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'm in an accelerated Nursing Course. This post is great advice! Thanks so much for posting it, This course is all the prereqs and all the nursing classes combined into a 18 month course. As you can see that doesn't give much time at all for each course, trying to read all the asigned material in such a short time and retain it isn't possible. I appreciate the post. Any other tips and advice would be greatly appreciated!

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Thank you so much. That made me feel a ton better.

Great post. I fully agree with you after two quarters in a BSN competitive entry (60% of us had a 4.0 GPA for the first quarter!) that reading everything will drive you nuts and you will NOT have a life. I do not, neither is my family. But this being my second career (the first had nothing to do with Nursingt) and ESL, I feel compelled to read....so I do not get it all done in time ...

I am going to try to implement some of your strategies for my quarters to come. I do have to admit, though, that it all depends on your school: for my Nursing Assessment class this quarter, we had to know Jarvis; the power points were only an outline of our tests content.

Good luck to everyone!

Thank you so much for this info.. This makes so much sense... I am also about to begin my Nursing Journey and I will do as you stated.. I am excited and eager to start and do not want to be a Nursing student that flunks out of the first semester :( and and ALLLLLL if you are willing to share would be AMAZING , us pre nursing students would greatly appreciate it. I would love to hear about what is coverd in 1st,2nd, 3rd and 4th semesters. that way we know what to study for and what not to get too far ahead on.. I will be attending OCCC or OSU-OKC not sure yet which one will accept my application :)

Specializes in NICU.

I'm really glad I found this as I am starting my first quarter this upcoming fall. I hope that with most of my professors, the strategy of studying what they discuss/powerpoints, etc. will be beneficial. I know there are some instructors that expect us to read everything (or so I've been told by nursing students going through the program right now) and I'm trying to figure out how I'll manage that. I was wondering if anyone had any information on time management? I will not be working and was wondering whether or not it would be beneficial to take one day off a week for no studying-just family/destressing/me time? I may just have to figure out what works for me and adapt.

Anyways, thanks again for the helpful tips :)

Our lectures and our exams are two totally different things. If I only studied what they covered in class (only about 10-20% of the lecture material ends up on our exams) I'd be out on my head, LOL! I'm glad there are instructors out there somewhere that think they should lecture on at least some of the things they are going to test us on!!

Thanks for the *fantastic advice*-- on behalf of all new nursing students!!

@ gcat626_RN- THANK YOU so much for your wonderful encouragement and guide to surviving nursing school. If possible, what nursing school did you attend? Also do you feel the faculty presented the complex material in an understandable manner, or were you a self-learner? The reason I ask is that I attended a school in LA County and was very unhappy with the lack of support from faculty and critical thinking workshops and/tutoring services that were available to help students like me succeed. Had I stumbled across this blog back in early part of this year I am certain that I could have succeeded. I have a heart to pursue nursing but the intimidation from faculty and lack of solid critical thinking test taking skills scares me. I have the opportunity to return to the school and try my best 2nd time around, but I also want to see what my options are with others schools that might be a lil more understanding to students and helping keep the attrition rate down and the graduation rate high. Thanks again for all your wisdom and encouragement, I def needed to read this. :)

Bookmarked! Thanks a lot :-)

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

I wrote that a year ago. I was about to start my Nursing Program and feverishly looking for any and all advice on here. I was a little skeptical as someone who normally would read everything assigned before lecture but I made this thread a favorite, and kept it's advice in mind because it was so well written.

Now I'm writing this to bump this up for all the newbies about to start. After 3 semesters, I've found it some of the best advice I was given. I still try to read all of the readings whenever I can but I keep in mind that it's most important to use good time management and focus on what's covered in class.

As a side note of my own advice: if you don't know what will be covered in class, and you need to do the readings before lecture but don't have time to actually read all that was assigned:

*Skim the assigned readings, just briefly look through to get a feel for the chapter (no more than 5 minutes). Then use a supplemental book that is written in a more basic need to know format such as the DEMYSTIFIED series, or Incredibly Easy Series even one of the NCLEX prep books that has good summaries. It takes a lot less time and focuses on the important points. Then if you want to get more in depth and have time go back to the actual text and read the parts that seem important or that you don't fully understand yet you can.

Good Luck!

And thanks so much to the original poster! Great advice that I'm sure has helped many people.

I am starting my nursing program in 17 days and this is some of the best advice I have heard thus far. I am SO nervous and this has helped calm my nerves a bit. THANK YOU!

THIS IS AMAZING. This is exactly what I was looking for and I am so very thankful for you writing this and I am so very grateful that I came across this before my 2nd exam. PHEW. I am a nursing I student and Just took my first exam. I will be definitely living by this for the rest of my student nursing life!