Took the exam this past Tuesday the 21st went all the way to 265 and found out this morning by paying the quick results on Pearson Vue I Failed. I came into the exam feeling a little confident because I reviewed with PDA book, SATA book, Saunders 5th edition along with the 4000+ cd, Kaplan qbank and NCSBN 8 week course. On the 7 exam tests from Kaplan I scored between 61-69% and with NCSBN is was scoring under 75% range. I think Kaplans level of questions were more difficult than NCSBN. So on the exam I want to debunk everyone's story about answering the last question correctly to put it out there and tell you, regardless if you do know or do not know the last question doesn't mean you will pass or fail. I knew the last question on the exam 100% and I still failed. As far as the level of degree of the question I wouldn't know about that but what I can tell you it was a teaching question or patient education whatever you want to call it. I had at least 21 SATA, tons of priority and delegation, 4 ekgs pictures, 2 drag and drop, 2 pictures, and lots of "follow up" questions, and no math calculations. While reviewing with Kaplan and NCSBN there were NO "follow up" questions you can prepare for. The words "follow up" can be expressed in 3 different ways which can be confusing when your brain is numb by the 170th question. The "follow up" can be used without telling you a question from nclex would be most of all in Priority. For example, for nurse received 4 messages, which would you follow up? Another would be patient made a statement, which would you follow up? A doctor prescribed 4 meds with lab values, which would you follow up? And so on.. I can tell you I took my sweet time for the first 75, I probably took about 1.5hrs and the exam just kept going and going. Finally about 125 into it, I realized I think I may be going all the way and prepared myself mentally to endure the pain. By 160 I had about 1.5 hours left and thought to myself I need to finish so I just answered questions at a faster pace. In my mind while taking the exam I noticed I was getting bold words like "first, immediately, most, priority" and was thinking these must be high level questions which could be true or not. So during the exam if I saw bold letters I would take more time and answering the question. I've also noticed if I got 2-3 bold questions a "follow up" question would come up. And that's what the whole test was about. So, in a nutshell that was my experience. I don't know what to think or how to start reviewing again. I did make a list to myself about everything I seen on the exam and will probably review that material. All I can say is that this exam is pure critical thinking, they will give you the signs and symptoms of a disease and you have to identify what it is. Or looking at lab values which are all equally off the wall and you need to identify the most critical lab value to address first. I might just take 2 weeks off and come back to reviewing again. If anyone has any advice I could do differently this next time around would be appreciated. I might consider doing Hurst this time around because it's the only reviewer I haven't used yet. Other than that your input is important to me. Thanks for taking time to read this all if you made it this far.
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Took the exam this past Tuesday the 21st went all the way to 265 and found out this morning by paying the quick results on Pearson Vue I Failed. I came into the exam feeling a little confident because I reviewed with PDA book, SATA book, Saunders 5th edition along with the 4000+ cd, Kaplan qbank and NCSBN 8 week course. On the 7 exam tests from Kaplan I scored between 61-69% and with NCSBN is was scoring under 75% range. I think Kaplans level of questions were more difficult than NCSBN. So on the exam I want to debunk everyone's story about answering the last question correctly to put it out there and tell you, regardless if you do know or do not know the last question doesn't mean you will pass or fail. I knew the last question on the exam 100% and I still failed. As far as the level of degree of the question I wouldn't know about that but what I can tell you it was a teaching question or patient education whatever you want to call it. I had at least 21 SATA, tons of priority and delegation, 4 ekgs pictures, 2 drag and drop, 2 pictures, and lots of "follow up" questions, and no math calculations. While reviewing with Kaplan and NCSBN there were NO "follow up" questions you can prepare for. The words "follow up" can be expressed in 3 different ways which can be confusing when your brain is numb by the 170th question. The "follow up" can be used without telling you a question from nclex would be most of all in Priority. For example, for nurse received 4 messages, which would you follow up? Another would be patient made a statement, which would you follow up? A doctor prescribed 4 meds with lab values, which would you follow up? And so on.. I can tell you I took my sweet time for the first 75, I probably took about 1.5hrs and the exam just kept going and going. Finally about 125 into it, I realized I think I may be going all the way and prepared myself mentally to endure the pain. By 160 I had about 1.5 hours left and thought to myself I need to finish so I just answered questions at a faster pace. In my mind while taking the exam I noticed I was getting bold words like "first, immediately, most, priority" and was thinking these must be high level questions which could be true or not. So during the exam if I saw bold letters I would take more time and answering the question. I've also noticed if I got 2-3 bold questions a "follow up" question would come up. And that's what the whole test was about. So, in a nutshell that was my experience. I don't know what to think or how to start reviewing again. I did make a list to myself about everything I seen on the exam and will probably review that material. All I can say is that this exam is pure critical thinking, they will give you the signs and symptoms of a disease and you have to identify what it is. Or looking at lab values which are all equally off the wall and you need to identify the most critical lab value to address first. I might just take 2 weeks off and come back to reviewing again. If anyone has any advice I could do differently this next time around would be appreciated. I might consider doing Hurst this time around because it's the only reviewer I haven't used yet. Other than that your input is important to me. Thanks for taking time to read this all if you made it this far.