Number 1 problem here is that you don't believe in yourself. You obviously know the material, you passed Nursing school!!!! Don't give up on yourself, you've come entirely too far! Second, find a different way to study. If just taking notes and doing questions isn't working, do something different. Do a quiz online to find your learning personality. Then go from there. A few suggestions would be to watch videos on the topics that frustrate you most. Let someone else explain to you through video and maybe it will catch on better. When doing your questions, analyzing what you've miss should get you at a good stand point to know where to focus your efforts. What are the top 10 subject matters that you're not doing as well in? I would love to help you personally. Check out my blog WanderDivaRN Don't just do question understand the why! Read the rationale! Best of luck to you -DeAnna Smith