Respiratory Care Exam Review

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Respiratory Care Exam Review - E-Book

Author : Gary Persing
Publisher : Elsevier Health Sciences
ISBN 13 : 1437716954
Total Pages : 313 pages
Book Rating : 4.4/5 (377 download)

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Book Synopsis Respiratory Care Exam Review - E-Book by : Gary Persing

Download or read book Respiratory Care Exam Review - E-Book written by Gary Persing and published by Elsevier Health Sciences. This book was released on 2009-11-25 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. Respiratory Care Exam Review: Review for the Entry Level and Advanced Exams, 3rd Edition, readies students with review materials for both the CRT and RRT exams! The material is presented in an outline format for efficient studying, with special boxes included in the chapter to highlight important information that is often included in the exam. New content has been added to the 3rd edition, including the latest updates to the NBRC content outlines implemented in 2009 and 2010. Be fully prepared with this comprehensive text! Respiratory Therapy exam review designed to provide students with a complete, hands-on review for both the NBRC Certified Respiratory Therapist (CRT) and the Registered Respiratory Therapist (RRT) credentialing exams. The material is presented in a detailed outline format, and each chapter includes a pre-test and post-chapter questions. Answers and rationales for both pre- and post-testing are located in the back of the book. Book includes two practice exams. One practice exam for each exam (CRT & RRT) is located in the back of the book. Answer keys with rationales for correct and incorrect answers are available on the Evolve Web site. The NBRC complexity levels of each question are indicated in the answer key to help the student better prepare for the actual exam. Every chapter has been thoroughly revised to incorporate the newest (2009) NBRC Examination content outlines that were implemented in 2009 (CRT) and 2010 (RRT). Unique! Exam Notes highlight special notes or instructions specific to either the entry level (CRT) or advanced exam (RRT) to help students use their study time more effectively. Other key information relevant to the respiratory therapist is featured in specially shaded boxes. Completely updated to reflect the newest NBRC Examination content outlines, with new information on: stress testing, oxygen titration with exercise, aterial line insertion, influenza vaccines and ventilator-associated pneumonia protocols. Additional practice test questions with rationales added to both entry level and advanced practice exams provide rationales and detailed explanation for every question on the exam.

Certified Respiratory Therapist Exam Review Guide

Author : Craig L. Scanlan
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449659578
Total Pages : 628 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Certified Respiratory Therapist Exam Review Guide by : Craig L. Scanlan

Download or read book Certified Respiratory Therapist Exam Review Guide written by Craig L. Scanlan and published by Jones & Bartlett Publishers. This book was released on 2010-11-15 with total page 628 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ultimate Review Guide for the CRT Exam! Certified Respiratory Therapist Exam Review Guide is a comprehensive study guide for respiratory therapy students and graduates of accredited respiratory therapy education programs who are seeking to take the entry-level Certified Respiratory Therapist (CRT) credentialing exam from the National Board for Respiratory Care (NBRC). This unique review guide devotes extensive coverage to two problematic areas for credentialing exam candidates, which are not covered in any other review guides: 1) test-taking skills, and 2) key points to remember in taking the NBRC computerized exams. Special emphasis is also given to material and subject areas which have proven to be especially challenging for exam candidates such as basic pulmonary function testing, arterial blood gas interpretation [ABGs], monitoring critically ill patients, neonatal and pediatric care, recommending modifications to therapy, and more. Certified Respiratory Therapist Exam Review Guide is authored by experts who take the credentialing exam annually, so you can be confident that the content and format of this guide is current! Key features include: Comprehensive discussion of material on the NEW CRT Exam Matrix Over 700 practice questions and answers with explanations Extensive Guidance on Study and Test-Taking Skills Specific Advice on Making Good Answer Choices and Avoiding Bad Ones Hundreds of Summary Tables and Illustrations Each new print copy of this review guide includes a CD-ROM with test questions that can be sorted and graded. Please note: Electronic formats of this review guide do not include the CD ROM.

