Adult Health Nursing Exam Bank
Course Introduction
Adult Health Nursing focuses on the comprehensive care of adult patients experiencing a variety of health issues, both acute and chronic. This course emphasizes the assessment, planning, implementation, and evaluation of evidence-based nursing interventions aimed at promoting, maintaining, and restoring optimal health. Students will gain knowledge in managing complex health conditions, addressing health promotion and disease prevention, and supporting patients and families through various stages of illness. The course also covers interdisciplinary collaboration, ethical and legal considerations, patient education, and the application of clinical judgment in diverse healthcare settings.
Recommended Textbook
Introduction to Critical Care Nursing 6th Edition by Mary Lou Sole
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21 Chapters
756 Verified Questions
756 Flashcards
Source URL: https://quizplus.com/study-set/2011
Page 2
Chapter 1: Overview of Critical Care Nursing
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24 Verified Questions
24 Flashcards
Source URL: https://quizplus.com/quiz/39999
Sample Questions
Q1) A nurse who plans care based on the patient's gender,ethnicity,spirituality,and lifestyle is said to:
A) be a moral advocate.
B) facilitate learning.
C) respond to diversity.
D) use clinical judgment.
Answer: C
Q2) Which of the following is a National Patient Safety Goal? (Select all that apply.)
A) Accurately identify patients.
B) Eliminate use of patient restraints.
C) Reconcile medications across the continuum of care.
D) Reduce risks of healthcare-acquired infection.
Answer: A,C,D
Q3) The synergy model of practice focuses on:
A) allowing unrestricted visiting for the patient 24 hours each day.
B) holistic and alternative therapies.
C) needs of patients and their families, which drives nursing competency.
D) patients' needs for energy and support.
Answer: C
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Page 3
Chapter 2: Patient and Family Response to the Critical Care Experience
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/40000
Sample Questions
Q1) Which intervention is appropriate to assist the patient to cope with admission to the critical care unit?
A) Allowing unrestricted visiting by several family members at one time
B) Explaining all procedures in easy-to-understand terms
C) Providing back massage and mouth care
D) Turning down the alarm volume on the cardiac monitor
Answer: B
Q2) It is important for critically ill patients to feel safe.Which nursing strategies help the patient to feel safe in the critical care setting? (Select all that apply.)
A) Allow family members to remain at the bedside.
B) Be sure to consult with the charge nurse before making any patient care decisions.
C) Provide informal conversation by discussing your plans for after work.
D) Respond promptly to call bells or other communication for assistance.
Answer: A,D
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4
Chapter 3: Ethical and Legal Issues in Critical Care Nursing
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23 Verified Questions
23 Flashcards
Source URL: https://quizplus.com/quiz/40001
Sample Questions
Q1) Which of the following statements about resuscitation is true?
A) Family members should never be present during resuscitation.
B) It is not necessary for a physician to write "do not resuscitate" orders in the chart if a patient has a healthcare surrogate.
C) "Slow codes" are ethical and should be considered in futile situations if advanced directives are not available.
D) Withholding "extraordinary" resuscitation is legal and ethical if specified in advance directives and physician orders.
Answer: D
Q2) A nurse caring for a patient with neurological impairment often must use painful stimuli to elicit a patient's response.The nurse uses subtle measures of painful stimuli,such as nailbed pressure.She neither slaps the patient nor pinches the nipple to elicit a response to pain.In this scenario,the nurse is exemplifying the ethical principle of: A) beneficence.
B) fidelity.
C) nonmaleficence.
D) veracity.
Answer: C
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Chapter 4: End-Of-Life Care in the Critical Care Unit
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26 Verified Questions
26 Flashcards
Source URL: https://quizplus.com/quiz/40002
Sample Questions
Q1) The patient's husband is terrified by the prospect of removing life-sustaining treatments from the patient.He asks why anyone would do that.The nurse explains,
A) "It is to save you money so you won't have such a large financial burden."
B) "It will preserve limited resources for the hospital so other patients may benefit from them."
C) "It is to discontinue treatments that are not helping your wife and may be very uncomfortable for her."
D) "We have done all we can for your wife and any more treatment would be futile."
Q2) A statement that provides a legally recognized description of an individual's desires regarding care at the end of life is a (an):
A) advance directive.
