Nursing Process for Practical Nurses Study Guide Questions
Course Introduction
This course provides an in-depth exploration of the nursing process as a foundational framework for practical nursing practice. Students will learn how to systematically assess patients, identify nursing diagnoses, plan individualized care, implement evidence-based interventions, and evaluate outcomes. Emphasis is placed on critical thinking, clinical reasoning, and effective documentation throughout each phase of the nursing process. By applying these concepts to real-world scenarios, learners will develop practical skills essential for delivering holistic, patient-centered care in various healthcare settings.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Hill
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615 Verified Questions
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Page 2
Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) A nursing student tells a peer,"I'm having trouble understanding the rationale for not restraining confused patients." The best advice for the peer to offer would be
A) "Ask the smartest student in the class."
B) "Ask a patient for their view about it."
C) "Ask the instructor to explain it again."
D) "Do an Internet search."
Answer: C
Q2) Select the factor common to ALL types of adult learners that predisposes them to success in a nursing program.
A) They have few responsibilities at home.
B) They have the motivation to succeed.
C) They automatically qualify for financial aid.
D) They have few daily distractions.
Answer: B
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Chapter 2: Time Management: Making Time Work for You
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Q1) A nurse develops work habits that will allow each nursing task to be done as quickly as possible.The principle being used is
A) effectiveness.
B) efficiency.
C) procrastination.
D) scheduling.
Answer: B
Q2) The retired spouse of a busy female nursing student will not share household duties.An explanation that should be considered to better understand this situation is that the unwilling spouse
A) does not love the student.
B) is jealous of the student.
C) has been raised with sex stereotyping.
D) thinks paying tuition is enough support.
Answer: C
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4
Chapter 3: Learning Methods and Skills: How Do You Learn?
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Sample Questions
Q1) A student nurse is a linguistic learner.The student would learn best by A) moving around when studying.
B) taking notes when reading assigned chapters.
C) organizing a method of study that fits him or her personally.
D) making his or her own diagrams, boxes, or lists when they are unavailable.
Answer: B
Q2) A characteristic of the right hemisphere of the cerebrum includes A) produces robotlike speech.
B) processes in sequence.
C) adds tone and inflection to the voice.
D) breaks down new information into segments.
Answer: C
Q3) A learning style preference test identified a student as an interpersonal learner.Identify the strategies that would be most useful to this learner.
A) Review notes while walking on a treadmill or stationary bike.
B) Participate in a study group.
C) Study in an area that is neat and orderly.
D) Draw diagrams of study material.
E) Compare observations in conference.
Answer: B,E
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student is asked to identify distractions that limit the ability to concentrate.An example of an internal distraction is
A) mental fatigue.
B) background noise.
C) the physical environment.
D) other nursing students.
Q2) A nursing student spends lecture time doodling and staring out the window while thinking about what to cook for dinner.This student can best be described as a/an ____________________ listener.
Q3) A nursing student tells a peer,"After working nights,I have a problem staying focused during the afternoon lectures.My mind wanders,and all of a sudden I realize that I'm lost." What helpful hints should the peer offer?
A) If possible, sleep before coming to class.
B) Complete readings after attending lecture.
C) Write down key concepts and examples.
D) Ask questions during and after class.
E) Try to write everything the lecturer says.
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Chapter 5: Learning During School: Using Available Resources
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Q1) Which behaviors indicate that a nursing student is taking responsibility for learning during a lecture-discussion or a cooperative learning session?
A) Advance preparation
B) Discussion participation
C) Listening closely
D) Heated argument
Q2) A nursing student states,"My grades aren't what I'd like.I don't know whether to use a study group or ask for tutoring." Which statement is true for both study groups and tutoring?
A) Leaders/tutors derive more benefit than other participants.
B) They are most helpful to students with learning disabilities.
C) They provide low benefits when compared with the amount of time spent.
D) Active participation by the student is critical to success in raising grades.
Q3) A nursing student was ill when the class toured the learning resource center (LRC).What independent action should the student take?
A) Perceive it as a missed opportunity.
