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NCLEX-PN Study Guide

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Section 1 Apply agency policy versus legal scope of practice Preview

Preview: Coordinated Care (21%)

Preview includes

4 of 4 lesson topics
1 overview segment
3 core concepts
2 exam tips

Lesson Topics

Agency Policy Hierarchy
Legal Scope of Practice
Float Assignments & Accountability
Risk Mitigation - Pre-Assignment Assessment

Overview

This objective focuses on the critical intersection of agency policy and legal scope of practice in nursing. Nurses are legally obligated to adhere to agency policies and simultaneously operate within the boundaries defined by their state’s Nurse Practice Act.

Core Concepts

Agency-specific policies, procedures, and protocols guide how care is performed within the organization.
Agency policy cannot expand a nurse’s legal scope of practice beyond the state Nurse Practice Act.
The nurse remains accountable for providing safe care even when floating or accepting an unfamiliar assignment.

Exam Tips

If an employer request conflicts with legal scope, legal scope controls; do not perform an act that is outside the Nurse Practice Act.
For float assignments, focus on competence, orientation, client safety, and the nurse’s continuing accountability.

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Section 2 Apply Joint Commission client-safety standards Pro

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Section 3 Apply CMS client-safety regulations Pro

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Section 5 Apply implementing an agency hypoglycemia protocol Pro

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Section 6 Apply Staffing Safety and Reporting Unsafe Conditions Pro

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Section 7 Apply Data Cues Pro

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Section 8 Apply Prioritization Pro

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Section 9 Apply ABCs Pro

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Section 10 Apply Unexpected Versus Expected Conditions Pro

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Section 11 Apply Five Rights of Delegation Pro

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Section 12 Apply Responsibilities of the Delegatee Pro

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Section 13 Apply Responsibilities of the Employer/Nurse Leader Pro

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Section 14 Apply Implementing Change Pro

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Section 15 Apply Just Culture Pro

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Section 16 Apply Outcomes of Various Leadership Styles Pro

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Section 18 Apply Client Confidentiality and Critical Communication Pro

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Section 19 Apply Duty Pro

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Section 20 Apply Cause Pro

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Section 21 Apply Other Ethical Principles Pro

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Section 22 Apply Ethical Dilemmas Pro

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Section 23 Apply Institutional Review Boards and Ethical Research Pro

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Section 24 Apply Beneficence Pro

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Section 25 Apply Conflict Resolution and Team Support Pro

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Section 26 Apply Mutual Support Pro

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Section 27 Apply On Call Pro

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Section 28 Apply Mandatory Overtime Pro

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Section 29 Apply Types of Insurance Coverage Pro

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Section 30 Apply Case Management Pro

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Section 31 Apply CMS Quality Initiatives Pro

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Section 33 Apply Nursing Programs Pro

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Section 34 Apply Confidentiality Pro

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Section 35 Apply Negligence and Malpractice Pro

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Section 36 Apply Maintaining Confidentiality Pro

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Section 37 Apply Touch Pro

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Section 38 Apply Phases of the Nurse-Client Relationship Pro

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Section 39 Apply Overcoming Common Barriers to Communication Pro

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Section 40 Apply Patient’s Bill of Rights Pro

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Section 41 Apply Space Orientation Pro

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Section 42 Apply Culturally Sensitive Care Pro

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Section 43 Apply Individualization of Interventions Pro

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Section 44 Apply Evaluation Pro

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Section 45 Apply Outcome Identification Pro

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Section 46 Apply Prioritizing Implementation of Interventions Pro

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Section 47 Apply Client Safety Pro

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Section 48 Apply Medications Causing Elevated Risk for Falls Pro

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Section 49 Apply Joint Commission client-safety standards Pro

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Section 50 Apply Restraint Guidelines Pro

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Section 51 Apply Side Rails and Enclosed Beds Pro

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Section 52 Apply Behavioral Restraints Pro

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Section 53 Apply Applying the Nursing Process Pro

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Section 54 Apply Assessment Pro

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Section 55 Apply General Principles of Health Teaching Pro

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Section 56 Apply Cultural Considerations Pro

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Section 57 Apply Joint Commission client-safety standards Pro

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Section 58 Apply Scope of Practice and Health Teaching Pro

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Section 59 Apply Implementation (Take Action) Pro

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Section 60 Apply Alcohol and Substance Use Pro

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Section 61 Apply Risk Reduction Pro

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Section 62 Apply Physical Activity Pro

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Section 63 Apply Lung Cancer Pro

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Section 64 Apply Other Considerations at Mealtime to Promote Appetite Pro

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Section 65 Apply Analyzing Data: Expected and Unexpected Findings Pro

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Section 66 Apply Cancer Pro

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Section 67 Apply Vegetarian and Vegan Diets Pro

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Section 68 Apply Psychosocial Effect of Illness on Client and Family Health Pro

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Section 69 Apply Assessment (Recognize Cues) Pro

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Section 70 Apply Develop a Safety Plan Pro

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Section 71 Apply Provide Information for Follow-Up Care on Discharge Pro

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Section 72 Apply Document Level of Risk for Suicide Pro

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Section 73 Apply Assess Suicide Risk Pro

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Section 74 Apply Trauma-Informed Mental Health Concepts Pro

