Hello everyone. I want to share with current or future nursing students my "guide " to surviving nursing school exams and 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.
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.
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.
Quote"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.
my-guide-to-making-the-grade-and-maintaining-your-sanity.pdf
Thank you so much! I'll definately follow this advise when I start, stil waiting for my acceptance letter for Spring 2012(yall cross ur fingers for me) What can you advise about dosage calculation test? I heard people say we should study the book before starting...? And if so whats the best book to get??
I just received my acceptance letter last week for spring 2012 acceptance. I was extremely happy and excited for the first 5 minutes after opening the letter and then my emotions fell. I got very scared and worried about how I was going to accomplish this. Advise like this really helps relieve the anxiety. If anybody that started in fall of 2011 have any other thoughts, suggestions, ideas for the spring class that would be awesome!
I still dont know what I'm doing wrong:-( my second test is on Wednesday, and I'm so scared because of how bad I did on the first test. I read this post weeks before I started school and felt so confident, but everything is going down hill for me:-) maybe this isn't for me. I guess it's a good thing I know now and not wait till I'm at the end of the semester and flunk out. Good luck to everyone who's doing so well.
OMG! I am doing exactly what you are doing and getting 80's! All that studying for almost nothing! I don't like cutting it that close. I will take your advice and anything else you recommend. We have Med Surg I and Pharmacology next semester Jan of 2012 any suggestions??? Thanks and keep up the blogs! It is a great help to all of us. Congrats on making it through the program.
Good guidelines, but in my nursing school, we study by PBL. It's problem based learning. We don't have a teacher, we have a "facilitator." So we go through case studies, pick out what we think is important to know, each student gets assigned something, and then we bring back the information to class and present it to the rest of the class. It's pretty difficult to get used to. It's like we are teaching ourselves. So, although you have good pointers, it's not like I can go over suggested sections. Simply because the "teacher" doesn't tell us where to look.
I agree that may work for some professors, and for my Clinical Reasoning and Assessment class it works great (along with reading anything in boxes!). For my Intro to Nursing Fundamentals (I think that's what it's called, we just call it by it's course number, lol) the number 1 study tip here would leave you struggling to get more than high 70s to 80. And we need a 78 to pass. The reason? There are two instructors for the class and one makes the study guide/powerpoints. I have the one that doesn't make the study guide or powerpoints. So, we get a study guide and powerpoints that have very little to do with the actual nursing exam.
Bottom line: If the above works (and it will for many classes), do it! If it doesn't, alter your study habits and find another way - try reading the introduction and anything bolded/boxed/etc.
And lastly, find out how to take a nursing exam - that is some of the problems my classmates have had. They don't know how to choose the best answer, when sometimes three or four answers are good, you have to choose the best answer! So, read a book on taking nursing tests. I studied with one woman, we both were about equal on content. I've taken these style of tests before, she hasn't. On one test, I got an 89 and she got in the low 70s.
I am just about done with my first quarter and this is basically what I have been doing. I skim through the reading, basically the vocab to have an idea of where things are then highlight in class when its gone over to know exactly what I must study and I will say I'm getting an average of about 97% on my tests. This is definitely great advice to pass on.
futurenurseya33
141 Posts
I'm doing awesome! On the first test I got a B. It was the lowest B but still i'm happy!