Do Not Underestimate the Difficulty Level of Nursing School

It's easy to become complacent about the difficulty level of a nursing program, especially if you have been doing well in your pre-reqs. However, realize that it's not anything like you have ever done in other classes. Do not underestimate it, expect it to be hard, and most importantly, be prepared. Nursing Students Pre-Nursing Article

As I am almost done with my first year of my ADN nursing program, I decided to write this article with some thoughts about where I was a year ago.

I know I am being overly dramatic here, but hey what the hell may as well put my Composition II skills to use. :up:

I started my journey April 2010, after having mulled over my choices for a career change for an extended period of time and deciding I needed to sign up before anything was going to change.

I spent the first 3 semesters taking classes on another degree I was picking at whilst I tried to finalize what I wanted to be when I grew up. I finally decided my greatest asset was my empathy with people and how much I was willing to give of myself for them. This eventually led me to Nursing.

I have always been a natural student. 4.0GPA without opening books, first one done with tests a few minutes after they were handed out, finishing homework before I even left class. I prided myself on all of this and eventually just expected it.

Pride cometh before the fall.

After signing up for the Pre-Nursing program in 2011, I overloaded my schedule to finish the 40+ hours of pre-reqs as soon as I could. All As, no problem.

In the Spring of 2012, I added the CNA license course to my schedule as it became a requirement for the nursing program. I don't know that I even paid much attention to the course, but I did find that I had an excellent connection with the patients. It made me feel like I was on the right track. It also made me feel like nursing was not a big deal, thinking being a CNA was pretty much like being a nurse, right? Sigh.

I bought all of my supplies, uniforms, and books...all ready to go. In my mind taking the courses were merely a formality at this point.

Then came Fall of 2012.

Like anyone else, I was nervous and apprehensive about doing something new, but quickly found that Fundamentals was a piece of cake, labs were no problem, quizzes were a joke...why the hell doesn't everyone take this class, right?

As the instructor handed out our first real exam, it was just another test after the hundreds of other tests I have taken in my life, no problem.

I got a 56.

Now you can imagine the utter shock and nausea I felt when I saw that lonely number on the paper. I panicked, big time. I can only imagine the inner voice of my instructor "muwahahahha my plan is working perrrrrfectly."

I knew then that I was in trouble, and I needed to pull my head out of my place-that-shall-not-be-named and shift my entire paradigm of thinking. It wasn't easy.

I quit my $20 an hour job, spend 12 hours a day studying, and gave up all notion of having a life/girlfriend/friends/fun/food not from McDonald's. And I am still barely passing. It's not a great feeling getting 79% on everything when you have to have a 77% or higher on pretty much everything in order to proceed. In fact it wasn't until a few weeks ago that I was able to feel like I was going to make it. And I know I am going to have to continue studying 12 hours a day and basically not have a life for another 16 months.

I worry about what kind of nurse I will be when I can barely pass my classes. But I DO know I will be the best nurse I can.

Here are some of the things I wish I had known last year

  • Commit totally, or find something else to be when you grow up.
  • Nurses heavily use and are tested using critical thinking skills. I cannot stress that enough CRITICAL THINKING. If you do not have that particular skill, go buy a self-help book to figure out how. Do it now, trust me just go get it. Stop reading I will wait.
  • If you have any thought whatsoever that nursing school is going to be a walk in the park, slap yourself as hard as you can and wake up. Talk to some 2nd year students to get a good idea of what being a 1st year student is like. Find your school's nursing club, they will be more than happy to share their horror stories.
  • Go get some books on nurse's stories, there are quite a few but they will give you a great idea of what being a nurse is REALLY like. One of my favorites is a "A Nurse's Story" by Tilda Shalof.
  • Do your research, make sure that being a nurse is really what you want. Based on what I have seen in clinicals, it's hard work, it's gut wrenching, it's sometimes menial thankless tasks that go on for hours. It's NOT Grey's Anatomy, ER, or any medical drama you have ever seen.
  • Continuing with the last point, go shadow a nurse, or volunteer at an LTC or hospital, get educated.
  • When you get actually started in your nursing program READ. ALL. ASSIGNED. CHAPTERS. Then read them again. Once you are done you should probably read them again.
  • Study groups are for everything but studying.
  • Working and kids and family and social life...forget about it. Make sure everyone is on board with what you are about to undertake. You will not be available, you will be studying. When you are available, you will be sleeping. If you are able to have a life and go to nursing school, I salute and secretly hate you.
  • Finally, after all is said and done TRY to relax and enjoy and take it all in...this truly is (at least for me) the most rewarding thing you can do in life. The first time I kept someone from choking to death swept away all of my doubts and fears and all the dumb stuff I did before I got to that point.

