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

Work as little as possible...just enough to pay the bills!! I am in the same boat. I work 24hrs. a week. I survived the first semester, but not the 2nd and am having to repeat it. However, like you, I have to work to pay my bills.

Good luck!!!

2 weeks into my program, this is exactly what I needed to read! Thank you for taking the time to share this!!!!!!

Thank you so much a million times over! I am in my second nursing semester and I am feeling a little bit overwhelmed about what I am doing wrong with my tests. But I think your advice will make me succeed in my next test, which my first was today, in which I passed but by a hair. I think that what you put into your thoughts about your testing taking priorities are great! Thank you!:yeah:

can you please tell me, for how long you have to be at school once you get into the program?

Specializes in SNF/LTC, H.H.

reading this just made me smile? im busting my brain trying to figure out how I can read and remember all this info for my cardio exam by monday, now all I have to do is take a deep breath and read only the main topics that were discussed during lecture... no conduction system, repolarization and depolarization for me :lol2:

thank you so very much! this is just what i needed to hear ;) I just started nursing school last week and was completely overwhelmed by the reading assignments...they are just as you described...extensive to say the least. I am definitely going to try this technique. Trying to study and read every assigned chapter beginning to end has not been working for me so far. Thanks again!! :redbeathe:redbeathe:redbeathe:redbeathe

Thank you !!!!!!!! My first post on all nurses.... I was waiting for something worth posting about.

You have provided it!!! I have a NO doubt that your plan will work for me!!

I hope to see your clinical survival guide.... The post would be amazingly helpful!! I hope you'll be so selflessly generous again.

Just starting nursing school, first semester. I am lost and don't know how to study. anyone in the nursing program at Middlesex County College? anyone graduated from there? Any tips to pass the written tests?

I also just started this semester. I'm still trying to figure out how to study in this type of academic environment. I used to read and make flash cards. Now I feel like nothing works and I'm so lost. All my study buddies are making A's and I'm making B+'s. The most frustrating thing is, I know the material, but I'm having trouble with the tricky questions on exams.

Reading this thread has helped me though. I already started catching on to some of the study habits that I should adopt. And then reading about them here just further solidified the idea that I might be moving in the right direction. As frustrating as it is, I know it will be a learning process. I'd be surprised if people just walked into nursing school knowing how to do everything already...

That was an excellent point about thinking like a nurse as opposed to textbook. I think this is a huge problem for me. Right now I feel like, "Will I even pass this class? Will I make it through school?" All I can think about it getting through one day at a time. So I'm definitely more a textbook person. Being an EMT, I know that practical application is just as important.

Congratulations on your success and Thank You for sharing!

Im thrilled to hear so many of you are benefiting from my post. How is everyone doing in class? Please keep me updated!