B) Ask the librarian if a self-guided audiotape tour is available.
C) Ask to see another student's notes about the tour.
D) Report his or her unawareness to the instructor of LRC features.
Page 7
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Chapter 6: Personal Health Promotion: A Role Model for Patients
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Sample Questions
Q1) The LPN/LVN tells the charge nurse,"You can be glad I'm on duty today to pick up the slack for the staff member who called in sick.It's lucky that I came in early.Oh,and by the way,I can stay late,if necessary.You know how the next shift is.They expect everything to be caught up,even if they aren't that efficient themselves." These remarks suggest that the LPN/LVN may be
A) a chronic complainer.
B) a team player.
C) co-dependent.
D) chemically dependent.
Q2) How can nurses avoid burnout?
A) Put patients' needs before their own needs.
B) Accept that as nurses, their vocational and personal lives are one.
C) Understand their own needs and maintain balance between work and personal life.
D) Use sympathy for the patient as a key to personal growth and professional development.
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Chapter 7: How Practical/Vocational Nursing Evolved: 1836 to
Present
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Sample Questions
Q1) Which of the following are major concerns associated with the present nursing shortage?
A) Patient safety
B) High patient acuity
C) High nurse-to-patient ratios
D) High stress among nurses
E) High recruitment incentives
Q2) The first chapter of the American Red Cross was established by
A) Clara Barton.
B) Sairy Gamp.
C) Dorothea Lynde Dix.
D) Florence Nightingale.
Q3) The emergence of modern nursing is usually attributed to the influence of A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
Q4) After licensing,the LPN/LVN is permitted to perform complex nursing skills as delegated by the registered nurse (RN)and allowed by the ____________________.
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Chapter 8: Critical Thinking: A Lifelong Journey
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Sample Questions
Q1) Which question should be asked by a nursing student who is developing a plan to increase his critical thinking ability so as to achieve higher grades?
A) "Do I comprehend information from textbooks and classes?"
B) "I wonder how to improve my overall efficiency?"
C) "I'll have to learn from my mistakes."
D) "Someone needs to check my conclusions."
Q2) The student reads a definition of a nursing term and is asked to state whether the sentence is true or false.The cognitive level of this exercise is A) knowledge.
B) comprehension.
C) application.
D) analysis.
Q3) When an instructor asks a nursing student to answer a question in her or his own words and give an example,the cognitive level utilized is A) knowledge.
B) comprehension.
C) application.
D) analysis.
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Chapter 9: Nursing Process: Your Role
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Sample Questions
Q1) A student nurse asks,"If RNs use a five-step nursing process and LPN/LVNs use a four-step process,what phase is missing?" The best response would be,"The phase of the nursing process that is the sole responsibility of the registered nurse is A) assessment."
B) nursing diagnosis."
C) planning."
D) implementation."
E) evaluation."
Q2) A nurse is gathering data about a patient.The nurse determines that which of the following is subjective data?
A) The patient complains of feeling anxious about her upcoming surgery.
B) The patient is short of breath and has an oxygen saturation level of 86%.
C) The patient has a heart rate of 85 beats per minute and has a sinus rhythm.
D) The patient has consumed 60% of breakfast, 45% of lunch, and 50% of dinner.
Q3) During the assessment phase of the nursing process,the LPN/LVN is expected to A) establish goals and outcome criteria.
B) collect data about the patient.
C) determine whether established goals have been met.
D) plan interventions to implement for the patient.
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Page 11
Chapter 10: Nursing Theory,Research,and Evidence-Based Practice
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Sample Questions
Q1) The National League of Nursing (NLN)expects the practical/vocational nurse's main role in evidence-based practice to be to:
A) challenge the status quo.
B) identify questions that need to be studied.
C) formulate evidence-based protocols.
D) question the basis for nursing actions.
Q2) In 2010,the _____________________________________ established competencies for nursing graduates at all levels.
Q3) A newly admitted patient reports to the practical nurse that she is "hungry." The nurse confirms that the patient is on a regular diet and promptly retrieves a meal and provides it to the patient.According to Maslow's needs theory,the nurse is meeting the patient's
A) physiological needs.
