I did not pass my first time, and then returned a few months later and passed with no repeats. What I did I focused on the things I had trouble on, such as I never had to take manual BP since nursing school, in my work we automatics and the medical assistants did them. So on o e of my pcs, I did not have an accurate BP among other mistakes. When I returned back to work I told the ma, that any BP I would take. I kept a manual cuff and stethoscope on me at all times. At the time I worked in corrections, so any patient I saw I immediately checked their I'd with the chart. I knew who the majority was, because I gave them meds or insulin on a daily basis. I just explained that I was studying for my clinical test and they quieted down. I did it every pt every time. I also continued with my mnemonics and grid, I know these like the back of my hand. I even ran of copies with the letters and then filled the mnemonics in. WIGASS then I would fill it in, I did this at least 10x a day or night. I did pcs on my family at least once a day before going to bed. Then I would lay down and think of my pcs that I failed and I would correct it in my mind. Labs, labs, labs. I kicked butt the second time around, I left the hospital by 9:30 on Sunday morning. But before I left I mentored students who were failing, because that is what someone did for me when I failed my first time, and it enabled me to want to come back the second time. Last, I did not tell any one at work the second time, just took the days off and came back a GN, took off so much stress.Good luck you can do it!