B) guardianship ad litem.
C) healthcare proxy.
D) power of attorney.
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6
Chapter 5: Comfort and Sedation
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33 Verified Questions
33 Flashcards
Source URL: https://quizplus.com/quiz/40003
Sample Questions
Q1) The nurse is caring for a critically ill trauma patient who is expected to be hospitalized for an extended period of time.Which of the following nursing interventions would improve the patient's well-being and reduce anxiety the most?
A) Arrange for the patient's dog to be brought into the unit (per protocol).
B) Contact the pet therapy department to bring a therapy dog in to visit.
C) Secure the harpist to come and play soothing music for an hour every afternoon.
D) Wheel the patient out near the unit aquarium to observe the tropical fish.
Q2) The nurse is concerned that the patient will pull out the endotracheal tube.As part of the nursing management,the nurse obtains an order for:
A) a Posey-type vest.
B) a higher dosage of lorazepam.
C) propofol.
D) soft wrist restraints.
Q3) In the healthy individual,pain and anxiety: (Select all that apply.)
A) activate the sympathetic nervous system.
B) decrease stress levels.
C) help remove one from harm.
D) increase performance levels.
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Chapter 6: Nutritional Support
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30 Verified Questions
30 Flashcards
Source URL: https://quizplus.com/quiz/40004
Sample Questions
Q1) A patient who is receiving continuous enteral feedings has just vomited 250 mL of milky green fluid.This is a concern because this most likely demonstrates that the patient has:
A) a bowel obstruction.
B) developed an ileus.
C) gastrointestinal bleeding.
D) tube feeding intolerance.
Q2) Objective data designating that the nutrition goals are not being met include:
A) hyperglycemia, normovolemia, and increased protein level.
B) overhydration, hypoglycemia, and weight gain.
C) weight gain, inconsistent glucose, and normovolemia.
D) weight loss, elevated glucose, and dehydration.
Q3) Which intervention(s)is (are)critical during intravenous lipid administration? (Select all that apply).
A) Assess glucose levels.
B) Change the tubing every 24 hours.
C) Hold lipids when administering antibiotics through the same line.
D) Monitor triglyceride levels.
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Chapter 7: Dysrhythmia Interpretation and Management
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59 Verified Questions
59 Flashcards
Source URL: https://quizplus.com/quiz/40005
Sample Questions
Q1) Sinus bradycardia is a symptom of which of the following? (Select all that apply.)
A) Calcium channel blocker medication
B) Beta-blocker medication
C) Athletic conditioning
D) Hypothermia
E) Hyperthyroidism
Q2) One of the functions of the atrioventricular (AV)node is to:
A) pace the heart if the ventricles fail.
B) slow the impulse arriving from the SA node.
C) send the impulse to the SA node.
D) allow for ventricular filling during systole.
Q3) The patient is scheduled to have a permanent pacemaker implanted.The patient asks the nurse,"How long will the battery in this thing last?" The nurse should answer,
A) "Life expectancy is about 1 year. Then it will need to be replaced."
B) "Pacemaker batteries can last up to 25 years with constant use."
C) "Battery life varies depending on usage, but it can last up to 10 years."
D) "Pacemakers are used to treat temporary problems so the batteries don't last long."
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Chapter 8: Hemodynamic Monitoring
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/40006
Sample Questions
Q1) The nurse is preparing to measure the thermodilution cardiac output (TdCO)in a patient being monitored with a pulmonary artery catheter.Which action by the nurse best ensures the safety of the patient?
A) Ensure the transducer system is zero referenced at the level of the phlebostatic axis.
B) Avoid infusing vasoactive agents in the port used to obtain the TdCO measurement.
C) Maintain a pressure of 300 mm Hg on the flush solution using a pressure bag.
D) Limit the length of the noncompliant pressure tubing to a maximum 48 inches.
Q2) Following insertion of a central venous catheter,the nurse obtains a stat chest x-ray film to verify proper catheter placement.The radiologist reports to the nurse: "The tip of the catheter is located in the superior vena cava." What is the best interpretation of these results by the nurse?
A) The catheter is not positioned correctly and should be removed.
B) The catheter position increases the risk of ventricular dysrhythmias.
