I would love to post my study tips seeing as how it's difficult to get most people here to post their study tips and it's one if the most nerve-wracking things to take this test! This is what I did: I did Fitzgerald's review course online and she is extremely detailed and wordy. Two days before I took the test I did the practice questions, which were just a review of the questions in her study guide that went along with the course, and they encouraged you to use the book. However, I thought what was the point of that? Talk about exam fatigue...there were 245 questions and they were all so wordy. I still did pretty good on it, but had to look up some of the answers (as they were fill in the blank), which I think is not realistic for the actual test. Also, while reading the questions I couldn't help but think, they would never ask this question or that question. Some of her information is just a bit too much. I llistened to older versions of both Barkely and Hollier (2010 I think) and they were helpful. Neither of them is as dry as her, however, the peds section of Barkely was excruciatingly long and the woman who gave the review had quite an annoying voice, so that is all I could focus on. I kept the Barkely CDs in my car and tried to listen to them whenever I was driving, and got through them a 2nd time. I also bought Hollier's most recent review question book, Leik's most recent review book, and the ANCC book. I also purchased 2 exams from FamilyNPPrep.com. I do feel like I know a lot more information than I did when I started studying, but it is still frustrating with all the information there is to know! I found the hardest part for me is reading the questions too fast and not answering the question being asked, missing key words like not or except. While taking the test I had to slow down and marked any questions I was even a little unsure of or wanted to review. You get about 4 hours to take the test but I did it in less than 2 as I am a fast and impatient test taker. I am not very organized and didn't have a formal study plan of "today I will do respiratory" etc. I hope this helps. Feel free to ask any other questions.