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. Nursing Students Student Assist Article

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

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

I think you can still use the flashcard approach with nursing courses as long as you are practicing applying the information with nclex questions-- this is the most important part. Nursing exams will never ask you to regurgitate facts-- your instructors are most concerned with how you can use the information you have learned, and thats where the nclex books come into play.

All of your exams in nursing school will be set up in nclex format. The reason behind this is that your school wants you to get used to that format as early as your very first exam so that by the time you graduate and take your boards, you will feel comfortable answering the style of questions that will appear on your actual NCLEX. The best piece of advice I can give is to purchase an nclex book early on in your academic career. When I took my first exam in nursing school, I walked out of the classroom thinking " what the heck was that?! " The style/format of the questions are unlike anything you have ever seen, which is why it is so important to get used to them early on.

Specializes in LTC.

Excellent post. I'm a LPN and soon to be graduate RN and I do exactly what you mentioned above and it is a tremendous help. Once I figured I didn't have to read everything I was good to go. lol. I looove Mary Hogans' books !

As much as I appreciate the advice, some of it doesn't apply to me. We just had an exam review for my first OB test (2nd quarter of nursing school ADN program). I would say a sold 30%-40% of the test was on stuff that was NOT in lecture whatsoever. It was in tiny little boxes in the reading that you had to find, read, and know. Of that, I would say probably 20% of it was from stuff that wasn't in the assigned chapters even. She mentioned "know newborn skills" and that should have prompted me to look in other chapters and find that newborn eye prophylaxis is the one thing you can delay in the first hour after birth to promote bonding with the newborn even though newborn isn't something we have covered yet. So sometimes, you have to read what is assigned in great detail, know the lectures, and then read other stuff not even assigned to manage the exams!!

However - I GREATLY appreciate the time you took and some of it definitely helped me, so thank you.

I tell ya, I love to read my class notes onto a tape recorder and listen to them while I drive to school/work, or sit on my bed with my eyes closed. Makes a great last minute review for test as you drive to school. I get an extra free 20-30 min a day study time and it dont strain my eyes!!!

As much as I appreciate the advice, some of it doesn't apply to me. We just had an exam review for my first OB test (2nd quarter of nursing school ADN program). I would say a sold 30%-40% of the test was on stuff that was NOT in lecture whatsoever. It was in tiny little boxes in the reading that you had to find, read, and know. Of that, I would say probably 20% of it was from stuff that wasn't in the assigned chapters even. She mentioned "know newborn skills" and that should have prompted me to look in other chapters and find that newborn eye prophylaxis is the one thing you can delay in the first hour after birth to promote bonding with the newborn even though newborn isn't something we have covered yet. So sometimes, you have to read what is assigned in great detail, know the lectures, and then read other stuff not even assigned to manage the exams!!

However - I GREATLY appreciate the time you took and some of it definitely helped me, so thank you.

I don't read every page in my textbook but I do pay attention to the boxes and charts and tables in the assigned chapters and skim for what is in italics. That tends to be where the "most important" stuff is. At least thats what I found out from my Med Surg book.

thanks so much for letting us know. I would ask people questions and all I can get out of them is "I' don't know" or " I don't remember".

This makes me want this all the more!

Specializes in NICU, ED, Forensic Nursing.

Thanks so much for this. This was just a guide and I feel it needs to be adapted to every person and our schools and instructors. I for one will NOT try to read every single word from every single book. Not enough time in the day! I usually pick a book the Basic Nursing and read from that one. I skim the others and do questions. I usually type my notes, and make points as I go. If the instructor says to study or know this chart on this page I know it when the exam comes around. I WILL TAKE NOTES FOR THE SKILLS CLASS! I didn't for my previous skills lectures and now I am retaking All my first semester courses over again, for a half a point. So even though I feel like my fingers are going to fall off, I will take notes!! When I studied for my Basic Nursing Class, I would study the notes, and read only what pertained to those notes in the book. I got an 80% in the class, but I still have to retake it because of a 1/2 a point in my skills class. Thank you for posting this I too will print it out and use it in my next 2 years.....:yeah:

Thank you so much. This guide is going right behind my syllabus. And not to rush you but is the Clinical Guide coming anytime soon. Once again thanks.

Thank you so much for this post! I start class on Monday and was already starting to feel overwhelmed just looking at the textbooks and information we received at orientation. I feel much better now knowing these tips! :bow:

Thank you so much for this post! I start class on Monday and was already starting to feel overwhelmed just looking at the textbooks and information we received at orientation. I feel much better now knowing these tips! :bow:

If you don't mind me asking, how were your first few days in class? I'm sure you're already piled with some readings or homework... ;)

Hi there, thank you so much for this post, I am scared to death and have been told by several people I wont make it at all:-( I dont know if this has been asked, but I have been out of school for some time and when I went to orientation on the 3rd we weren't given a syllabus yet, but we were told we had to read 9 chapters before school starts on the 23rd. So right now I have no idea what they want us to know. Can you go into a little more detail on how to take notes from the book if your not quite sure what they want you to know yet?

Thank you

Crystal

Hi there, thank you so much for this post, I am scared to death and have been told by several people I wont make it at all:-(

:eek: Whoever told you this are not your friends!!! Real friends should have faith in each other. Although I do not know you, I believe anyone can make it through nursing school if they put their hearts and mind to it. As for your 9 chapter reading assignment before class start without a syllabus... OUCH! Have you called the school to see when you will be getting the syllabus?