A Book to Help Nurses More Easily Graduate from Nursing College This is a used item. I'm unsure of the purchase date or how long it was stored, as it was kept on a bookshelf. It has some yellowing, household odors, and stains from being stored on the bookshelf for a long time. I don't think there are any writings in it, but please understand that it is a used item, so there might be some. Everything in the photos is included. I plan to ship it via Yu-Packet the day after purchase, in principle. Instant purchase is OK. Thank you.