My Guide To Making The Grade And Maintaining Your Sanity

Hello everyone. I want to share with current or future nursing students my "guide " to surviving nursing school exams and coursework.

Studying And Managing Coursework

It's your first day of class. Your excited, scared, and eager. All the hard work in your pre-requisites has finally paid off, and you are officially a nursing student. Your professor walks in, greets the classroom, and dives right into the syllabus. One look at the syllabus and the anxiety starts to kick in. It is several pages long. "Geez, this might be the biggest syllabus I've ever had!" You turn the page and there is the reading list--- you think to yourself, "you have got to be kidding me...there is just no way one person can study this much material!"

Get used to this feeling. Not only will it start in your very first nursing fundamentals course, but it will continue all the way up until graduation. Nursing school is no joke -- it is very overwhelming. It may seem impossible, but with the right study habits and time management skills, you can and will succeed.

The following are the most valuable pearls of wisdom I can give you in terms of studying and achieving good grades in your courses.

What to Study

Only study what is covered in class--this will cut down your workload significantly and make your time spent studying that much more meaningful.

You must be thinking to yourself "you mean I don't have to read all 1 million chapters assigned by the professor for week 1?!" THAT IS EXACTLY WHAT I'M SAYING!

Although you "should" read everything, it's just not feasible. There are not enough hours in the week to do all that reading and simultaneously prep for clinical, eat, sleep, and maintain your health and sanity. Take it from me. During my first fundamentals course, I read and studied every single page, box, etc assigned in the syllabus. I was too scared to skip anything. I was so anxious that I even started studying 3 weeks before the class actually started, which accumulated into over 5 weeks of studying by the time the first exam was even given.

It took a serious toll on my health, yet I continued to read and study every page, box etc for the remainder of the course. By the time the first semester ended, I was mentally and physically exhausted and I told myself I didn't want to do this anymore. I vented to a friend of mine who was a senior nursing student getting ready to graduate, and she told me to only study what was covered in class. I thought to myself, " there's no way," but I had to try something or else I was going to end up withdrawing myself from the nursing program. So I took her advice with me into my next course. The assigned readings/ chapters list was comparable, if not larger, than the list for my fundamentals course. Even though deep down I wanted to read all of it to be on the safe side, I only read what was covered in class. I got a 96 on the first exam.

For example, let's say on the syllabus your teacher assigned chapter 21, " postpartum assessment and complications " to be read and studied. However, during class, he or she only teaches certain sections of chapter 21. ONLY STUDY THOSE SECTIONS! There is a reason for this-- the professor is covering what he or she deems the most important information, which translates into the information that will be covered on the test. I used this technique all the way until my very last exam in nursing school, and not only did it prove to be correct each time, but it was probably what saved me from burning out and subsequently withdrawing from school.

How to Study

Study what you need to know as a nurse.

What I mean is this: your professor won't care that you can describe why the pain felt during a heart attack is due to the buildup of lactic acid as a result of oxygen deprivation and every biological step involved in anaerobic metabolism ( and these processes are covered quite extensively in nursing textbooks). Sure, it's nice to know, but your not getting a degree in chemistry. Instead, they want to know what YOU would do if a patient presented to the ER with chest pain, important nursing actions to take during this situation, and why you take those actions. Study what you need to know as a nurse.

In addition, applying what you study is most important and this is where the bulk of where your testing will come from. From day one your teachers will speak of critical thinking and the nursing process, and your licensing exam will focus heavily on these concepts. These principles are exactly what makes nursing so difficult and also why so many people will not make it through nursing school. At this point, you're probably asking yourself, " Well how do I know if I can critically think and apply what I have learned? " Practice applying what you know with NCLEX style questions. One of the best pieces of advice I can give you is to purchase an NCLEX practice question book early on in your academic career. Purchase a book that divides the questions up into sections, ie cardiac, oncology, etc. so that you can use them to study when you are covering different topics in school.

Time management is also essential to success in nursing school yet very difficult to get a grasp of early on. To effectively manage your time, there are several steps to take. First off, get a calendar. On the very first day of class, mark each and every quiz and exam on the calendar. Next, and probably most important, study every day. By no means do I mean 4-5 hours a day. Not only is that foolish but you will burn out fast. Study 2 hours a day, and as far in advance as you can. Not only will you be adequately prepared, but the information will stay in your long-term memory-- there's no such thing as cramming in nursing school the night before, you've gotta know this stuff forever. For example, let's say your test is in two weeks. Start studying the very first day the teacher presents the information.

