rninme 7,396 Views
Joined Jun 12, '06.
Posts: 1,690 (8% Liked)
Just wanted to say I passed. I studied for 1 month straight about 2-3 hours a day.
i used Fitzgerald review books and leik.
i studied through both books and did all their questions. I bought the books from Amazon and I bought the Fitzgerald review book handed out at the live sessions.
After doing thoroughly studying through those books I took the AANP, APEA, Barkley predictors and readiness tests. I did the apea twice. I scored in the 70's which according to the scales is indicative of passing the real exam and I did.
The test I felt was hard but manageable. You have to really read through the questions thoroughly because two of the 4 answer choices are usually thrown in to get you off track.
If there is one thing you take away from this post, take the practice exams into consideration because it gives you rationales and if I remember correctly the structuring of the questions are very similar to the actual exams. Some questions are even word for word almost.
Good luck everyone!
If your putting in the time studying, the next thing is to be focused on what you need to be studying.
I started out with the Leik and Fitz Review books and using text books also, doing questions every day also.
Felt like I was studying all over the place, felt like I was retaining anything, ugh!
Talked to some class mates who recently took the test, some took both...everyone used the online Fitz review course.
Here's what I finally did and what worked for me, hope it helps:
Main study would be Fitz online review course - I would study each topic for 2-3 days watching the video modules and following along in the work book. At the end I would then cross reference and make notes using the other two books (Leiks and Fitz review books). I would re-do the modules, look at notes, use text books and internet to get further clarification on a subject (Kahn Academy has some great videos). I quit doing questions everyday and focused knowing the material.
I did the online practice exam that is included with the Fitz review a week or so before my exam date, did well and ran through my notes and re-watched some modules (they eventually became very monotonous and I realized that I had the information.
Test Day: ANCC
Used the highlighter tool to highlight pertinent information in each question, allowing me to slow down and focus on what the question was asking...it allowed me to even pick out the "gothca" answers for most of the questions.
I would take a break every 50 or so questions, get up stretch, get a drink of water, use the bathroom, etc. I marked a total of maybe 10 questions, went through and answered them and hit submit. I took 3 breaks and felt I went slow and finished in 3hrs.
* Make a plan and stick to it
* Study one topic at a time (not multiple topics a day)
* Know the material, don't memorize
* Test Day, slow down, use highlighter tool, take a break to relax
Welcome student NPs and prospective student NPs! Part 2
This is the second part of a two part series, if you haven’t read the first installment, start there, if you have, welcome back.
First off, a little about me. I am a board-certified Family Nurse Practitioner and I work in a mixture of both inpatient and clinic settings with a small independent adult internal medicine practice. I live in a state that requires a collaboration agreement but I practice almost fully independently (as fully as I am comfortable with, see below). I have been on the clinical and didactic faculty at a local NP program as well as a lecturer and clinical preceptor for a local medical school. I have been an active preceptor for most of my NP career. I am active in the local and national NP association. I am not, however, the be-all-end-all of NP advice, so take everything as the opinion of one person with some experience.
Now on to the 10 questions I most frequently hear from students, both in school/practice and here at AN:
Depends on your states BON and the hospitals regulations but in most cases, yes.
From I to A finally. Thanks for listening!!
I agree with you. I rarely find anything that I can relate to, it would be nice if there was a pre student nurse practitioner forum (wasn't there one awhile ago?) I don't bother posting half of the things I would like to, because they get off the front page so fast because of 'what school, where to go, no GRE, cheapest, fastest' threads. I feel like I have no real home on AN, but at least on the NP forum the NP's are awesome at helping out and answering stupid questions lol.
I passed ANCC ARNP-exam today...
While I was preparing I was so nervous and some of the previous post regarding the ANCC FNP exam helped and some scared me to death. I made a promise to myself to post some of my experience so that It will be helpful for the NP students who are preparing for the test soon
First of all I want to tell you all the test was not bad at all. I graduated on May 15 and registered for exam at the same time. my school took 15 days to send my official transcript to ANCC, as soon as they received my transcript they send me the OK letter to schedule the test in 2 days. In between I contact them to verify the status and they were nice...
I took 2 week to study and these are the resources I used
Leik book-- Excellent book , only needed info. breakdown nicely.. and the 650 questions at the end ...very useful. The last 2-4 chapters go over at least couple times.. you will never regret ( some minor errors noted in leiks book)
Fitzgerald review-- I have to travel to a different town and stay in a hotel 3 days for live review... I will choose the online review much more affordable and wise. the spiral binder they gave you in the review very helpful.
The Fitzgerald online tutorials about research and the leik book research chapter will cover the research topics pretty much for you...
I borrowed Fitzerald 3 rd edition and read all chapters and did the answer the test questions (1400)...
APEA online review (offered by school almost 3 months ago) -- Amelie is awesome and honestly the test did not look like what review questions...
Exam edge- FNP review- I bought 10 test bundles. End up studying 10-15 different theories (some of them I even heard before and very fustrating). I scored 360-399 on these tests. very poorly constructed questions with lot of grammatical errors --the test questions in real exam is much more professional ( and ended up withno theories in my real test at all...)
