Our class is using P&P 7th Edition also. I do read the chapters, the key concepts ANYTHING that is in a box, chart or table and NCLEX questions online. First read through, I highlight the important stuff, then when going back to study, just reread the highlighted and all charts, boxes, tables, etc. I also do any extra activity available online. (evolve) One caution is that there are errors on the NCLEX questions both online and in the book. They sometimes contradict each other. I also use Fundamental Success by Nugent and Vitale....can get at B&N or Amazon. It ties in really well with P&P. P&P is really verbose. I agree with all the criticisms voiced previously. If you're allowed to keep your tests, might try to see what your instructors pulled from. As another poster mentioned, best to see what the instructor is looking for. I know it's hard to know what to focus on sometimes. So much info I've had to start studying days in advance for tests. That way most info gets a second look. Good Luck!