Comprehensive Respiratory Therapy Exam Preparation Guide (book)

Author : Craig L. Scanlan
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284051056
Total Pages : 804 pages
Book Rating : 4.2/5 (84 download)

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Book Synopsis Comprehensive Respiratory Therapy Exam Preparation Guide (book) by : Craig L. Scanlan

Download or read book Comprehensive Respiratory Therapy Exam Preparation Guide (book) written by Craig L. Scanlan and published by Jones & Bartlett Learning. This book was released on 2013-09-19 with total page 804 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Ultimate Review Guide for the CRT, RRT, and CSE Exams! Continuous Up-to-date NBRC Examination Guidelines and Correlations on Companion Website Comprehensive Respiratory Therapy Exam Preparation Guide, Second Edition is a comprehensive study guide for respiratory therapy students and graduates of accredited respiratory therapy education programs who are seeking to take the Certified Respiratory Therapist (CRT) or Registered Respiratory Therapist (RRT) credentialing exams from the National Board for Respiratory Care (NBRC). Comprehensive Respiratory Therapy Exam Preparation Guide, Second Edition is reflective of the current CRT, RRT, and CSE exam matrix and authored by experts who take the credentialing exam annually, so you can be confident that the content and format of this guide is current! Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

Advanced Practitioner Respiratory Care Review

Author : Gary Persing
Publisher : Saunders
ISBN 13 :
Total Pages : 456 pages
Book Rating : 4.:/5 ( download)

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Book Synopsis Advanced Practitioner Respiratory Care Review by : Gary Persing

Download or read book Advanced Practitioner Respiratory Care Review written by Gary Persing and published by Saunders. This book was released on 1994 with total page 456 pages. Available in PDF, EPUB and Kindle. Book excerpt: Presented in outline format, this combination study guide and workbook is designed to prepare the individual for the Advanced Practitioner Registry Exam offered by the National Board for Respiratory Care (NBRC). Based on the examination matrix provided by the NBRC, the text prepares the reader for both the written and clinical simulation exams. Included in the text are chapter pretests with answers and explanations, a 100 question post-test resembling the actual written registry exam, and 3 clinical simulations to familiarize the reader with this unique type of question.

Advanced Respiratory Therapist Exam Guide

Author : James R. Sills
Publisher : Mosby
ISBN 13 : 9780323028257
Total Pages : 0 pages
Book Rating : 4.0/5 (282 download)

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Book Synopsis Advanced Respiratory Therapist Exam Guide by : James R. Sills

Download or read book Advanced Respiratory Therapist Exam Guide written by James R. Sills and published by Mosby. This book was released on 2006 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advanced Respiratory Therapist Exam Guide prepares readers for every testable subject on both the written registry and clinical simulations portions of the NBRC registry examination - both requirements to be awarded the RRT (registered respiratory therapist) credential. This new edition has been revised to directly tie in with the most recent NBRC examination matrix and content outline. Each chapter includes content review, self-assessment questions, and study hints. In addition, each chapter has NBRC-type review questions with rationales explaining why answers are correct or incorrect. Difficulty Level Codes and Examination Matrix Coding are also included, better preparing readers for the examination. The accompanying CD-ROM provides a pretest and posttest, each modeled on the real NBRC examination to more closely represent the functionality of the actual computer-based exam. The CD-ROM also includes 10 Clinical Simulations, reflecting the number on the actual exam. The software for these simulations is designed to mimic that used on the actual NBRC Clinical Simulations examination, providing users the opportunity to practice this difficult portion of the registry exam. Advanced Respiratory Therapist Exam prepares students for every testable subject on both the written registry and clinical simulations portions of the NBRC Registry Examination, both requirements to be awarded the RRT (registered respiratory therapist) credential. Each chapter includes content review, self-assessment questions, and study hints. In addition, rationales explaining why answers are correct or incorrect, Difficulty Level Codes, and Examination Matrix Coding will all be included, better preparing students for what to expect on the examination. The new edition will be expanded to directly tie in with the most recent Examination Matrix and Content outline; all new content areas will be addressed.

