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WELLNESS NURSING INSTITUTE Application

Personal Information

First Name *

Last Name *

Email: *

Phone *

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.

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. *

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

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

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 Waiwer 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.

I acknowledge that I have read and understood this waiver.

Barrier Crimes Acknowledgment

Please read Guidance Document: 90-55.

I acknowledge receipt of the Barrier Crimes List.

By submitting this application, you agree to receive communications from Wellness Nursing Institute. All payments (cash, credit card, or cashier's check) must be made in person at the school before class start.