Here is my exam looked like (unable to provide exact details.. dont want to be in trouble)
22 multiple choice
hypertensive meds (CCB, HTCZ ACEI)
10 pictures (derm and eye) pictures were good quality ...please make sure you review common eye conditions with pictures well
billing and how choose CPT codes in primary care
ANA position statements and research methods (meta analysis, case study etc..)
atleast 20 cultural questions (leik book good resource but google it for more info)
1 milestone peades, 1 obg question
real test looked like fitzerald review test questions
I finished 200 questions in 3 hours and took 30 mts to review the marked items
once you finish the test, the proctor outside testing room will print a results for you..
I know this post is bit longer... But if this will help my fellow NP students I am happy for it....
best of luck for all of you....
Finnay today I felt like I graduated....
Sure, there are no questions quoted, just numbers and my thoughts so it is my info, should not violate any copyrights. I am typing this on an iPad, which is not the best for this site, it won't let me back space, I have to erase and rewrite. So please forgive any typos in advance.
Thirty eight questions are wrong in some way, either the answer of the rationale.
18. The answer is correct but the time period is 15-20 weeks, so an aFP would never be obtained at 28 weeks. Maybe a typo, could be 18 weeks.
19. Answer should be D
28. The better answer would be GFR, which is calculated from the creatinine.
38. A pap is not standard of care until 21 years.
57. A is correct but it could also be a result of the mother having already received RhoGam in pregnancy.
64. A is the most correct answer but it should actually be Tdap instead of Td.
75. A is the best answer of those provided but it is actually fetal tissue before the placenta is even formed. The placenta forms after implantation, after 4 weeks. hCG is already present at 3 weeks, almost immediately after conception.
112. A, presumptive signs, these are those felt by the women. She lists fetal movement as felt by the mother incorrectly as a probable sign, it is actually a presumptive sign. Fetal movement felt by the provider is a probable sign.
173. A is the best provided answer but it should actually be Tdap instead of Td.
175. D. By her own documentation, the mechanism of breast milk jaundice is not known, which makes it true and therefore the answer.
191. There is no correct answer, C is the closest. But iron is not supplemented until 6 months.
198. Both A and B are correct. Both CXR and cultures are confirmatory tests for a positive PPD TST.
206. Rationale is incorrect.
214. According to UpToDate, niacin as little effect on triglycerides.
234. Rationale is not completely correct.
244. Wrong answer, should be B. The Board of Nursing enforces the laws and regulates but only the state legislature has the ability and authority to pass the laws. The BON does not make the laws, only enforces them.
251. C is the best available answer but "very sore " is not normal.
257. The rationale is incorrect. The question asks about diagnosis and management, the Answer talks about screening.
277. There is no correct answer, all choices are associated with EBV. See question 154.
293. The cultures should have been obtained instead of a pap.
313. B, second ICS, left stern all border, see page 147.
319. B, see page 36.
338. A 4 year old cannot ride a bike! See page 364, usually age 5 or 6.
348. See rationale for 338.
372. I could not find misoprostol in any treatment regimens, except for NSAID induce gastritis.
380. C is also false.
400. No correct answer because you have to treat for chlamydia as well, not just gonorrhea.
419. B is the correct answer. Her rationale supports this as well.
422. A single parent is not emancipated either.
465. There is no right answer. Per AAP and ACOG, the correct answer is 2-3 years, which is not a choice.
478. KOH is a better choice and usually available in primary care.
499. C is the right choice, see the text on p 199.
506. D should read Caucasians, not mediteranneans. You could argue that Spainards/Hisapincs are of mediteranneans descent, which would be incorrect. Just change it to Caucasians and it will be correct.
514. Very poorly written question, hard to see what she is asking for.
566. C is the correct answer, there are only first and second degree burns here, no full thickness (third degree).
606. You, the NP, are required to report, not "she" , the mother.
620. ATA says you only need the TSH. also her other questions, see #257.
Sent from my iPad
Since many members of AN helped me a lot with formulating my own study plan, I promised that I will share my study plan as well once I pass the board exams. Here's a quick summary of my study plan:
1) Studied each body system at a time. I started with listening to Hollier's CD lecture (because she is waaaay easier to understand than
Fitzgerald or any book). So for example, i listened to her full dermatology lecture first as my warm up.
2) I would then study the dermatology lecture on my Leik Book. OMG! Best book ever! If you know the book from cover to cover, you are guaranteed to pass the exam. Be careful with some typos or wrong answers at the back of the book though. The errors were minimal and i was able to recognize that they were incorrect.
3) Then after reading and understanding the concepts in dermatology, i then listened to Fitzgerald's lecture on dermatology. I have two versions of her CD so i listened to both versions. I think this was the best strategy because when you listen to her (after listening to Hollier and reading the Leik book), it was easier to understand the topic. This strategy reinforced what I already know about the topic (in this case, dermatology). So while i was listening to her, i found myself saying "oh yeah, that's why...." Or "oh my god, now i understand why this rash is different from rubella...". Or sometimes i'd also say, "dang, i gotta review that topic again."
