This is a cover specifically designed for the Nurse's National Examination Review Book. It's a finished product, and the photos show the actual item. Available for immediate purchase. It has pockets on the inside, designed to store memo pads, stickers, charms, and other small items. I make each one carefully, but as this is a handmade item, there may be some imperfections such as skipped stitches, fraying, or slight distortions. Please understand this before purchasing. We do not have any pets, and there are no smokers in the household.