B) safety needs.
C) self-actualization need.
D) love and belonging needs.
Q4) ______________________________ was the first to emphasize the environment as influencing the course of illness and is often spoken of as the first nursing theorist.
Page 12
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Chapter 11: Ethics Applied to Nursing: Personal
vsProfessional Ethics
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Sample Questions
Q1) The nurse providing care for patients or residents must act on the knowledge that a basic right of a patient or a resident is to receive
A) considerate and respectful care from all care providers.
B) information about the diagnosis and prognosis from the practical nurse.
C) the medical care of their choice, regardless of their ability to pay.
D) any food requested and in as large a quantity as desired.
Q2) Leaving an unconscious patient exposed during a treatment or procedure is a violation of the ethical principle of A) fidelity.
B) autonomy.
C) justice.
D) veracity.
Q3) When a student nurse prepares diligently for a clinical assignment,the ethical principle being observed is A) autonomy.
B) justice.
C) nonmaleficence.
D) fear of punishment.
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Chapter
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Sample Questions
Q1) Legally,student practical/vocational nurses are held to the level of performance
A) described in the job description for nursing assistants.
B) described in the outline/syllabus of the course in which the student is enrolled.
C) of the LPN/LVN.
D) of the LPN/LVN instructor.
Q2) A patient tells the LPN/LVN,"I want you to bring my medical record so I can read it.I know HIPAA gives me the right to see it." The LPN/LVN should
A) bring the record from the nurses' station to the patient within the hour.
B) explain that the request will be made to the RN, who will follow agency policy.
C) try to talk the patient out of seeing the record by offering to answer questions.
D) tell the patient to make the request in writing to the physician.
Q3) Which of the following is an example of breach of duty?
A) The LPN/LVN walks off the unit during the shift.
B) The LPN/LVN resigns from the position.
C) The LPN/LVN delegates duties to unlicensed assistive personnel.
D) The LPN/LVN does not perform duties according to the standard of care.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient is crying.The nurse can correctly conclude from this type of nonverbal communication that the
A) patient is sad.
B) tears reflect happiness.
C) patient is in pain.
D) situation needs clarification.
Q2) A patient states,"I don't want to die from cancer." The nurse responds,"I heard you say you don't want to die from cancer." The nurse's response is an example of which active listening behavior?
A) Silence
B) Validation
C) Summarizing
D) Minimal encouraging
Q3) The nurse enters a patient's room and asks,"How are things today?" The nurse has used
A) an open-ended question.
B) a focused question.
C) probing.
D) paraphrasing.
Page 15
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Chapter 14: Assertiveness: Your Responsibility
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Sample Questions
Q1) What are the expected outcomes of using assertive communication in the nursing workplace?
A) It enmeshes the person and the issue.
B) It promotes positive relationships.
C) It is clear and unequivocal.
D) It respects the rights of oneself and others.
E) It is focused on the personal needs of the nurse.
F) It guarantees the user will get his or her way.
Q2) When a nurse is the target for unwanted behavior that she perceives as sexually harassing,she should first
A) resign from the job.
B) assertively tell the person that the behavior is unwanted.
C) report the behavior to the nursing supervisor.
D) report the behavior to the union representative.
Q3) The student nurse has a goal to become a more assertive person.To achieve this,the student nurse must be willing to
A) keep a daily journal.
B) be disliked by others.
C) put down other people.
D) take a positive stand.
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Chapter 15: The Health Care Team: Where the
Practical/Vocational Nurse Fits In
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Q1) The role of the LPN/LVN can best be described as which of the following?
A) Initiates all health teaching
B) Works in an independent role
C) Initiates all phases of the nursing process
D) Assists with all phases of the nursing process
Q2) Select the person or persons who may be included on the physical therapy team.
A) RN
B) LPN/LVN
C) Physical therapists
D) Physical therapy assistants
Q3) Which care delivery method has the greatest potential for fragmenting patient care?
A) Primary nursing
B) Case method
C) Functional method
D) Patient-focused care
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) A behavior to avoid when interacting with a person of a different culture is A) diversity.
