Transition to Practice for Vocational Nurses
Final Exam Questions
Course Introduction
This course is designed to prepare vocational nursing students for the transition from the academic environment to clinical practice. Emphasizing professional development, the course covers topics such as ethical and legal responsibilities, effective communication, time management, delegation, and leadership within health care teams. Students will explore the role of the vocational nurse in diverse settings, regulatory and licensure requirements, and methods for continuing competency. By integrating knowledge, skills, and attitudes essential for safe and effective practice, the course aims to ease the entry of new graduates into the dynamic healthcare workplace.
Recommended Textbook
Success in Practical Vocational Nursing 7th Edition by Signe S. Hill
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615 Verified Questions
615 Flashcards
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Chapter 1: The Adult Learner: Hints to Succeed
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Sample Questions
Q1) Which statement by a nursing student is an example of self-evaluation?
A) "The other student forgot to use a bath blanket."
B) "I contaminated my glove on the edge of the bed."
C) "The staff nurse was abrupt with the resident."
D) "It was nice to be complimented by my instructor."
Answer: B
Q2) What understanding about the goal of evaluation would be most helpful to a student in a nursing program?
A) Evaluation lowers learner self-esteem.
B) Evaluation ridicules student performance.
C) Evaluation identifies behaviors that stand in the way of meeting goals.
D) Evaluation informs the learner of things that annoy the instructor.
Answer: C
Q3) Which individual in a practical/vocational nursing class would be identified as a traditional adult learner?
A) One who has been out of school for many years
B) One who has children and grandchildren
C) One who knows the routine of education
D) One who is in his or her early 20s
Answer: D
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Chapter 2: Time Management: Making Time Work for You
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Sample Questions
Q1) 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
Q2) 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
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Chapter 3: Learning Methods and Skills: How Do You Learn
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Sample Questions
Q1) A patient who is learning diabetic self-care states, "I have to develop the ability to see the 'big picture' instead of getting hung up with the little things in my care plan." The nurse who understands brain function would see this as related to
A) adult attention deficit disorder.
B) fight-or-flight reaction.
C) left brain dominance.
D) a larger than usual corpus callosum.
Answer: C
Q2) A nursing student receives a poor grade on a nursing examination. While reviewing the examination with the student, the instructor notes that the student reads aloud fluently but is unable to state in words what question the item is asking and cannot adequately summarize data presented in the item. These observations should lead the instructor to suspect
A) low intelligence.
B) lack of interest in nursing.
C) inability to comprehend content.
D) a need to adopt a new learning style.
Answer: C
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Chapter 4: Using Your Methods and Skills: Studying and Testing
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Sample Questions
Q1) A nursing student has difficulty concentrating while studying and is easily distracted by external activity. Daydreaming is triggered by relaxation and music. The best physical environment for studying would be sitting
A) on a bed with the feet up and the back against a pillow.
B) in a reclining chair facing a television with the volume turned on low.
C) at the kitchen table during meal preparation or "clean-up" time.
D) at a desk in a quiet room.
Q2) A nursing student states, "I have trouble writing what the instructor says in class." The most helpful hint to give the student would be
A) "Try to write the lecturer's statements word for word."
B) "Write the main ideas in condensed form."
C) "Take notes in shorthand and transcribe them."
D) "Underline in the textbook what the lecturer is saying."
Q3) In the PQRST method of studying, it is suggested that 50% of the student's time be devoted to which two steps?
A) Preview and read
B) State and test
C) Read and state
D) Preview and question
Page 6
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Chapter 5: Learning During School: Using Available Resources
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Sample Questions
Q1) An LPN/LVN has enrolled in a program with minimal pediatric clinical experience. The student will not have an opportunity to administer medications to pediatric patients. To seek out a learning opportunity that would closely resemble judgments made during clinical experience, the student should arrange to A) perform a 2-hour observation of a pediatric nurse assigned to administer medications.
B) complete a computer simulation, "Morning Medications with the Pediatric Medication Nurse."
C) shadow a venipuncturist making rounds on the pediatric unit.
D) attend an in-service program on the topic of avoiding pediatric medication administration errors.
Q2) A nursing student who wishes to check out a book listed in the course outline informs the librarian that the book is unavailable at the reserve desk. The librarian advises the student to look in the A) stacks.
B) CD-ROM.
C) vertical files.
D) periodical section.
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Chapter 6: Personal Health Promotion: a Role Model for Patients
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Sample Questions
Q1) A telltale sign of a chemically impaired nurse is
A) an increasing number of practice errors.