Respiratory Care Exam Review 4th Edition

Author : Gary Persing BS RRT
Publisher :
ISBN 13 : 9781974811045
Total Pages : 272 pages
Book Rating : 4.8/5 (11 download)

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Book Synopsis Respiratory Care Exam Review 4th Edition by : Gary Persing BS RRT

Download or read book Respiratory Care Exam Review 4th Edition written by Gary Persing BS RRT and published by . This book was released on 2015-03-03 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Wilkins' Clinical Assessment in Respiratory Care7

Author : Albert J. Heuer
Publisher : Elsevier Health Sciences
ISBN 13 : 0323100295
Total Pages : 547 pages
Book Rating : 4.3/5 (231 download)

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Book Synopsis Wilkins' Clinical Assessment in Respiratory Care7 by : Albert J. Heuer

Download or read book Wilkins' Clinical Assessment in Respiratory Care7 written by Albert J. Heuer and published by Elsevier Health Sciences. This book was released on 2013-01-01 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only respiratory care text devoted exclusively to patient assessment! By performing a thorough patient assessment, you'll be able to assist physicians in the decision-making process regarding treatment, in evaluating the treatment's effectiveness, and in determining if changes in the treatment need to be made. The book's comprehensive approach covers all of the most important aspects and topics of assessment. This edition is streamlined to emphasize learning objectives. And you can prepare for the CRT exam more effectively with the new NBRC Exam Matrix Correlation Guide! A comprehensive approach covers all of the most important aspects of assessment, so you can assess patients effectively. Additional Questions to Ask About boxes list questions that you should ask patients (e.g., coughing, sputum, shortness of breath) or ask yourself (e.g., lung sounds you are hearing, blood pressure, respiratory rate). Learning objectives, chapter outlines, chapter overviews, and key terms lists begin each chapter, preparing you for the key topics and content you will learn. Key Point summaries and assessment questions reflect and emphasize the key information identified in the learning objectives. Answers to assessment questions help you review by including rationales and page references to the textbook, by reflecting the NBRC format, and by supporting learning objectives. Enhanced Simply Stated boxes emphasize important concepts. Additional case studies help you apply chapter content to clinical scenarios. Content from the text is related to the NBRC exam matrix for the CRT exam on a companion Evolve website, helping you better prepare for the difficult board exams. A new Neurological Assessment chapter focuses on conscious sedation. A discussion of health literacy addresses the importance of determining the patient's level of understanding when conducting a patient assessment. Discussions of the assessment of the obese patient prepare you for some of the unique challenges related to assessing obese patients (e.g., the physical exam and chest x-ray). Key Point summaries in every chapter emphasize the learning objectives and provide an easy-to-find overview. A list of abbreviations common to assessment is included on the inside of the cover for quick reference. Procedure checklists for common assessment procedures are included in a new appendix, with PDFs of the forms available on the Evolve website.

Mosby's Exam Review for Computed Tomography

Author : Daniel N. DeMaio
Publisher : Mosby
ISBN 13 : 9780323065900
Total Pages : 0 pages
Book Rating : 4.0/5 (659 download)

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Book Synopsis Mosby's Exam Review for Computed Tomography by : Daniel N. DeMaio

Download or read book Mosby's Exam Review for Computed Tomography written by Daniel N. DeMaio and published by Mosby. This book was released on 2011 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Rev. ed. of: Registry review in computed tomography. c1996.

Respiratory Care Clinical Competency Lab Manual

Author : Sandra T Hinski
Publisher : Elsevier Health Sciences
ISBN 13 : 0323292445
Total Pages : 792 pages
Book Rating : 4.3/5 (232 download)

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Book Synopsis Respiratory Care Clinical Competency Lab Manual by : Sandra T Hinski

