Assignment 2; Study Plan

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NRNP 6675 Week 3 Assignment; SOAP note

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NRNP 6675 Week 11 Assignment; Journal Entry

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NRNP 6675-15 Week 6 Midterm Exam

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NURS 6501 Week 11 Knowledge Check Quiz.

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NURS 6501 Week 11 Knowledge Check Quiz

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NURS 6501 Week 3 Knowledge Check Quiz

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NURS 6501 Week 5 Knowledge Check Quiz

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NURS 6501 Week 6 Knowledge Check Quiz

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NURS 6501 Week 7 Knowledge Check Quiz.

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NURS 6501 Week 7 Knowledge Check Quiz

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NURS 6501 Week 9 Knowledge Check Quiz.

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NURS 6501 Week 9 Knowledge Check Quiz

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NURS 6501 Week 10 Knowledge Check Quiz..

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NURS 6501 Week 6 Midterm Exam..

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NURS 6501 Week 6 Midterm Exam.

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NURS 6501 Week 6 Midterm Exam

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NURS 6501 Week 11 Final Exam - All Correct

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NURS 6501 Week 11 Final Exam Review Guide

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NURS 6501 Week 11 Final Exam

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NURS 6531 Week 6 Midterm Exam - All Correct

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NRNP 6645 Week 6 Midterm Exam

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NRNP 6645-1 Week 11 Final Exam

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NRNP 6645 Week 6 Midterm Exam

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NURS 6550 Week 6 Midterm Exam - Spring Qtr

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NR 548 Week 7 Collaboration Café

Contributor: Mark Williams

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NR 548 Week 8 Exam Study Guide

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NR 548 Week 1 Collaboration Café

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NR 548 Week 1 Reflection on Learning

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NR 548 Week 6 Exam 3 Study Guide

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NR 548 Week 6 Exam 3

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NR 548 Week 6 Exam 3 - Review

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NR 546 Week 8 Exam 2 - Final

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NRNP 6540 Week 6 Midterm Exam

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NRNP 6670 Week 6 Midterm Exam

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NRNP 6670 Week 6 Midterm Exam - All Correct

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NURS 6512N-49; Exam - Week 6 Midterm

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NURS 6512N-53; Exam - Week 6 Midterm.

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NURS 6512 Week 6 Midterm Compilation

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NURS 6512N-44 Week 6 Midterm

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NURS 6512N-29; Exam - Week 11 Final

Contributor: Cristy Fermin

$35

NURS 6512N-34, Week 11 Final Exam

Contributor: Cristy Fermin

$35

NURS 6512N-38 Week 11 Final Exam

Contributor: Cristy Fermin

$36

NURS 6512N-49; Exam - Week 11 Final

Contributor: Cristy Fermin

$35

NURS 6512N-50, Week 11 Final Exam

Contributor: Cristy Fermin

$35

NURS 6512 Week 11 Final Exam

Contributor: Cristy Fermin

$35

NURS 6512C-24, Week 11 Final Exam

Contributor: Cristy Fermin

$35

NURS 6501 Week 6 Midterm Exam..

Contributor: Carlson Romano

$35

NURS 6501 Week 6 Midterm Exam.

Contributor: Carlson Romano

$39

NR 548 Week 7 Collaboration Cafe

Contributor: Mark Williams

$10

NR 548 Week 7 Reflection on Learning

Contributor: Mark Williams

$10

NR 548 Week 8 Exam Study Guide

Contributor: Mark Williams

$20

NR 548 Week 6 Exam 3 - Review

Contributor: Mark Williams

$10

NR 548 Week 6 Exam 3 Study Guide

Contributor: Mark Williams

$10

NR 548 Week 6 Exam 3

Contributor: Mark Williams

$25

NR 546 Week 8 Exam 2 - Final.

Contributor: Mark Wahlberg

$55

NR 565 Week 8 Final Review PowerPoint

Contributor: Claire Forlani

$29

NR 565 Week 8 Final Exam.pdf

Contributor: William Saputra

$65

NR 565 Week 8 Final Exam - Practice

Contributor: William Saputra

$35

NR 566 Week 8 Final Exam

Contributor: Carlson Gracie

$30

NR 578 Week 1 Case Study Discussion

Contributor: Bonnie Langford

$15

NR 576 Week 3 Assignment; SNAPPS ORAL PRESENTATION

Contributor: Katherine Harrington

$15

NR 576 Week 8 Reflection..

Contributor: Katherine Harrington

$15

NR 576 Week 1 Quiz

Contributor: Katherine Harrington

$15

NR 576 Week 8 Reflection..

Contributor: Katherine Harrington

$10

NR 606 Week 4 Midterm Exam Actual

Contributor: Martin Tyler

$45

NR 606 Week 8 Final Exam

Contributor: Martin Tyler

$49

NR 606 Week 8 Reflection.

Contributor: Martin Tyler

$15

NR 606 Week 1 Discussion.

Contributor: Martin Tyler

$15

NR 601 Week 6 Quiz

Contributor: Martin Tyler

$20

NR 601 Week 8 Assignment; ePortfolio

Contributor: Martin Tyler

$15

NR 601 Week 2 iHuman Reflection

Contributor: Martin Tyler

$15

NR 511 Week 5 Quiz - 10 out of 10 Point

Contributor: Martin Tyler

$20