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

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

First off, YOU WILL MAKE IT! Dont ever let anyone tell you that you wont. How can they even make that assumption? The fact that you are on this website several weeks before your class starts and reading up on how to make the most of your nursing education alone speaks volumes about your dedication, drive, and desire to become a nurse. It's not about how "hard" something is, its about how bad you want it, and Crystal you WANT IT! your going to make it, dont worry :D

As far as the notes go, I think there are a couple ways of finding a solution to this:

1) do you know your future professor's email address? typically this type of information is provided on your school's website. Email him/her and ask him/her for the syllabus. If this doesnt work ( sometimes they will be hesitant to provide a syllabus so early on because they want to edit/update them), then ask for the first week's powerpoint slides. Then, take the powerpoint slides, find the topics covered on the powerpoint in your textbook, and take notes on those sections only.

2) If you can't obtain the professor's email address, try to find students who have taken the class already. Befriend these people-- they can be a huge resource for you as you progress through nursing school. You can simply ask them what was covered, or even better, ask them if you can borrow their old syllabus and/or powerpoints and use the strategy I provided above to get a good idea of what you should be taking notes on.

I think that taking notes on all those chapters without some sort of direction is not a wise idea. You will probably end up taking notes on too many things you dont need to worry about and you will create more work and anxiety for yourself. I hope this helps you.

First, dat1girlRN2b and gcat626 RN thank you both so much. Your absolutely right I dont need those kinds of people in my life and have cut most of them out anyway. The other person happens to be my mom who has been a nurse for over 10 years and is just concerned that with 3 small children it will be virtually impossible for me to make it. She was also the same person who told me that after leaving college in 1997 to come home because I couldn't take it there anymore, I would never go back to college because I would become to complacecent at home. Well I have a Master's degree now:-) so even my mom's comments I keep at bay. I do want to be a nurse and really want to succeed.

My fear with nursing school to be honest is just of the unknown. My other degrees are in subjects that just made sense to me, and sometimes with nursing there are more horor stories than success stories and its just scarey. I did take your advice though, went onto the website and emailed the block 1 professor, so I guess we will see.

Thank you again so much

P.S. gcat626 RN, I dont know what your ultimate goal or plan is in nursing, but I would say you may want to look into teaching in some form. I was really down on myself today I was even contemplating calling the school and using my 1 time deferral and just start in the spring, and when I read your post, I got chills. I was so encouraged. Only a person who genuinely cares about people(nursing students) would have started this thread and the nursing profession needs instructors especially the ones who care:-)

I know this has already been said multiple times, but thank you so so much for this post! I'm starting nursing classes on Wednesday and was really at a loss for what to expect, and this makes me feel much more prepared. :)

Also, really looking forward to that clinical guide! So far I've only really read that post here on AN about nurses' pet peeves when nursing students start clinicals, and it's got me scared to death, honestly! At least that's not until October...

Specializes in None yet.
Also, really looking forward to that clinical guide! So far I've only really read that post here on AN about nurses' pet peeves when nursing students start clinicals, and it's got me scared to death, honestly! At least that's not until October...

I have heard about this pet peeves thread a few times but haven't been able to find it. Maybe I'm searching the wrong forum. Could you link it pretty please:)

I have heard about this pet peeves thread a few times but haven't been able to find it. Maybe I'm searching the wrong forum. Could you link it pretty please:)

https://allnurses.com/general-nursing-discussion/pet-peeves-when-602723.html

:)

:yeah:Thanks!

Only problem I see is how do we know what to read if we are supposed to read everything before that class?:confused:

:yeah:Thanks!

Only problem I see is how do we know what to read if we are supposed to read everything before that class?:confused:

I'm wondering the same thing! :uhoh3:

Thank you so much!! I am starting nursing school in one week and I have major anxiety. Your tips were definately helpful. We already have about 6 chapters of reading assignments before the first class. How can I prepare for the first class, if I don't know what the instructor will cover yet? Should I start reading or wait till class? Also, I was wondering if you could give me some suggestions on a few other things:

1. What do you think are the best/most essential books (besides the ones that are required) that will help me get through nursing school? I need all the help I can get, as I've been out of school (besides the pre reqs) for over 8 years now. I've already ordered the Saunders NCLEX book, but what about drug books, med/surg, nursing care plan, pocket guides, reference guides, etc. There are so many good books out there, I'm sure, but I can't buy all of them, unfortunately.

2. What are your recommendations/suggestions for keeping organized and what strategies seemed to help the most for notetaking, organizing, etc.? I already bought a few 3 subject notebooks and lots of expandable folders, but that was before I started reading all the posts on here. Now, it seems as if one 3 ring binder or multiple binders (separated by each class) seem to work better for most people. If it doesn't make that much of a difference, then I will just use the notebooks I already bought, but if it makes a huge difference in being organized and prepared, then I will use the binder instead. Would you mind telling me exactly what you used to take notes and organize everything? Do you think index cards would be beneficial as well? Any ideas, strategies, opinions would be greatly appreciated. I'm stressing already and I haven't even started yet!! :uhoh3:

3. Did you work while in nursing school? What is your opinion on it? Would you recommend not working and just living really poorly, if you can do that? I have a lot of bills, but I would hate to have work get in the way of my study time, which is way more important. I'm not good with time management, so I'm a little worried.

I'm so overwhelmed already, yet so happy and excited to start school!

Thank you so much!

Awesome post!! I just started my Nursing classes yesterday! (Aug 22) It's overwhelming but i'm to just breath and take it a day at a time! I'm going to print this out and live by it. Thanks soo much for your help :yeah:

I'm wondering the same thing! :uhoh3:

Me too!

I did the same thing you did in the first part of your post. By the end of my second semester, not only did I fail by 4 points, but I landed myself in the ER due to a MAJOR anxiety attack that lasted over 10 hrs...

Unfortunately, my teachers make up their own crap and test on the fine print that can be found in the most random places. If you did that good, you were lucky to have a good program!!! I only wish I could find a better RN program!

However, I plan to try exactly what you said this next go round in January!! Thanks for the great post!!