There was one book/code issue during my first year. It was a fundamentals book and an online access called "My nursing lab" that was used for testing and classwork. They also suggested getting it in house, because "you wouldn't want to be without it and it would cost more if you got it separately".
Well the book store only offered it separately and it was 160.00 for the book and 75.00 for the online access. I purchased it new, as a package, from amazon
for 110.00. Big savings and I didn't feel bad about it. I would want to support my program but I choose to do it now when I am working than when I was a starving student. Funny thing is there was only 2 of us that purchased it from amazon, 24 that purchased it from the bookstore.
All (or most) books have online access of some sort that offers more information, practice tests, and animations that assist with learning. Many times there are alternate online accesses that are bundled with books that programs use for homework or testing. Just ask specifically what online access you must have and make sure you have it, no matter where you buy it.
Money is usually the driving force.