Okay y'all, I am in my 2nd semester of a 4 semester program. I did fairly well in the first semester and I do know "my stuff" during clinical. I have gotten very good marks and comments on my work in clinical. But these darn NCLEX style questions on exams are messing me up! I know the content, I do practice questions, watch videos, discuss content with other students in the class, and I STILL don't do so hot on the exams. We are halfway through the semester and I'm riding a 77 in my NUR 112 now and only have 2 more exams and a final exam to go until the end of it. So that means I have to make at least an 83 on the remaining exams to pass with an 80. It's not out of reach by no means but I just don't understand where I am going wrong with these exams! I think I may be second guessing myself too much, or maybe reading too much into the questions on exam day. I have a LOT riding on me to graduate nursing school on time. And if I fail it, I am not only failing nursing school but I am failing myself, my husband, my family, and everybody that has supported me throughout this time. I have put a too much time (and by time I mean YEARS), heartache, tears, and money to get my pre-reqs, entrance testing, equipment, etc. for me to fail now. I am 27 years old and I will be almost 29 if I graduate on time. I am holding off on starting a family, buying a car, and building a house until after I graduate nursing school. We are struggling now paying bills because I am not working while I am in school because I keep telling myself and my husband that it will be worth it in the end when I graduate and start working. I have constant nausea, headaches, depression, all because of this. I really just don't know what else I can do to help myself with these exams. My school is supposedly one of the most difficult ADN programs in the state because of its 100% pass rate on the NCLEX every year for the past several years. They implemented a new type of learning/teaching called Contextual Learning last year. The second year students started with 60 and are now down to ~25 left for the graduating class (that's if everybody passes this semester). My class has already lost around 15 students out of 60 and about to lose a lot more because of these difficult exams. Before last year they were graduating at least 40 a year but now its down to averaging 25 a year! It makes me sick. I need any advice you can give me, please. I am desperate!