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It was 3 AM in the emergency room, the fluorescent lights humming overhead as I slumped against the cold wall, my scrubs stained with the remnants of a chaotic shift. My mind was a fog of exhaustion, and the weight of my upcoming AGACNP certification exam felt like an anchor dragging me down. I had tried everything—thick textbooks that gathered dust on my nightstand, online courses I never finished, even study groups that fizzled out due to our insane schedules. Nothing stuck. I was drowning in

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Rain lashed against the hospital windows as I slumped in the dimly lit charting room. My fingers trembled over Mrs. Henderson's wound documentation – a Stage IV pressure ulcer that mocked my exhausted attempts to quantify its angry crimson edges. Twelve hours into my oncology night shift, the coffee had stopped working hours ago, and the familiar dread crept in: how could I translate this weeping, complex reality into cold clinical data? That's when my phone vibrated – not a notification, but a

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