First of all, the pre-assessment is much worse than the objective assessment, so don't get discouraged by that. The preassement was written by the school? and the objective test was written by the NLN so there are no multiple choice answers. The questions are refreshingly concise, and not misleading. Many of the questions were easy and about 15 I had to guess at. I had no anatomy questions. Most of the questions require you to know the abnormals and normals but not what the abnormals mean. Don't waste time memorizing all the diseases. I did have at least 20 infant questions. I would spend time reading each chapters examination techniques, as there are a lot of questions about positioning. Also, concentrate on the infant and I had a number of questions about heart sounds which I thought were hard. Hope this helps.