I'm probably not the best to ask because every semester I switch things up a bit but one thing I see in your post is that you are trying to memorize things. If there's one thing I have learned in nursing school
, memorizing only gets you so far. Sure you can memorize specific things such as labs, but as you said, you are having trouble with prioritization. Even if you know the lab of something, such as in a multiple choice question, you need to know what is more important, A) the patient is exhibiting a tripod position, B) the patient's tube feeding is clogged, C) the patient's arm appears to be broken and is bleeding profusely, or D) the patient's platelet count lab just came back and is 50,000 - which problem to do attend to first.
You can memorize what all these things are, but what do they mean? This is why trying to memorize everything is a bad habit because what matters more than what is happening is what you can do about it, and you can only fix the most important things first by knowing what it means when these things happen.
Uh, that probably doesn't make sense, but moral of the story: understand, not memorize