Try to read over what was covered after each class.(I used to be better at that in the beginning!) It is imperative that you truly have your family's support. I could not have done this without my husband and mother who stepped up and pretty much took over child care, household cleaning, most of the cooking and the clothes washing!! Try to start working on the projects and papers early, which I was also better at early on. When I first started working at the hospital, i was on a floor where I could do an awful lot of studying while at work. If you could get a job where you could do some studying, it would help, as well. It is mostly about determination, though. My second semester of school was by far the hardest. I went to school or clinical Monday-Friday, worked Friday, Saturday, and Sunday nights (7p-7a), and returned to school on Monday morning after working all night, had class from 8am until 12pm, went to get my clinical assignment, got home about 3 or 4 pm., took a couple of hours nap, and got up and worked on my clinical paperwork!! I made it through with a 4.0 G.P.A. All of my instructors say it can't be done, however I have proven them wrong the entire time. It can be done no matter what anyone tells you, if you want it bad enough!