Download or read book Respiratory Care Clinical Competency Lab Manual written by Sandra T Hinski and published by Elsevier Health Sciences. This book was released on 2013-12-10 with total page 792 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory Care Clinical Competency Lab Manual provides the practical skills needed to apply classroom theory to clinical practice. This text has the flexibility to be used in conjunction with all other respiratory care titles, as well as in other disciplines that require competencies in respiratory therapy. With detailed, step-by-step procedures, supporting procedural illustrations, hands-on lab exercises, case studies, and critical thinking questions, this text helps you understand and apply theoretical knowledge by demonstrating specific skills. Procedural competency evaluation forms help you to assess your progress and performance of specific procedures. - Detailed, structured lab activities provide hands-on opportunities to assess psychomotor and patient communication skills in a controlled environment. - Content correlation to NBRC combined CRT/RRT exam content outlines helps you better prepare for credentialing exams. - Step-by-step procedural competencies prepare you for the RT competency areas established by the American Association of Respiratory Care (AARC) and meet the national practice standards for patient care. - Up-to-date coverage of current technology, equipment, Clinical Practice Guidelines (CPGs), CPR guidelines, and CDC recommendations, and mass casualty/disaster management equips you with the most state-of-the-art training for respiratory care. - Integration of case-based questions within the lab activities helps you develop and promote your critical thinking abilities. - UNIQUE! Coverage of polysomnography addresses clinical evaluation in this expanding specialty area. - Over 200 images provide visual guidance on how to perform procedures. - UNIQUE! Reality Check boxes arm you with practical knowledge on real-world application of various procedures. - UNIQUE! Tip boxes supply you with helpful pointers for the clinical arena. - Glossary of terms offers quick reference to terms presented in the text.

Respiratory Care: Patient Assessment and Care Plan Development

Author : David C. Shelledy
Publisher : Jones & Bartlett Learning
ISBN 13 : 128420622X
Total Pages : 793 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Respiratory Care: Patient Assessment and Care Plan Development by : David C. Shelledy

Download or read book Respiratory Care: Patient Assessment and Care Plan Development written by David C. Shelledy and published by Jones & Bartlett Learning. This book was released on 2021-02-08 with total page 793 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory Care: Patient Assessment and Care Plan Development, Second Edition describes the purpose of patient assessment and then guides the reader through the process of reviewing existing data in the medical record

Mosby's Dental Assisting Exam Review - E-Book

Author : Mosby
Publisher : Elsevier Health Sciences
ISBN 13 : 0323484069
Total Pages : 250 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Mosby's Dental Assisting Exam Review - E-Book by : Mosby

Download or read book Mosby's Dental Assisting Exam Review - E-Book written by Mosby and published by Elsevier Health Sciences. This book was released on 2017-02-04 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for and pass your local, state, or board exams with Mosby’s Dental Assisting Exam Review, 3rd Edition. This best-selling comprehensive resource is modeled after the format of the Certified Dental Assistant (CDA®) exam administered by the Dental Assisting National Board (DANB) and includes 600 all-new questions. With a total of 2,800 total multiple-choice questions and nearly seven times the practice of the CDA® exam, all the standard topics and procedures specific to dental assisting are meticulously covered. In addition, an updated companion website includes a database of exam questions and a custom test generator with time-clock functionality. Plus, this is the only product on the market to address state-by-state expanded functions with state-specific questions to give you realistic practice wherever you plan to practice. Comprehensive practice with 2,800 total multiple-choice questions provides nearly seven times the practice of the board exam. National board format follows the Certified Dental Assistant (CDA®) blueprints with the same number and type of questions you can expect to see in the General Chairside, Infection Control, and Radiation Health and Safety component exams. Answer key and rationales help you assess your understanding and gauge your exam readiness. Unique companion website allows you to practice specific types and numbers of questions or easily generate a simulated exam from the 2,800-question item bank to mimic the types and numbers of questions on the CDA® exam. Realistic computerized testing experience with a clock functionality helps you learn to master time for optimal test-day readiness. Photos and illustrations included with exam questions provide realistic exam simulation. NEW! Content review sections summarize key information to provide an even more comprehensive exam-preparation product. NEW! Approximately 600 all-new questions provides you more opportunities to master content and gain test-taking confidence. NEW! Expanded question rationales help you to break down and understand questions and strengthen your grasp of the material. UNIQUE! Additional expanded functions questions ensure that you are prepared for exam success in any state you choose to practice.

