As a student, I took very detailed notes, and always listened and asked any questions during class. I even found a question on our pharmacy test,(pre printed national test) that could not be answered by any of the answers listed. I spent along time going back and forth to it, and finally wrote the answers on a scrap paper, and afterwards went to the instructor, who said maybe we weren't doing it right, and two others later, I was right. NOBODY else found it in a class of 243. I reviewed my notes, and just rewrote those I did NOT know, so I could focus on them. When I read a question, I form the answer in my mind, before I read the printed answers, and that way looked for the answer as I knew it, and tried to avoid some of the others, so as not to confuse myself, by saying It could be this, but this might be right also. In addition, we were told to pro rate as to which is the most important answer, or first intervention. All confusing. BUT if you answer it before looking at the offered answers, it helps alot. Many others used Nclex answers. Best of luck, hope you find something to work for you.