Paperback first edition copy of Adult Family Nurse Practitioner Certification Practice Questions by Amelie Hollier, 2009. Includes answers and explanations. Cover shows wear and there is highlighting, notes, marks, and creasing, throughout (but mostly early) the book and not what I'd consider extensive. Significant enough to grade it as Acceptable, but not extensive. From a smoke free home but does have a subtle air freshener aroma when sniffed closely; most wouldn't even notice it but if you are highly sensitive I'd recommend another copy. Ships in via your choice of service. Whenever possible, I ship same or next day, so that you can receive your item as quickly as possible.