B) an objective, assertive manner.
C) willingness to admit to substance abuse.
D) an effort to seek treatment.
Q2) Which cycle is associated with being a co-dependent individual?
A) Experience fear, resort to manipulation, develop angry feelings toward victim
B) Rescue someone, view the rescued individual disrespectfully, experience feelings of victimization
C) Abuse a loved one, feel remorse, try to undo, experience increasing tension, abuse again
D) Express love, experience dissatisfaction, engage in violence
Q3) Health promotion for patients is facilitated when the nurse encourages changes based on information that diabetes, heart disease, and breast and colon cancer are causally linked to
A) environmental toxins.
B) hypolipidemia.
C) overactivity.
D) obesity.
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Chapter 7: How Practicalvocational Nursing Evolved:
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Sample Questions
Q1) Practical nurses are referred to as those who, from the beginning of time, chose (or were appointed) to care for individuals who were ill, injured, dying, or having babies. Names used to designate this person have included which of the following? (Select all that apply.)
A) Midwife
B) Attendant
C) Trained nurse
D) Practical nurse
E) Self-proclaimed nurse
F) Babysitter
Q2) The emergence of modern nursing is usually attributed to the influence of A) Florence Nightingale.
B) Clara Barton.
C) Lillian Wald.
D) Sairy Gamp.
Q3) The best reason for studying nursing history is to
A) prepare for the NCLEX-PN examination.
B) make nurses more professional.
C) help nurses adapt to change.
D) learn from nursing's past mistakes.
Page 9
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Chapter 8: Critical Thinking: a Lifelong Journey
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Sample Questions
Q1) A nursing student demonstrates the ability to use learned material in new situations. This is an example of what cognitive level?
A) Analysis
B) Knowledge
C) Application
D) Comprehension
Q2) Which factor that influences critical thinking provides the best rationale for using a team meeting to plan care for a patient?
A) Collaboration
B) Moral development
C) Self-confidence
D) Maturity
Q3) 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.
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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) An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called A) assessment.
B) nursing diagnosis.
C) planning.
D) implementation.
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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Chapter 10: Nursing Theory, Research, and Evidence-Based Practice
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Sample Questions
Q1) According to Watson's theory of human care, health is harmony of what factors? (Select all that apply.)
A) People
B) Body
C) Environment
D) Spirit
E) Mind
Q2) The LPN/LVN is caring for a postoperative appendectomy patient. When assessing the patient for pain, the nurse documents that the patient reports pain rating an "8" on a scale of 0 to 10. According to Sister Callista Roy's adaptation model, a patient experiencing pain would be an example of
A) focal stimuli.
B) contextual stimuli.
C) residual stimuli.
D) physiological stimuli.
Q3) The health belief theory was developed by A) Leininger.
B) Watson.
C) Rosenstock.
D) Orem.
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Chapter 11: Ethics Applied to Nursing: Personal Vs Professional Ethics
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Sample Questions
Q1) What ethical principle underlies the statement in the National Federation of Licensed Practical Nurses (NFLPN) Code for Licensed Practical/Vocational Nurses, "The practical nurse provides health care to all patients regardless of race, creed, cultural background, disease, or lifestyle"?
A) Autonomy
B) Confidentiality
C) Beneficence
D) Justice
Q2) 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.
Q3) To provide justice to patients on the unit, the nurse must
A) treat all patients with the same diagnosis utilizing the same plan of care.
B) treat all patients with equal dignity and respect.
C) base care on the patient's culture, religion, and social status.
D) determine who is most deserving of extra care.
Page 13
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Chapter 12: Nursing and the Law: What Are the Rules
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Sample Questions
Q1) With regard to HIPAA implementation, the LPN/LVN who is newly employed at a health care agency should
A) realize that enough was learned about the provisions of the act in school to function effectively at work.
B) be aware that each agency may interpret HIPAA provisions somewhat differently.
C) operate on the assumption that all agency privacy practices are similar.
D) depend on the HIPAA website to provide all necessary job-related information.
Q2) When documenting patient behavior, the LPN/LVN should
A) record subjective interpretations of patient behavior.
B) avoid mentioning communicating with supervisors to report changes in condition.
C) record all interventions performed and patient instruction given.
D) use Wite-Out to erase errors in documentation.
Q3) Civil law is concerned with
A) acts that threaten society.
B) decision making based on the nursing process.
