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Wellness Nursing Institute

Application

First Name *

Last Name *

Phone *

Email *

SEX *

Male

Female

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Is English your second language?

Program Information

What course are you interested in taking?

Preferred Schedule (Check one)*

Have you worked in the healthcare field before?

If "YES," please describe:

How did you find out about WELLNESS NURSING INSTITUTE?

Honor Code

As a student of Wellness Nursing Institute, I commit to maintaining integrity in all academic and clinical settings. I will not engage in cheating, plagiarism, or any dishonest practices during coursework, skills labs, or examinations. I understand that any violation of this commitment will result in disciplinary action, which may include dismissal from the program and forfeiture of tuition or fees.

Honor Code

I have read, understood, and agree to uphold the above Honor Code.

PRE-ENTRANCE EXAM FOR ALL CLASSES

Clinical & Medical Knowledge

When communicating with residents/clients, it is best to face the resident at eye level and speak directly to them. *

When assisting residents with bathing or showering, it is alright to leave them alone even if they cannot bathe themselves *

Bedbound residents should be turned every 8 hours or less. *

ADLs include bathing, eating, grooming, and dressing. *

Handle residents very gently to avoid hurting their fragile skin. *

Which of the following age groups are at the highest risk for injury-causing falls *

If you cannot read the label on a medicine bottle, what should you do? *

1 teaspoon (tsp) is 5 ml. What will 10 teaspoons be? *

Medications are not always prescribed *

What is the best definition of benign? *

Written Questions

List three (3) of the many items you will need to wash your hands. *

Acknowledgments

Hepatitis B Waiver Form

I understand that due to my occupational exposure to blood and other potentially infectious materials, I may be at risk of acquiring the Hepatitis B Virus. I have therefore been advised to take the hepatitis vaccine for my protection and I have declined to take it.

Waiver Form

I acknowledge that I have read and understood this waiver.

Barrier Crimes Acknowledgment

Please read Guidance Document: 90-55.

Barrier Crimes I

I acknowledge receipt of the Barrier Crimes List

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