C) The distal tip of the catheter is in the appropriate position.
D) The physician should be called to advance the catheter into the pulmonary artery.
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Chapter 9: Ventilatory Assistance
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/40007
Sample Questions
Q1) The nurse is caring for a patient with an endotracheal tube.The nurse understands that endotracheal suctioning is needed to facilitate removal of secretions and that the procedure:
A) decreases intracranial pressure.
B) depresses the cough reflex.
C) is done as indicated by patient assessment.
D) is more effective if preceded by saline instillation to loosen secretions.
Q2) The nurse is caring for a mechanically ventilated patient and is charting outside the patient's room when the ventilator alarm sounds. What is the priority order for the nurse to complete these actions:
_? (Put a comma and space between each solve choice.)
A)Check quickly for possible causes of the alarm that can be fixed.
B)After troubleshooting,connect back to mechanical ventilator and reassess patient.
C)Go to patient's bedside.
D)Manually ventilate the patient while getting respiratory therapist.
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11
Chapter 10: Rapid Response Teams and Code Management
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/40008
Sample Questions
Q1) The patient's monitor shows bradycardia (heart rate of 40 beats/min)and frequent premature ventricular contractions (PVCs)with a measured blood pressure of 85/50 mm Hg.The nurse anticipates the use of which drug?
A) Atropine 0.5 to 1 mg intravenous push
B) Dopamine drip-continuous infusion
C) Lidocaine 1 mg/kg intravenous push
D) Transcutaneous pacemaker
Q2) A patient is brought to the critical care unit after a motor vehicle crash.On admission,the patient is complaining of dyspnea and chest pain.Upon examination,the nurse notes a lack of breath sounds on the left side and a tracheal shift.What would be the most likely diagnosis?
A) Pericardial tamponade
B) Symptomatic bradycardia
C) Tension pneumothorax
D) Unstable tachycardia
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Chapter 11: Shock, sepsis, and Multiple Organ Dysfunction Syndrome
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34 Verified Questions
34 Flashcards
Source URL: https://quizplus.com/quiz/40009
Sample Questions
Q1) The nurse is caring for a patient in spinal shock.Vital signs include blood pressure 100/70 mm Hg,heart rate 70 beats/min,respirations 24 breaths/min,oxygen saturation 95% on room air,and an oral temperature of 96.8° F.Which intervention is most important for the nurse to include in the patient's plan of care?
A) Administration of atropine sulfate (Atropine)
B) Application of 100% oxygen via facemask
C) Application of slow rewarming measures
D) Infusion of IV phenylephrine (Neo-Synephrine)
Q2) The nurse is administering both crystalloid and colloid intravenous fluids as part of fluid resuscitation in a patient admitted in severe sepsis.What findings assessed by the nurse indicate an appropriate response to therapy?
A) Normal body temperature
B) Balanced intake and output
C) Adequate pain management
D) Urine output of 0.5 mL/kg/hr
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Chapter 12: Cardiovascular Alterations
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37 Verified Questions
37 Flashcards
Source URL: https://quizplus.com/quiz/40010
Sample Questions
Q1) The patient has undergone open chest surgery for coronary artery bypass grafting.One of the nurse's responsibilities is to monitor the patient for which common postoperative dysrhythmia?
A) Second degree heart block
B) Atrial fibrillation or flutter
C) Ventricular ectopy
D) Premature junctional contractions
Q2) The patient is admitted with recurrent supraventricular tachycardia that the cardiologist believes to be related to an accessory conduction pathway or a reentry pathway.The nurse anticipates which procedure to be planned for this patient?
A) Implantable cardioverter-defibrillator placement
B) Permanent pacemaker insertion
C) Radiofrequency catheter ablation
D) Temporary transvenous pacemaker placement
Q3) An essential aspect of teaching that may prevent recurrence of heart failure is:
A) notifying the physician if a 2-lb weight gain occurs in 24 hours.
B) compliance with diuretic therapy.
C) taking nitroglycerin if chest pain occurs.
D) assessment of an apical pulse.
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Page 14
Chapter 13: Nervous System Alterations
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/40011
Sample Questions
Q1) In an unconscious patient,eye movements are tested by the oculocephalic response.Which statements regarding the testing of this reflex are true? (Select all that apply.)