C) intentional and unintentional torts.
D) guilt associated with criminal behavior.
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Chapter 13: Straightforward Communication: Instructors,
Coworkers, and Patients
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Sample Questions
Q1) A patient tells the nurse, "I don't know what to expect in the hospital. Everybody speaks medical-talk. Nobody tells me if I'm getting better or worse. Doctors march in and poke and prod me without asking my permission. And another thing, I can't stay here forever; I have to look after my elderly mother." From these data the nurse can correctly determine that the patient is
A) experiencing a difficult transition to the patient role.
B) unnecessarily sensitive to loss of independence.
C) excessively fearful of unknown aspects of hospitalization.
D) suffering from sensory overload.
Q2) On which statement about cultural differences could the nurse rely when implementing patient care?
A) The loud voices of a group of African Americans signal anger.
B) Native Americans relate best to nurses who make frequent direct eye contact.
C) Mexican Americans of the same sex rarely touch one another.
D) Asian American patients may use less eye contact than African American patients.
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Page 15
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? (Select all that apply.)
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) A nurse demonstrates assertive behavior by doing which of the following?
A) Limiting contact with a patient who is dying, because it causes the nurse to feel depressed
B) Routinely telling patients who have questions about their medications to ask the physician
C) When asked about something unfamiliar, admitting to not knowing but agreeing to find out
D) Telling another nurse how ridiculous a doctor is for ordering hourly vital sign assessments
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Chapter 15: The Health Care Team: Where the
Practicalvocational Nurse Fits in
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Sample Questions
Q1) Select the method of delivering nursing care that facilitates continuity of care, individualizes care, and fosters 24-hour accountability for patient care.
A) Case nursing
B) Team nursing
C) Functional nursing
D) Primary care nursing
Q2) Which groups are members of a nursing team?
A) RNs, LPN/LVNs, nursing assistants
B) Radiologists, dietitians, respiratory therapists
C) Occupational therapists, physical therapists, pharmacists
D) Physicians, pharmacists, dietitians, physical therapists
Q3) The LPN/LVN describes herself as "working in an expanded role in a long-term care facility." What is the most correct interpretation of this statement?
A) The LPN/LVN is able to administer oral medications.
B) The LPN/LVN is a first-line manager responsible to the RN.
C) The LPN/LVN formulates nursing diagnoses and care plans.
D) The LPN/LVN interprets and implements research findings.
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Chapter 16: Cultural Uniqueness, Sensitivity, and Competence
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Sample Questions
Q1) The nurse sets a goal to avoid stereotyping culturally diverse patients. Which of the following measures will help the nurse attain this goal?
A) Automatically apply all information known about a culture to patients of that cultural group.
B) Assume that all individuals from Southeast Asia practice Buddhism.
C) Refer to textbook information about cultural groups to predict individual behavior.
D) Gather information about how the patient believes illness can best be treated.
Q2) 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.
Q3) 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) The nurse who is preparing a Muslim female for a physical examination is told by the patient, "I cannot undress completely." The nurse will appropriately choose interventions based on the knowledge that Muslim women
A) observe standards of modesty requiring coverage from head to ankle.
B) speak openly to women but are silent in the presence of men.
C) wear writings from the Koran on the neck, arm, or waist.
D) are given alcoholic beverages with each meal.
Q2) A patient tells the nurse, "I know my minister will visit me when he checks at the admissions desk and learns I'm a patient." The most facilitative response the nurse can make would be
A) "I'm sure you can count on seeing your pastor within a day or two."
B) "Because of a federal law, the hospital cannot make your name available to clergy."
C) "Clergy rarely make calls to this hospital, so your pastor may not know you're here."
D) "I can arrange for a phone so that you may call your minister and ask him to visit."
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Page 19
Chapter 18: Health Care Settings: Potential Job Sites
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Sample Questions
Q1) A nurse working in the emergency department who must obtain data to identify the patient's primary care provider should ask the patient about
A) hospital stays.
B) low-cost health care providers.
C) receiving specialized care aimed at restoring the function of a body part.
D) the referring physician, nurse practitioner, or ambulatory care setting.
Q2) A patient tells the nurse, "I was treated for an asthma attack at a freestanding ambulatory services center." The nurse correctly identifies the treatment as taking place at a/an
A) urgent care center.
B) domiciliary residence.
C) intermediate care facility.
D) fitness club.
Q3) A nurse is asked, "What does it mean if a health care agency is described as 'proprietary'?" The nurse should respond
A) "It operates by government mandate."