B) acculturation.
C) stereotyping.
D) behavior based on unbiased attitudes.
Q2) During a discussion on cultural diversity,a nurse asks for an example of an ethnic group.The most accurate response would be
A) Caucasians.
B) Spanish-speaking.
C) Irish-Americans.
D) homosexuals.
Q3) Which statement about culture will help the nurse implement culturally competent care?
A) Each culture measures other cultures using its own ways as the norm.
B) Culture is primarily based on genetic inheritance.
C) Stereotypes about cultures can be accepted as true.
D) Cultural diversity is based entirely on race.
Q4) The process of giving up parts of one's own culture and adopting parts of the culture of the dominant group is called ____________________.
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Chapter 17: Spiritual Needs, Spiritual Caring, and Religious Differences
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Sample Questions
Q1) A Hindu patient is admitted after a severe head injury and is near death.The organ procurement person tells the nurse,"I don't know much about the Hindu religion,and I have to talk to the family about organ donation.Can you give me any hints?" The best response for the nurse would be
A) "Organ donation is prohibited by the religion."
B) "The family is very concerned about where the patient's soul will go after death."
C) "The religion permits organ donation, but you would have to ask the family their feelings about it."
D) "It's hard to know what people who believe cows are sacred will think about organ donation."
Q2) A patient who is terminally ill describes himself as "agnostic." The nurse caring for this person can correctly assume that the patient
A) does not possess spirituality.
B) will not experience spiritual distress.
C) will practice the rituals of a particular denomination.
D) will benefit from general spiritual care interventions.
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Q1) At a patient care planning conference,the nurse hears the remark,"We need to report this event to our official public health agency." The nurse interprets this as meaning the speaker will contact the
A) American Cancer Society.
B) Visiting Nurse Association.
C) National Easter Seal Society.
D) local health department.
Q2) The Visiting Nurse Association is a public voluntary agency that has which of the following characteristics?
A) It is engaged in health teaching.
B) It assists with referrals for patients to other community services.
C) It frequently involves the family in the care of its own members.
D) It provides nursing care in the home setting or to persons with acute and chronic diseases.
E) Care includes health supervision, education, counseling, bedside care, and following physicians' orders.
F) It is staffed primarily by LPN/LVNs and home health aides trained for specific tasks of personal bedside care.
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Chapter 19: Health Care System: Financing, Issues, and Trends
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Q1) Which of the following constitutes a problem that affects data collected by the nurse interviewing an elderly,chronically ill patient? Many elderly who are covered only by Medicare Parts A and B find it difficult to pay the cost of
A) hospital care for an acute short-term illness.
B) prescription drugs while living at home.
C) post-hospitalization rehabilitation services in a skilled nursing facility.
D) doctor's office visits, Pap smears, and mammography.
Q2) A patient tells the nurse,"I didn't sign up for health care insurance at my job because I'm young and healthy and can use the money in other ways." The response that best explains the advantage of health insurance would be,"With insurance
A) a fiscal middleman pays your health care bills."
B) your individual contributions go directly to paying your personal expenses."
C) you can borrow money for unexpected health care expenses at a very low interest rate."
D) you are spreading the risk in case you have a serious health event, such as cancer or major trauma."
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Chapter 20: Leadership Skills
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Q1) What LPN/LVN charge nurse behavior will best accomplish the goal of promoting team building?
A) Using "I" statements exclusively when talking about the unit's mission and goals
B) Never using rewards to change nursing assistant behaviors, because this strategy is manipulative
C) Assuming each nursing assistant is fully informed about the unit's mission and goals
D) Encouraging politeness, cooperation, respect, and trust
Q2) During a staff meeting,the charge nurse encourages feedback from staff nurses about improving patient safety.The charge nurse is displaying what leadership style?
A) autocratic
B) situational
C) democratic
D) laissez-faire
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Chapter 21: LPN/LVN Charge Nurse Skills: Management,
Including Assignment and Delegation
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Q1) When the Nurse Practice Act of the state permits delegation as part of the LPN/LVN charge nurse duties,which task could be delegated to experienced,unlicensed assistive personnel who have been trained to perform the task?