A) Doll's eyes absent indicate a disruption in normal brainstem processing.
B) Doll's eyes present indicate brainstem activity.
C) Eye movement in the opposite direction as the head when turned indicates an intact reflex.
D) Eye movement in the same direction as the head when turned indicates an intact reflex.
E) Increased intracranial pressure (ICP) is a contraindication to the assessment of this reflex.
F) Presence of cervical injuries is a contraindication to the assessment of this reflex.
Q2) The nurse admits a patient to the emergency department with new onset of slurred speech and right-sided weakness.What is the priority nursing action?
A) Assess for the presence of a headache.
B) Assess the patient's general orientation.
C) Determine the patient's drug allergies.
D) Determine the time of symptom onset.
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Chapter 14: Acute Respiratory Failure
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36 Verified Questions
36 Flashcards
Source URL: https://quizplus.com/quiz/40012
Sample Questions
Q1) The nurse is caring for a patient in acute respiratory failure and understands that the patient should be positioned: (Select all that apply.)
A) high Fowler's.
B) side lying with head of bed elevated.
C) sitting in a chair.
D) supine with the bed flat.
Q2) A definitive diagnosis of pulmonary embolism can be made by:
A) arterial blood gas (ABG) analysis.
B) chest x-ray examination.
C) pulmonary angiogram.
D) ventilation-perfusion scanning.
Q3) Identify diagnostic criteria for ARDS.(Select all that apply.)
A) Bilateral infiltrates on chest x-ray study
B) Decreased cardiac output
C) PaO<sub>2</sub>/ FiO<sub>2</sub> ratio of less than 200
D) Pulmonary artery occlusion pressure (PAOP) of more than 18 mm Hg
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Chapter 15: Acute Kidney Injury
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50 Verified Questions
50 Flashcards
Source URL: https://quizplus.com/quiz/40013
Sample Questions
Q1) A normal urine output is considered to be:
A) 80 to 125 mL/min.
B) 180 L/day.
C) 80 mL/min.
D) 1 to 2 L/day.
Q2) Renin plays a role in blood pressure regulation by:
A) activating the renin-angiotensin-aldosterone cascade.
B) suppressing angiotensin production.
C) decreasing sodium reabsorption.
D) inhibiting aldosterone release.
Q3) The most common cause of acute kidney injury in critically ill patients is:
A) sepsis.
B) fluid overload.
C) medications.
D) hemodynamic instability.
Q4) Continuous venovenous hemofiltration is used to:
A) remove fluids and solutes through the process of convection.
B) remove plasma water in cases of volume overload.
C) remove plasma water and solutes by adding dialysate.
D) combine ultrafiltration, convection and dialysis.
Page 17
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Chapter 16: Hematological and Immune Disorders
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55 Verified Questions
55 Flashcards
Source URL: https://quizplus.com/quiz/40014
Sample Questions
Q1) The patient is admitted for chemotherapy,but the nurse notices laboratory values indicating that the patient is immunosuppressed.The nurse should:
A) place the patient in a single room with a HEPA filtration system.
B) tell staff that hand washing is not recommended when working with this patient.
C) start as many intravenous lines as possible to provide potential antibiotics.
D) avoid the use of antimicrobial soaps when bathing and providing perineal care.
Q2) Secondary immunodeficiency involves the loss of a previously functional immune defense system that can be caused by: (Select all that apply.)
A) a single gene defect.
B) AIDS.
C) aging.
D) nutritional deficiencies.
E) immunosuppressive therapies
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18
Chapter 17: Gastrointestinal Alterations
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52 Verified Questions
52 Flashcards
Source URL: https://quizplus.com/quiz/40015
Sample Questions
Q1) The patient is being admitted with GI bleeding.Blood work includes serial hemoglobin and hematocrit levels.The nurse understands that:
A) the hematocrit is a direct reflection of quick blood loss.
B) as extravascular fluid enters the vascular space the hematocrit increases.
C) the hematocrit value does not change substantially during the first few hours.
D) the administration of intravenous fluids has no effect on hematocrit levels.
Q2) The nurse is assessing a patient who is admitted with abdominal pain.To detect abdominal masses,the nurse:
A) observes for skin pigmentation and discolorations.