4.) After the steps above, i answered all of the qbank questions under dermatology. I kept track of my score for each topic. Seeing the scores improve gave me confidence whenever i feel overwhelmed and depressed about studying.
5.) Then i answered Leik's questions (they made an app for this but they are the same questions in the back of the book) on dermatology. I also kept track of my scores for each topic.
6.) Then those topics that I got low scores on, i decided to skim through and review again using Leik's book.
7.) Then i answered the qbank and leik questions again to test my knowledge. Surprisingly, i still got a lot of wrong answers even though they were repeat questions. So i wrote those questions that i missed in a small notebook to serve as my study guide later.
8.) Then i took the time to really understand why those questions that were missed. I had to really know the concept behind those topics so I could remember them.
9.) Then took the same questions until i got an 85% and above on each
topic. I also purchased the AGNP (83%) and FNP (89%) sample exams from the AANP website (I was determined to pass this test!). I also took the two practice exams (50% and 71%) given to us by the APEA website (I scored low on these though because it was late at night when i took them).
10.) The day before the exam: I studied my study guide in the morning. Then I spent my afternoon with hubby and we also watched a movie!
11.) On the day of the exam, i went to the gym at 5am. Then i studied my study guide again for an hour. Then i went to breakfast, took my mind off of studying completely. I tried to relax for an hour but I was having really bad palpitations! I had to take multiple deep breaths and meditation exercises. I listened to my favorite songs during my drive to the testing center.
12.) I arrived at the Prometric Center at 10 am (my appointment was 11). They checked me in at 1030. Felt like I was in prison because i had to empty my pockets and go through the metal detectors. You also have to check in/out, show ID, and go through the search process every time you take a break. I told myself I was gonna give myself a mini break during the exam but i was so anxious to just be done with it. I had to mentally get my mind off of the test a few times because my brain started going through bouts of mental fatigue (especially when i got to question number 80).
I was so relieved when I saw the word "PASSED" at the end of the exam. Before that though they asked me if I wanted to take a survey and i
clicked NO! I wanted to know first if i passed or not. Cmon! That was
gonna be torture if i took the survey. Lol.
I had tears of joy right after leaving the testing center. I'm so glad this exam is behind me. I could finally get my LIFE back ;-)
By the way, I studied for a total of 4 weeks. I had to work 1-2 days each week. I saw my friends maybe only 2-3x during this study period. I stayed home most of the time!
Good luck to all those who are taking the exam!
Sent from my iPhone
@BDWilliams - I respectfully disagree. In my area (central IL) at the tertiary 900 bed hospital, FNPs abound in-pt. Our large (19 MD, 1 PA, 2 FNP, 2 CNS) practice utilizes all of us both in and out of the hospital - in fact we go to five hospitals in three systems.
I do realize that the ANCC Consensus Model dictates that unless you have specific in-pt training (during clinical) that it is preferred that FNPs do outpt care. Per the ANCC site:
"Scope of practiceof the primary care or acute care CNP is not setting specific but is based on patient care needs."
There are many misconceptions about the Consensus Model and LACE. It is really important that we, as practicing APRNs know our scope of practice and stay within it.
That's the thing, no one wants to do the scut work. You have all these eager pre-nursing/nursing students who want to be RNs and as soon as they get their toes wet (1-2 years experience) many try to ditch bedside nursing for the next best thing which is a provider role. I see it all the time on here and at my job. Almost every newer nurse on my floor has a plan to leave bedside nursing within a year or two and either leave healthcare or become an NP.
It's just how it is and greedy for-profit schools as well as accreditation happy governing bodies are more than willing to accept them because after all they won't be offering them jobs when everything is said and done.
I think it is great to do an online program if that is what fits your needs. Personally, I finish my first master's degree with an FNP in 9 weeks, and I am transitioning directly into a DNP program where I am getting a post-master's in acute care along the way. All of my schoolwork s/p associate's degree has been online, and I wouldn't have done it any other way. I do not deny that it is not for everyone, but it certainly has its place.
In terms of people speaking against online/for-profit programs, I believe the criticism is a bit too generalized. Each program has to be evaluated on its own merits and shortcomings. It is a bit naive to think that if a school is for profit it is somehow beneath a nonprofit school. Even state schools are very concerned about money, just ask any professor who has to juggle teaching with bringing in grants/funds. All of the schools I have/am attending are state schools, but I don't think that makes my program any better or worse than any other based solely upon that fact. I looked at reviews, how programs are run, and a lot of other factors.
Good luck with your program.
I am not an APRN but I do work in corrections. The FNP that works with me has concerns similar to yours in terms of losing some of her clinical skills in our setting. However, remember that corrections is really a branch of public health. What type of job are you looking for? I hope the right position comes forth Corrections is NOT a flunky job. It requires excellent skills with a population that can be very difficult to manage on all levels.
I would like to go to NP school but I have worked in corrections so long I have lost a lot of traditional book knowledge though I consider myself an excellent RN. At 53 I'm not sure it's worth it. Any feedback about NP school after corrections?
What article are you looking for, provide specs, and I can try to access if for you.
Do you know the name of the author of the article? If the author is a faculty member or a public figure, you can search their contact information with a google search. Then you can ask for the article by email.
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