Just prepare well for the exam. The essay portion of the exam was timed an hour long and from what I have researched, they assign different topics for each test. I'm not sure if every person received the same topic as mine, but my topic was something like "In the year of 2070, America's population of elders of the age of 85+ will be doubled. What negative/positive impacts will this have on our healthcare system. It's 3 paragraphs minimum. It states that there is no right or wrong answer. It will be graded on your productivity, creativity, grammar, and etc. Fingers crossed that we all pass!! Good luck!!