Take notes in class, and clarify any missing portions with your textbook. Learn this information, then start practicing the information with corresponding NCLEX questions. At first, you will probably get a decent amount of the questions wrong. BUT THAT'S OK! This is how you learn, and when you go back to do more questions you will start to notice that there is only so many ways they can ask you about a given topic or scenario. Also, do every question you can get your hands on. I used to go to Barnes and noble, pay for a coffee, and take all of the NCLEX books out of their nursing section and do them until I got sick of them. If you practice questions and study your notes like I said for 2 hours a day up until the exam, you will be an expert by the time you have to test and I guarantee you will pass, probably with flying colors.

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"What do I do when I'm crunched for time and can't take notes from my textbook?"

Purchase Med/surg nursing reviews and rationales by Mary Ann Hogan. Essentially this book is a cliff notes version of your bulky med/surg textbook. It has notes on the most important diseases, procedures, surgeries etc divided by body system and is worth its weight in gold. There were several times where I replaced my med/surg text with this book and used it along with NCLEX questions for practice to learn the info.

For example, let's say you are covering cardiac tamponade in class, but don't have time to take notes on it from your med/surg text. Open up reviews and rationales by Mary Ann Hogan, turn to the cardiac section, and you will find an excellent breakdown of the disease in bullet-point format which includes a definition, signs and symptoms, and associated nursing interventions. Study this breakdown, and then practice NCLEX questions on it. Repeat this process over and over for all disorders/diseases/procedures you are learning about it and you will shine when it comes to testing time.

Well, that about covers it. I really hope this will help nursing students to excel in the classroom and do well on exams. If you're wondering how I did, I graduated with a 3.9 cumulative GPA and passed the NCLEX in 75 questions. Best of luck everyone.

Test Taking Strategies for Nursing Students (added by staff to further help our readers)

my-guide-to-making-the-grade-and-maintaining-your-sanity.pdf

I would recommend Saunders comprehensive review, it is an amazing book and it is broken down by category. I used it all throughout nursing school and it is one of the best books out there in my opinion. If anyone else has any other questions please let me know. I am thrilled so many of you liked my post, if there's anything else I can do to help please don't hesitate to ask!!

Thank you SO much for this post and for helping to calm my nerves! I start my program on August 29th and the type "A" personality in me is panicking big time! :D

Specializes in Step-down, cardiac.
You're welcome everyone. I hope you all excell in your studies. I'm thinking about possibly typing a guide for surviving clinicals as well. Thoughts?

My suggestions:

1. BE ON TIME. Actually, be early. Trust me.

2. Be in uniform. Your school assigned a uniform because that's what they want you to wear. Wear it.

3. Ask lots and lots of questions--it's better to ask before you do something then to just do it and be wrong.

4. Find out where they keep the alcohol wipes and put 500 of them in your pockets. You will need them eventually.

5. Carry bandage scissors. Even if you never use them to cut off a bandage, they are great for cutting open pill packs.

6. Never, ever leave the floor without reporting off to your instructor, the nurse for your patient, and another student (who will watch your patient while you're on break or at lunch or whatever).

Specializes in Step-down, cardiac.
One look at the syllabus, and the anxiety starts to kick in. It is several pages long.

Several pages--ha ha ha! That is hilarious. Our first syllabus was FIFTY-SIX PAGES LONG. I almost died. ;)

Several pages--ha ha ha! That is hilarious. Our first syllabus was FIFTY-SIX PAGES LONG. I almost died. ;)

I honestly felt like I read a short story after finishing some of the syllabi in nursing school haha

You're welcome everyone. I hope you all excell in your studies. I'm thinking about possibly typing a guide for surviving clinicals as well. Thoughts?

Please do type a clinical guide I'm starting clinicals and I'm so nervous on what I'm suppose to do since our professor assigned a patient to each of us

THANKS SO MUCH!! :up:

I second the idea of s clinical guide

sandanrnstudent

Thanks for the guide. I'll keep all these suggestions in mind when I start my program in a few weeks.

Specializes in Postpartum, Newborn Nursery.

Thanks so much for sharing this. I plan to print it out and keep it in my binder for reference! :)

Specializes in CNA II.

Thank you so much for taking the time to post this! I cannot tell you how helpful this is! I'm printing it off and keeping it where I can see it! Thanks!!!!!!!! :yeah:

Specializes in None yet.

So basically don't listen to the people that say you have to read everything to pass? I aced A&P, Miro and Biochem and only studied lecture notes which I would then re-write as illustrations. Basically all I did was draw flashcards over and over for other people that wanted flash cards but didn't want to make them. I learn best by drawing things or in a lab. How can I I apply visual and hands on learning to nursing school without studying more than a couple of hours a day?

Also you are saying if a student studies NCLEX style questions on the subject covered in lecture they should be able to do well on the schools tests? Do all nursing schools have tests written like NCLEX questions where the correct answer is the most applicable answer for the situation even though all answers would be apt?

I really need to get a time management plan in order before I start school since I am a single mom and will have to work while in school.

Thanks