A) Calling the physician when a resident's condition deteriorates
B) Providing a performance evaluation for another nursing assistant
C) Taking the vital signs of a resident whose condition is not critical
D) Handling a grievance brought by a nursing assistant
Q2) When the LPN/LVN charge nurse makes rounds with the physician,which information should be called to the physician's attention?
A) The resident demonstrates a weight increase or decrease of 1 lb.
B) The resident demonstrates a temperature elevation over 99° F.
C) The resident demonstrates a reduced level of consciousness.
D) The resident demonstrates a blood pressure over 120/80.
Q3) Which duty would exceed the LPN/LVN scope of practice if included in the job description for an LPN/LVN charge nurse?
A) Assigning patient care
B) Independently developing written treatment protocols
C) Assisting physicians in diagnostic and therapeutic measures
D) Maintaining a safe and hazard-free environment
Page 23
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Chapter
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Sample Questions
Q1) Which of the following individuals is most likely to provide the most authoritative,positive reference for a student nurse who is beginning to search for postgraduation employment?
A) Instructor A, who has provided positive feedback during clinical labs
B) Program director B, who is familiar with the student nurse's academic record
C) Nurse C, who is the student nurse's acquaintance at the health club
D) Student nurse D, who is a peer enrolled in the same nursing program
Q2) Which statement indicates that a nurse is knowledgeable about good résumé preparation?
A) "My résumé is comprised of nearly three and a half pages."
B) "It was difficult to write a good objective statement, but I finally managed."
C) "I used a bulleted style to call attention to my list of job skills."
D) "To make sure my résumé catches the eye, I used bright pink paper."
Q3) During an employment interview,the interviewee is asked,"What do you believe are your greatest weaknesses?" The best reply would be
A) "I'm not aware of any weaknesses."
B) "My instructors told me I was disorganized."
C) "My biggest problem is lack of clinical experience."
D) "I work hard to do my job and meet expectations for my work."
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Chapter 23: The NCLEX-PN Examination
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Q1) The practical/vocational nursing student tells a colleague,"I know I'm going to fail the NCLEX-PN examination.I've heard that a huge amount of the examination is psychology related,and I hated psychology!" The reply that shows the best understanding of the NCLEX-PN examination is
A) "You'd better retake the psychology course."
B) "There are equal numbers of questions related to each aspect of patient needs."
C) "Psychosocial integrity is the basis for 8% to 14% of the questions."
D) "I've heard there's more emphasis on care planning than anything else."
Q2) Which statement pertains to a temporary work permit?
A) It is issued automatically upon completion of the LPN/LVN program.
B) It permits one to work as an LPN/LVN.
C) It is required to take the NCLEX-PN examination.
D) It is revoked once the NCLEX-PN examination result is reported.
E) It allows one to assume LPN/LVN charge nurse duties.
Q3) Preparation for the NCLEX-PN examination should include
A) cramming difficult concepts the night before the examination.
B) rereading each textbook used in the program of study.
C) going to a party the evening before the test.
D) reviewing content summaries and focusing on identified areas of weakness.
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Chapter 24: Future Career Decisions: Choosing What Is
Right for You
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Q1) Select the various continuing education opportunities that are usually available to an LPN/LVN who accepts employment at a long-term care facility in a metropolitan area having a collegiate nursing program.
A) A competency-based orientation
B) In-service programs
C) Workshops
D) CEUs through nursing publications
E) Certifications through nursing organizations
F) None of above
Q2) During an employment interview,the interviewee asks what additional educational experiences the LPN/LVN can count on receiving when employed at the facility.Which continuing education opportunity is the interviewer most likely to say the agency offers?
A) Annual off-site paid workshops
B) Orientation and in-service classes
C) Paid courses at a local 2-year college
D) Correspondence courses funded by NAPNES
Q3) The area of nursing in which churches employ their own nurse to take care of basic health needs of the congregation is called __________________ nursing.
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