Hello, I have a question about whether I should take an RN refresher course or just an exam prep course. I qualified in the UK in 2001 as a Pediatric RN. I worked in the OR at a children's Hospital. I came to the US in 2009 but was not successful with the NCLEX and after 5 attempts and the Kaplan course for international nurses, I gave up trying. I have not practiced as an RN for about 7 years, however, I have somewhat remained in the line of health care work. I spent 3 years working as a caregiver and the past 4 years as a Health Service Manager for an Early Learning Program (very similar to a school nurse but more paperwork). I really want to return to nursing. The state I am living in does not require for me to take a RN refresher course, they just want me to pass the exam and I can continue taking it as many times as needed. However, since my training and experience was all specialized in Pediatrics I feel that I definitely need some sort of review. I have been considering the Hurst and NCSBN review courses but I am wondering if doing an RN refresher would be more beneficial. Would a refresher really prepare me for the exam? Should I do the refresher and then a exam course after that? Any advice would be greatly appreciated. Thank you so much.