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Section 75 Apply Phases of Development of a Therapeutic Relationship Pro

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Section 76 Apply Teletherapy and Telehealth Pro

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Section 77 Apply Nurse-Client Relationship Pro

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Section 78 Apply Outcomes Identification (Generate Solutions) Pro

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Section 79 Apply Evaluation (Evaluate Outcome) Pro

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Section 80 Apply Crisis Assessment Pro

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Section 81 Apply Crisis and Crisis Intervention Pro

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Section 82 Apply Yoga Pro

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Section 83 Apply Signs of Distress Pro

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Section 84 Apply Evaluation Pro

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Section 85 Apply Outcome Identification Pro

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Section 86 Apply Breach of Duty Pro

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Section 88 Apply Standards of Care Pro

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Section 89 Apply Beneficence and Respect for Human Dignity Pro

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Section 90 Apply Client Education Pro

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Section 91 Apply Antidepressant and Esketamine Therapy Pro

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Section 92 Apply Secondary care Pro

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Section 93 Apply Confidentiality Pro

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Section 95 Apply the Nurse-Client Relationship Pro

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Section 96 Apply Overcoming Common Barriers to Communication Pro

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Section 97 Apply Charting by Exception Pro

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Section 98 Apply Using Medical Interpreters Pro

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Section 99 Apply Patient’s Bill of Rights Pro

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Section 100 Apply The Process of Developing Cultural Competence Pro

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Section 101 Apply Health Disparities Pro

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Section 102 Apply Dependent Nursing Interventions Pro

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Section 103 Apply Prioritization Pro

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Section 104 Apply Short-Term and Long-Term Goals Pro

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Section 105 Apply Establishing Nursing Diagnosis Statements Pro

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Section 106 Apply Behavioral Restraints Pro

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Section 107 Apply Efficacy, Dose-Response, Onset, Peak, and Duration Pro

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Section 108 Apply Generic Medication Equivalence and Excipient Differences Pro

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Section 109 Apply Safe Insulin Administration When Oral Intake Changes Pro

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Section 110 Apply Peak and Trough Levels Pro

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Section 111 Apply Route Considerations Pro

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Section 112 Apply Medication Response Evaluation Using Onset and Peak Pro

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Section 113 Apply CMS client-safety regulations Pro

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Section 114 Apply Controlled-Substance Prescription and Record-Keeping Requirements Pro

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Section 115 Apply Penicillin Pro

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Section 116 Apply Pre-Administration Assessment for Antimicrobials Pro

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Section 117 Apply Sulfonamides Pro

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Section 118 Apply Antimalarials Pro

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Section 119 Apply Beta-2 Agonists Pro

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Section 120 Apply Acetylcholinesterase Inhibitors Pro

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Section 121 Apply Implementation of Interventions Pro

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Section 122 Apply Beta-1 Antagonists Pro

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Section 123 Apply Epinephrine and Norepinephrine Pro

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Section 124 Apply Evaluation Pro

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Section 125 Apply Codeine/Guaifenesin Pro

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Section 126 Apply Respiratory Rate and Control of Ventilation Pro

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Section 127 Apply Implementation Pro

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Section 128 Apply Hydrochlorothiazide Pro

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Section 129 Apply Interviewing Pro

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Section 130 Apply Cultural Safety Pro

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Section 131 Apply Behavior Pro

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Section 132 Apply Mental Status Pro

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Section 133 Apply Health History Pro

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Section 134 Apply Subjective Versus Objective Data Pro

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Section 135 Apply Current and Past Medical History Pro

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Section 136 Apply Clinical Tips Pro

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Section 137 Apply Subjective Assessment Pro

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Section 138 Apply Steps Pro

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Section 139 Apply Orthostatic Vital Sign Measurement Pro

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Section 140 Apply Environmental Measures Pro

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Section 141 Apply Sterile Fields Pro

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Section 142 Apply Preparing and Preventing Infections Using Aseptic Technique Pro

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Section 143 Apply Sharps Safety Pro

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Section 144 Apply Standard Precautions Pro

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Section 145 Apply Intravenous Infusions Pro

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Section 146 Apply IV Infusion by Pump Pro

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Section 147 Apply Safe Dosage Range Pro

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Section 148 Apply Math Calculations Pro

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Section 149 Apply Liquid Concentrations Pro

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Section 150 Apply Responsibilities of the Delegatee Pro

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Section 151 Apply Responsibilities of the Licensed Nurse Pro

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Section 152 Apply Evaluation of Expected Outcomes Pro

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Section 153 Apply Preoperative Nursing Care Pro

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Section 155 Apply Assessment Pro

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Section 156 Evaluate Expected Response to Vitamin B12 or Folate Deficiency Treatment Pro

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Section 157 Apply Legal Scope and Agency Policy to Blood Transfusions Pro

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Section 158 Apply Blood-Transfusion Training and Competency Requirements Pro

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Section 159 Apply Outcome Identification Pro

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Section 160 Apply Nursing Interventions Pro

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Section 161 Apply Chemotherapy Administration Competency Requirements Pro

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Section 162 Apply Adaptive Immune Response Pro

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Section 163 Apply Preventing Infection Pro

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Section 164 Apply Primary Cancer Prevention Pro

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Section 165 Differentiate Modifiable and Nonmodifiable CAD Risk Factors Pro

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