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Having foundational knowledge doesn't necessarily mean calling every single fungal infection "tinea ..." or when you wrote the exam how did you distinguish b/t Tinea versicolor VS Pityriasis versicolor VS Tinea flava when they are all the same? If the exam is designed to practice safely, that means in 2023, you feel comfortable with your patient walking around with a blood pressure of 150/90? Because the exam is currently designed that way!

Hello, I am happy to say that I passed! Looking back, I believe I was very close to passing the first time because I received a 461/500 and left nearly 20 questions unanswered. This means the test is not testing for "knowledge," it is testing for your ability to recall "key terms" that correctly match the "stem of the question." I also say this because how is it possible that on my first exam I got 461 and 3 months later, after intensive review for the S.M. and L.W. courses, I just went up to 469? This means that in my first attempt, I was mainly using recollection and association. Some personal recommendations: Stick to the Leik's testbook (BEST INVESTMENT).I know it's easier said than done, but the reality is that the more courses I took, the more extensive and broader the topics became, and it just seemed that by the time I finished dermatology, I had already forgotten about endocrinology! No, I didn't read the entire book "cover to cover" like most people claimed they had done. Instead, I read all of the notes, clinical pearls, and danger signals... If I felt like I needed more, I would review the specific chapter. Buy the two (second-best investment) versions of the PSI exam from previous years! I had questions taken verbatim from there every single time. It also helps you remember the questions that will be asked of you on the exam. This is from Leik's, and this was probably my biggest weakness: I didn't memorize all of the terminology or all of the "special names" or "key words" of the signs, assessments, landmarks, etc. The test will expect you to know all of them, and if you are getting them confused at home, you will get them wrong during the test: Are Two Names Better Than One? I. Discussion Some diseases and conditions are known by two different names that are used interchangeably in both the clinical area and the literature. Sometimes the alternate name is the one being used in the exam questions. This can fool the test taker who is familiar with the disease but only recognizes it under its other name. II. Examples · Degenerative joint disease (DJD), or osteoarthritis · Atopic dermatitis, or eczema · Senile arcus, or arcus senilis · Lupus, or systemic lupus erythematosus (SLE) · Otitis media with effusion (OME), or middle ear effusion (MEE) · Group A beta Streptococcus, or S. pyogenes …… and so on!!! ( T., Codina Leik Maria. Family Nurse Practitioner Certification Intensive Review. Springer Publishing, 2021. ) Sarah Michelle's crash course is all you need from her (third best investment), and her comprehensive review is too comprehensive! Also, I noticed that S.M. leaves out all the "key words." She teaches you the concept but leaves out the key word that's going to really help you distinguish right from wrong. The SM test bank is cheap, but those questions really test knowledge and concepts; again, if you need to brush up on content, then go for it. But her questions are far from what you see on the exam. I'm conflicted about Latrina Walden's reviews. Simply put, the "Buzzword review" is like reading the clinical pearls from Leik, and her comprehensive review again is over 800 PowerPoints of more information that will just overwhelm you. If you are answering most of Leik's questions correctly, I would recommend taking an APEA practice exam, identifying your weak areas, and purchasing the Q-banks from APEA, which are harder but more structured and similar to the actual exam than S.M. Brittani NP on YouTube has videos on the major topics, as well as Dump-sheets for each major section, and it's all free! If I had to do it all over again, I would make sure to memorize all the "key terms" from Leik. Do all her questions until you get 90%, or at least you know most of the rationales. If you need a review course, I would have simply purchased S.M.'s crash course. and definitely the PSI exams from previous years. Stop making notes on the same stuff, hoping you will memorize it; instead, do questions and really understand why you got it right or wrong.

I took the AANP in October and December 2022 and failed both times, first with a 461 and then with a 469. I simply read Leik's exam tip and clinical pearls and answered all questions twice the first time. Then, in my second attempt, after two months of in-depth study, a L.W. comprehensive review, a S.M. crash course, and redoing all of Leik's questions, my score went from 461 to 469! I have never failed an exam before until now, not in my undergrad (the NCLEX, which I passed in 75 questions), and not in my master's program. I will be retaking the AANP FNP, probably this week (because I have a conditional job offer); reach out if you want some resources that I have. I just recently realized that I know way too much content, but I also realized that I don't know how to take standardized exams! And this might just be the key—learning how to decipher what the exam is really asking in terms of the entry-level competencies. standarized test.pdf