B) looks for pulsations originating from the vena cava.
C) has the patient take a deep breath.
D) watches for signs of pain and distention.
Q3) The patient is ordered to have large volume gastric lavage.The nurse will most likely need to:
A) insert a small-bore nasogastric tube.
B) use 2 to 4 liters of room temperature normal saline.
C) remove the nasogastric tube before lavage is started.
D) insert a large-bore nasogastric tube.
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Chapter 18: Endocrine Alterations
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/40016
Sample Questions
Q1) Acute adrenal crisis is caused by:
A) acute renal failure.
B) deficiency of corticosteroids.
C) high doses of corticosteroids.
D) overdose of testosterone.
Q2) A patient with type 1 diabetes who is receiving a continuous subcutaneous insulin infusion via an insulin pump contacts the clinic to report mechanical failure of the infusion pump.The nurse instructs the patient to begin monitoring for signs of:
A) adrenal insufficiency.
B) diabetic ketoacidosis.
C) hyperosmolar, hyperglycemic state.
D) hypoglycemia.
Q3) Which of the following laboratory values would be found in a patient with syndrome of inappropriate secretion of antidiuretic hormone?
A) Fasting blood glucose 156 mg/dL
B) Serum potassium 5.8 mEq/L
C) Serum sodium 115 mEq/L
D) Serum sodium 152 mEq/L
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Chapter 19: Trauma and Surgical Management
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/40017
Sample Questions
Q1) Which interventions can the nurse implement to assist the patient's family in coping with the traumatic event? (Select all that apply.)
A) Establish a family spokesperson and communication system.
B) Ask the family about their normal coping mechanisms.
C) Limit visitation to set times throughout the day.
D) Coordinate a family conference.
Q2) Which of the following findings require immediate nursing interventions related to the assessment of a patient with a traumatic brain injury? (Select all that apply.)
A) Mean arterial pressure 48 mm Hg
B) Elevated serum blood alcohol level
C) Non-reactive pupils
D) Respiratory rate of 10 breaths per minute
Q3) When providing information on trauma prevention,it is important to realize that individuals age 35 to 54 years are most likely to experience which type of trauma incident?
A) High-speed motor vehicle crashes
B) Poisonings from prescription or illegal drugs
C) Violent or domestic traumatic altercations
D) Work-related falls
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Page 21
Chapter 20: Burns
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31 Verified Questions
31 Flashcards
Source URL: https://quizplus.com/quiz/40018
Sample Questions
Q1) Which of the following statements about the pain management of a burn victim are true? (Select all that apply.)
A) Additional pain medication may be needed because of rapid body metabolism.
B) Pain medication should be given before procedures such as debridement, dressing changes, and physical therapy.
C) Patients with a history of drug and alcohol abuse will require higher doses of pain medication.
D) The intramuscular route is preferred for pain medication administration.
Q2) The nurse is caring for patient who has been struck by lightning.Because of the nature of the injury,the nurse assesses the patient for which of the following?
A) Central nervous system deficits
B) Contractures
C) Infection
D) Stress ulcers
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22
Chapter 21: Solid Organ Transplantation
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35 Verified Questions
35 Flashcards
Source URL: https://quizplus.com/quiz/40019
Sample Questions
Q1) The charge nurse is reviewing the status of patients in the critical care unit.Which patient should the nurse notify the organ procurement organization to evaluate for possible organ donation?
A) A 36-year-old patient with a Glasgow Coma Scale score of 3 with no activity on electroencephalogram
B) A 68-year-old male admitted with unstable atrial fibrillation who has suffered a stroke
C) A 40-year-old brain-injured female with a history of ovarian cancer and a Glasgow Coma Scale score of 7
D) A 53-year-old diabetic male with a history of unstable angina status post resuscitation
Q2) The transplant clinic social worker is completing a social history on a patient with end-stage renal disease who is being evaluated for transplant.Which statement by the patient warrants further action?
A) "I only smoke marijuana on an occasional basis."
B) "I have two sisters who live within two hours of me."
C) "I have attended all of my scheduled dialysis sessions."
D) "My mother's side of the family has a history of cancer."
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Page 23