TMC Practice Exam

Author : Johnny Lung
Publisher :
ISBN 13 : 9781676351009
Total Pages : 362 pages
Book Rating : 4.3/5 (51 download)

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Book Synopsis TMC Practice Exam by : Johnny Lung

Download or read book TMC Practice Exam written by Johnny Lung and published by . This book was released on 2019-12-16 with total page 362 pages. Available in PDF, EPUB and Kindle. Book excerpt: Are Preparing for the TMC Exam? If so, did you know that going through practice questions in one of the most effective strategies that students are using to pass the exam? That is exactly why you need to grab a copy of this book. Inside, you're going to get access to our premium TMC Practice Exam which covers 160 practices questions in the exact format as the ones you'll see when you take the real thing. This book has two sections: Section 1 - is for testing. In this section, the correct answer and rationale isn't included with the question. This way you can test your knowledge to see where you stand. Section 2 - is for practicing and checking your work. In this section, the correct answer and rationale is included with each question. Thousands of students have already used our practice questions to pass the TMC Exam and I'm confident that you can do the same. So if you're ready to get started, I'll see you on the inside. About the Author Johnny Lung, the founder of Respiratory Therapy Zone, is a Registered Respiratory Therapist who has helped thousands of students pass the licensure board exams through books, videos, study guides, and online courses. You can learn more by going to RespiratoryTherapyZone.com What Students are Saying "I passed it on my first attempt, just like you said." - Deanna H. "They helped me pass boards on my first attempt, and thankfully they're much more affordable than the other study guides out there." - Joy A. "I love their practice questions! I highly recommend to their resources for the TMC Exam and Clinical Sims." - Megan L. "Their practice questions are challenging and really make you think! So helpful!" - Susanna H. "They keep the information basic and easy to understand without all the complicated nonsense. I highly recommend their stuff for the board exams." - Timothy H.

The COTA Examination Review Guide

Author : Caryn Johnson
Publisher : F A Davis Company
ISBN 13 : 9780803608443
Total Pages : 265 pages
Book Rating : 4.6/5 (84 download)

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Book Synopsis The COTA Examination Review Guide by : Caryn Johnson

Download or read book The COTA Examination Review Guide written by Caryn Johnson and published by F A Davis Company. This book was released on 2002 with total page 265 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Excellent format and effective rationale for each item answers. Graduates have recommended this textbook strongly as a reliable resource to study for the certification exam. Keep up the good work!" -- Saritza Guzman-Sardina, OTA Program, Polk Community College, Winter Haven, Florida Questions in the 4th exam are grouped by population

Respiratory Care Pocket Guide

Author : Dana Oakes
Publisher :
ISBN 13 : 9780932887580
Total Pages : pages
Book Rating : 4.8/5 (875 download)

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Book Synopsis Respiratory Care Pocket Guide by : Dana Oakes

Download or read book Respiratory Care Pocket Guide written by Dana Oakes and published by . This book was released on 2017-01-01 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Egan's Fundamentals of Respiratory Care

Author : Robert M. Kacmarek
Publisher : Mosby
ISBN 13 : 9780323811224
Total Pages : 1400 pages
Book Rating : 4.8/5 (112 download)

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Book Synopsis Egan's Fundamentals of Respiratory Care by : Robert M. Kacmarek

