I took the AANP today for adult gero primary care. I passed. The test took me about 50 minutes total, I have always been a fast test taker, but the questions weren't super long or involved (very similar to the PCI $50 test I took). I tend to look at the answers and look for patterns. I graduated 3 weeks ago. Every day I spent time preparing for the test. I used Leik's book and Fitzgerald's CD's. I also have Fitzgerald's book. I didn't attend any review sessions. I opted for the AANP so I wouldn't have to do any of the non-clinical review stuff the ANCC has. I used Leik's FNP book and ignored anything children or maternal reproductive. Everything on the test was covered in Leik's book. She has a lot of mistakes in that book. It's very concerning when you are reading the book but the main points are there. I was averaging about 85-90% on the question she has in the app. I have a study buddy, we would meet at Dunkin Donuts and do 1 chapter every other day for about 5 hours. I did stuff on my own. Like I drove around listening to Fitzgerald's CD"s I bought on eBay for $100. I watched YouTube videos at night of lectures on main points (those geared towards physicians). My weaknesses in school were women's health so I focused on that. My strength was diabetes so I ignored that section altogether. Fitzgerald's book gets into the weeds, she is obviously very smart, but for the purposes of passing the class, go with Leik's book. I also took the PSI test a few days ago and got a 92% and that boosted my confidence. During the test, if I was sure of an answer, I answered it and moved on. If I was unsure of an answer I could narrow it down to 1 of 2, I chose the one I thought it was most likely and MARKED it. By the time I got to the end of the test, I had marked 32 questions. So my assumption was I had gotten 118 correct and of the 32 I had at least 16 correct so I just hit submit without actually reviewing them. My guess is I got about 89-90% of the questions correct which would be inline w/ my PCI test of 92%. 3 weeks ago I was taking the practice test and scoring in the 40-50% range. I was very discouraged. I was very nervous leading up to this test I started getting migraines and actually ended up in urgent care for a shot of Toradol. I also applied for ANCC as a back up as I need to get a job and start earning money. So now I will be able to get a refund on that exam (minus $140). My advice, use Leik's book (I rented and since it is a new book I got the scratch off code/free app), have a study buddy who will keep quizzing you, and listen to Fitzgerald's CD's (who knows you may be buying mine on eBay for $100 soon [i'll break even!]). Sorry for the very long post, but I found other's story helpful. I would say you should be nervous and not chill about it, because a lot is riding on this exam so work your butt off and the hard work will pay off. I don't know what to do with myself now, it feels strange having downtime.