I've been there. All too often I used to find myself dozing off to sleep in the back of the class. By the end of the third semester, I felt like I didn't know who I was or where I was lol. I started out with high goals when I started school, but there have been times when I would ask "how many questions do I have to get right to get a C". Just take it one day at a time, and definitely take time for yourself. The thing is when you tell people who are not in nursing school that your tired, they think of just physical tiredness, but it's not. It's a "different" kind of tired. An inside tiredness. Rest, try to catch a nap when you can before hitting the books again. Studying while exhausted is the pits. If you find yourself reading the same paragragh or sentences over and over again, and saying "what!!!", then it is time to walk away for a bit. I used to read in bits and pieces. I would read for 30-45 mins, and then find something else to do, and then go back. And like some of the other posters said, the patients that you care for don't care what your grades are. And employers as far as I know just want to know if you passed the NCLEX when you get to that point. Being academically smart doesn't equate to being clinically smart. I had people in my class who got A's on just about every test, but their clinical skills sucked!!! I also have a friend who graduated with all C's and has been complimented by staff and patients as being one of the best nurses that they have. So the gist of my long rant is grades aren't the only thing that will make you a good nurse. Being compassionate, understanding, and dedicated to your profession through continued learning, being active in improving on what you think you need to improve on to be the best YOU can be, and most of all being true to yourself FIRST is what makes you a good nurse. You can't care for anyone else until you take care of yourself first. Good luck to all of you currently attending school, and those of you who will be attending in the future.