It's worth it, just don't underestimate it.

See you in the trenches!

Cain

thanks for the advice!!

Specializes in PICU.

This is a great post. I think a lot of people underestimate how difficult and time consuming nursing school is. I did a 15 month accelerated BSN and would go weeks on 4 hours of sleep a night and I did not work and don't have a family. However, we only had 1 person in our class drop out. I find it concerning that ADN programs are happy to take tuition money from all of these people that they know won't ever graduate. Why not only admit people who are going to graduate and support the students so they do? I would be very wary of programs with such low graduation rates.

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It's a struggle that's for sure. Everyone tries to warn you "Oh it will be time consuming and you WILL have to study!" But even they don't have any idea what your in for (although former students do understand somewhat where your coming from) I graduate at the end of this month and looking back now I see the importance to just keep going! Hold your head up! Your almost there!

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Nice post....I work and have kids & am applying to nursing school in June....it'll be rough, but it's going to happen!

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Specializes in Informatics, Orthopaedics.

6 months later and thought I would add a bit more to this...

- I first wanted to say that at the time of the article I was just this side of failing out of the class, so I had a lot of anxiety about that. My kneejerk reaction was to drop everything I had going on in my life and spend all day every day studying. Since then I have actually had my lightbulb OMG I GET IT moment and I no longer stress so much about school every day. That isn't to say that it is any easier, far from it this is one of the hardest things I have ever done. However, like a lot of other people have noted it IS possible to have a life while in school heh. If you can find that balance, school gets a whole lot easier to manage.

- Start studying for NCLEX as soon as you feel comfortable. I have found that it actually reinforces the material I learn in class, plus you get a head start on the exam. I am using the Saunder's Comprehensive review:

Amazon.com: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition (9781437708257): Linda Anne Silvestri: Books

- I will once again stress the need for critical thinking skills. There is simply no way to over-stress it...here is a good book:

Amazon.com: Critical Thinking and Clinical Judgement: A Practical Approach to Outcome-Focused Thinking (9781416039488): Rosalinda Alfaro-LeFevre RN MSN ANEF: Books

- Relax. Breathe. It gets better.

More to come...10 months to go woohoo!

Specializes in Hospice.
6 months later and thought I would add a bit more to this...

- I first wanted to say that at the time of the article I was just this side of failing out of the class, so I had a lot of anxiety about that. My kneejerk reaction was to drop everything I had going on in my life and spend all day every day studying. Since then I have actually had my lightbulb OMG I GET IT moment and I no longer stress so much about school every day. That isn't to say that it is any easier, far from it this is one of the hardest things I have ever done. However, like a lot of other people have noted it IS possible to have a life while in school heh. If you can find that balance, school gets a whole lot easier to manage.

- Start studying for NCLEX as soon as you feel comfortable. I have found that it actually reinforces the material I learn in class, plus you get a head start on the exam. I am using the Saunder's Comprehensive review:

Amazon.com: Saunders Comprehensive Review for the NCLEX-RN Examination, 5th Edition (9781437708257): Linda Anne Silvestri: Books

- I will once again stress the need for critical thinking skills. There is simply no way to over-stress it...here is a good book:

Amazon.com: Critical Thinking and Clinical Judgement: A Practical Approach to Outcome-Focused Thinking (9781416039488): Rosalinda Alfaro-LeFevre RN MSN ANEF: Books

- Relax. Breathe. It gets better.

More to come...10 months to go woohoo!

Two things. One..... AWESOME ACHIEVEMENT! You should be proud. Two, your writing style is hilarious. As a word nerd myself, I can appreciate it. OK, I lied, three things.... Saunders is coming out with a new edition in October, so I have heard. I will definitely be buying it. I start my ADN program in 21 days, four hours and twelve minutes! And I'm older than you, so I am happy to hear that us not-such-spring-chickens can still have an occasional neurological synapse. I will be picking up that Critical Thinking book in a few minutes on Amazon. Thanks for the tips! Bookmarked your post for future updates to your journey!