B) "It is funded by local tax money and government subsidies."
C) "It operates for profit."
D) "It utilizes a large number of volunteers."
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Page 20
Chapter 19: Health Care System: Financing, Issues, and Trends
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Sample Questions
Q1) Which program offers an incentive to hospitals to discharge patients as quickly as possible?
A) Retrospective payment system
B) Prospective payment system
C) Seamless system
D) Private insurance plans in effect for under 1 year
Q2) A patient tells the nurse, "I received a questionnaire that said my answers would be used for purposes of continuous quality improvement. I wonder if it's worth my time to fill it out?" The response that best explains continuous quality improvement is, "Continuous quality improvement activities are used to"
A) restructure hospital departments and personnel assignments to ensure cost savings."
B) provide an opportunity for staff members to participate in self-governance."
C) obtain appropriate reimbursement for care given to ambulatory and inpatients."
D) monitor and improve processes involved in providing safe, effective care for patients."
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Chapter 20: Leadership Skills
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Sample Questions
Q1) The LPN/LVN charge nurse asks the nurse manager, "How can I motivate the nursing assistants on my shift?" The best answer would be
A) "Motivation is an inner force. You can't motivate someone else, but understanding the things that are important to workers can be helpful."
B) "Encouragement is the only way. If you praise and encourage the workers, you will have them eating out of your hand and doing their best."
C) "Money is the only thing that motivates workers. Since you can't set a higher salary, you can't change their motivation."
D) "Communicate! Communicate! Communicate! Be clear and specific. Spell things out. Give the impression that you know what you're talking about at all times."
Q2) Which quality is rarely found in democratic leaders?
A) Assertiveness
B) Arrogance
C) Desire for new learning
D) Effective communication
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Chapter 21: Lpnlvn Charge Nurse Skills: Management, Including
Assignment and Delegation
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Q1) The priority step the LPN/LVN charge nurse should take before delegating one of the charges to another LPN/LVN on staff is to
A) determine whether the other LPN/LVN is competent to perform the task to be delegated.
B) check the Nurse Practice Act of the state to learn whether an LPN/LVN charge nurse is allowed to delegate duties.
C) delegate both the task and the responsibility that goes with the task.
D) determine the directions that will be provided to the person to whom the task is delegated.
Q2) To which goal should the LPN/LVN give priority?
A) Resident X who has been experiencing a medication reaction will have no rash and uncompromised respirations.
B) Resident Y who is obese and has had a recent knee replacement will ambulate using a walker with the assistance of a staff member.
C) Resident Z will receive blood glucose monitoring and insulin as ordered.
D) All residents will be weighed before breakfast.
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Chapter
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Sample Questions
Q1) 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."
Q2) Assuming all are true, which information about a new graduate should be included in a résumé to highlight abilities that would be valuable to an employer?
A) Prefers annual salary of $50,000 to $52,000
B) President of sky diving club
C) Fluent in American sign language
D) Plans to move to a nearby state after 1 year
Q3) The nurse asks for advice about sending a cover letter and résumé electronically to a local health care agency. The best advice would be
A) "Send the cover letter with the résumé as an attachment."
B) "Paste the résumé to the end of the cover letter."
C) "It is inappropriate to use electronic transmission in this instance."
D) "Phone first to find out whether the person hiring is computer literate."
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Chapter 23: The Nclex-Pn Examination
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Q1) Which statements provide accurate information about determination of pass/fail by NCLEX-PN computerized adaptive testing? (Select all that apply.)
A) Only questions testing the application or analysis level of cognition are scored.
B) Each question that appears on the screen must be answered; none can be skipped.
C) Of the more difficult questions asked, 50% must be answered correctly to pass.
D) One's score must be at least 75% of the 205 total questions asked.
Q2) The content of the NCLEX-PN examination is divided into four Client Needs categories. The Physiological Integrity category includes
A) newborn care.
B) stress management.
C) medical emergencies.
D) accident/error prevention.
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25
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. (Select all that apply.)
A) A competency-based orientation
B) In-service programs
C) Workshops
D) CEUs through nursing publications
E) Certifications through nursing organizations
F) None of the above
Q2) Which services does membership in the National Federation of Practical Nurses (NFPN) provide? (Select all that apply.)
A) Subscription to the American Journal of Nursing
B) Insurance discounts
C) Continuing education articles for CEUs
D) Certification programs in IV therapy and gerontology
E) Current standards of practice
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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