Hey i can honestly say that i used saunders exclusively and passed the PN exam the first time around. I was nervous since i ended doing the entire 205 questions, but i was confident the entire test because of saunders. I approached saunders by sections, doing all the disorders and test questions. If i got one wrong i didn't just review the rationale, but went back to the question and annotated what the correct answer and why. I did the entire book that way. I made sure that I had lab values and nutrition commited to memory. when you review a disorder and it states what type of diet, you need to understand why, not just what the answer is. First I did the entire book, then from there on i did the CD questions and again if i got the question wrong, I had a page per disorder in a notebook and wrote down in a short bullet comment the rationale. On each page i wrote down how many questions there were in ea section so if i couldn't do the entire 400 or so questions of maternity for example, I could start the next day where i left off. One last thing i did was Feuer nursing review. Rather than going to the review you can order the entire review on tapes. Its about $250. What i did was as i worked for 2 months before the exam i would take a mini tape player and listen to it while out. It reinforce saunders to the point that i had the solid knowledge i needed to help me with critical thinking on the exam. I hope this helps to those who are preparing for the exam. Just make sure you have a plan and stick to it.