Thank you for this post. I, like you, have always breezed through school without studying. School has always been very easy for me and although I didn't expect nursing school to be a breeze, I didn't feel it would be difficult or require too much extra effort. A friend of mine just graduated from nursing school and she told me that everyone who does well in school does not always do well in NS, because of the critical thinking aspect. Although I am still finishing up my pre-req's, I am going to buy the book you recommended now. I am an analytical thinker and I better get a jump start on training my brain to think in a different way. Thank you again!

I am in awe of the honesty on this topic. I will be starting my nursing program in 11 days, needless to say I am nervous, scared, anxious, excited, and hopeful. :unsure:

I have a SO and my children are grown, I am also 47 years old. I wouldn't say nursing has been my calling until recently. I feel I can give quality care and compassion to the ones in need. I know I will be a good nurse just getting through school and working is really scaring me. I would not say I'm smart by no means but I do good in school.

I have been working on getting all the pre-regs out of the way for the past 18 months. I have no delusions about how hard nursing is. I just hope I have what it takes to graduate.

Like everyone else I have heard the horror stories about having to make the grade, no life, no friends and so on. I do work as a CNA for a Home Health agency and will have to continue working during school. I have the fortune to be able to make my own schedule for work. I get any where between 23 to 49 hours depends on school schedule and patient need.

My question is do you think I can work like Thurs. 3rd and any on Fri. and Sat. and 1st or 2nd on Sun. and still be able to do the work class will demand? Now keep in mind I can do homework and study while at work depending on the clients needs. If I work 3rd it is generally quiet affording me time for homework.

I am really excited to start the program and I hope my nerves will settle down once I get in class and get a routine, but I am afraid that is asking a lot. I have order the Critical Thinking book, hope it will help if I have time to actually read it. According to this article there is a lot of reading for class so doesn't seem like there is time for outside reading.

Any way I enjoyed everyones comments and have bookmarked this discussion. Thanks for reading and any, I mean any input is greatly appreciated!:up:

Specializes in Informatics, Orthopaedics.

@angelhawk - My advice would be to give the class some time before you make any major changes as far as work goes.

I was working a full-time job while doing pre-reqs, and was getting effortless A's...when October and that nasty exam score hit it pretty much shattered my illusions regarding how "easy" nursing school was to say the least.

My reaction was to quit everything I had going on, and in hindsight I am glad I did. It took me about 6 months to recover my confidence in being able to pass the class, and by the end of this Summer's semester I actually got my grades up to an 85-87% level. Now this was with me spending literally every day at my kitchen table reading and doing practice tests and flashcards and all that, which admittedly was way over the top.

Since then I have taken a part-time job as a CNA working about 16-20 hours a week, and I feel I will have plenty of time available for reading and studying. I figure I need around 40-60 hours a week of study time to keep me on track.

As I said in my last post, it's really all about finding a balance. Just don't do what I did and go into it expecting it to be a piece of cake, as it really isn't...on the other hand, once you get your rhythm down it DOES get more manageable.

Great post. Thank you so much!

THANK YOU!!!

I am in the SAME POSITION!! I entered nursing school with a 3.5 GPA and am struggling so bad! I'm already in my first semester and am already going downhill. I have gotten only 60's and 70's on all my tests (thankfully I'm still passing due to backup assignments I am doing very well in ). As for those who work, there is a woman in my class who works full time and is still managing with mostly A's in my program. She's very smart, but how she manages, only god knows. And it's funny cuz my program is accelerated..only 16 months long before we become nurses. I do join study groups, read the material, but I think test taking is also part of it as well which I'm weak in. But these tips are helpful..I hope to pass by this semester and hopefully next semester I'll whiz through these tests.

But def taking all these tips!!

Yikes. Didnt know 16 months was accelerated. I've got it planned out for only like 14 months. We'll plus signing up to take nclex. So I might need to stretch it out maybe. I just don't want to wait any longer than I have to to finish! But with how hard everyone says it is I might need to stretch it out a little more. Specially because I have to work. :(

Great post! Thank you!

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