Brand new; highlighted the content pages; planner is none used; stickers are all there The hard cover is BACK for these student nurse planners and includes cover options to choose from: Bookmark insert 9 sticker pages 52 weekly nclex style prep questions with answers 65+pages of our exclusive student nurse content including topics on understanding vital signs, cardiac, respiratory, diabetes, IV's, CKD, OBYN, blood types, ABG's, peds, endocrine, and MORE!