Download or read book Egan's Fundamentals of Respiratory Care written by Robert M. Kacmarek and published by Mosby. This book was released on 2020-03-09 with total page 1400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn the principles and skills you'll need as a respiratory therapist! Egan's Fundamentals of Respiratory Care, 12th Edition provides a solid foundation in respiratory care and covers the latest advances in this ever-changing field. Known as "the bible for respiratory care," this text makes it easy to understand the role of the respiratory therapist, the scientific basis for treatment, and clinical applications. Comprehensive chapters correlate to the 2020 NBRC Exam matrices, preparing you for clinical and exam success. Written by noted educators Robert Kacmarek, James Stoller, and Albert Heuer, this edition includes new chapters on heart failure as well as ethics and end-of-life care, plus the latest AARC practice guidelines. Updated content reflects the newest advances in respiratory care, preparing you to succeed in today's health care environment. UNIQUE! Mini-Clinis provide case scenarios challenging you to use critical thinking in solving problems encountered during actual patient care. Decision trees developed by hospitals highlight the use of therapist-driven protocols to assess a patient, initiate care, and evaluate outcomes. Rules of Thumb highlight rules, formulas, and key points that are important to clinical practice. Learning objectives align with the summary checklists, highlighting key content at the beginning and at the end of each chapter, and parallel the three areas tested on the 2020 NBRC Exam matrices. Learning resources on the Evolve companion website include an NBRC correlation guide, image collection, lecture notes, Body Spectrum electronic anatomy coloring book, and an English/Spanish glossary. Student workbook provides a practical study guide reflecting this edition of the text, offering numerous case studies, experiments, and hands-on activities. Available separately. Full-color design calls attention to the text's special features and promotes learning. Glossary includes key terms and definitions needed for learning concepts. NEW Heart Failure chapter covers the disease that is the most frequent cause of unscheduled hospital admissions. NEW Ethics and End-of-Life Care chapter explains related issues and how to help patients and their families. NEW! Improved readability makes the text easier to read and concepts easier to understand. NEW! Updated practice guidelines from the AARC (American Association for Respiratory Care) are included within the relevant chapters. NEW! Updated chapters include topics such as arterial lines, stroke, ACLS, PALS, hemodynamics, polysomnography, waveform interpretation, and laryngectomy. NEW! Streamlined format eliminates redundancy and complex verbiage.

Critical Care Examination and Board Review

Author : Ronaldo Collo Go
Publisher : McGraw Hill Professional
ISBN 13 : 1259834360
Total Pages : 801 pages
Book Rating : 4.2/5 (598 download)

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Book Synopsis Critical Care Examination and Board Review by : Ronaldo Collo Go

Download or read book Critical Care Examination and Board Review written by Ronaldo Collo Go and published by McGraw Hill Professional. This book was released on 2018-08-22 with total page 801 pages. Available in PDF, EPUB and Kindle. Book excerpt: A comprehensive one-stop reference for critical care medicine – bolstered by more than 500 Q&A McGraw-Hill Specialty Board Review: Critical Care Medicine is an evidence-based multidisciplinary perspective to critical care medicine. The format of each chapter consists of text followed by questions and answers. Authors from major academic centers discuss the basic principles of their field, along with the most recent studies. This unique review reflects the author’s belief that competency in critical care medicine is derived from multiple factors: an understanding of the basics of medicine, access to the most current evidence, clinical experience, and openness to palliative care. Features: •500+ questions and answers, with detailed answer explanations •Covers all key topics on the ABIM Critical Care exam blueprint •Numerous high-quality images, including: x-rays, CT scans, and electrocardiograms •Essential for critical care fellows or intensivists studying for the critical care boards, as well as medical students, residents, and any other healthcare provider interested in critical care •Each of the 36 textbook-style chapters are followed by Q&A •Current guidelines from various specialties are incorporated, including their levels and/or grades of recommendation

Adult and Family Nurse Practitioner Certification Examination

Author : Jill E. Winland-Brown
Publisher : F A Davis Company
ISBN 13 : 9780803618190
Total Pages : 516 pages
Book Rating : 4.6/5 (181 download)

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Book Synopsis Adult and Family Nurse Practitioner Certification Examination by : Jill E. Winland-Brown

Download or read book Adult and Family Nurse Practitioner Certification Examination written by Jill E. Winland-Brown and published by F A Davis Company. This book was released on 2009-01-01 with total page 516 pages. Available in PDF, EPUB and Kindle. Book excerpt: The authors provide some excellent tools for teaching a venipuncture class though small, is complete in its coverage of topics related to phlebotomy. The unit on blood collection and venipuncture equipment is very thorough. . . Respiratory Care, review of the 1st Edition.Perfect for intensive one- or two-day phlebotomy courses! This user-friendly text concentrates on the crucial skills of blood specimen collection. . . making it a cost-effective, compact learning tool for cross training and continuing education.