I attended Fitzgerald's live review, read her other review book cover to cover, glanced through Liek, and used Board Vitals. Passed ANCC on my first try in June. If you are able - attend a live review (Fitz, Hollier, Liek) - if uable, sign up for an online review. If taking the ANCC, I can't stress enough - you need to know research, risk management, leadership issues cold. Use the strike out function to get rid of wrong answers. I didn't find it difficult - but Dr Fitzgerald told us - if you don't find the test difficult, then you are well prepared for it. Good luck all - you can do this!