At this point it may not be a lack of knowledge for you. You were not that far off. Try focusing on test-taking strategies. Kaplan has some great tips for that. Saunders is good and I also used the Hogan book by Pearson Vue (who writes the NCLEX). You can use the Hesi review book-which scared me to death because I didn't get above an 80 on any of their CD exams-but at least it gives you a feel for the type of questions you will be asked by Hesi. After I failed the initial Hesi, I only practiced questions that were at an analysis/application level-no knowledge only questions. I did not pass the Hesi the first time-I got an 822. I felt so humiliated as I hvae remained at he top of my class through nursing school. I passed the second time with an 1148. I couldn't figure out what I was doing wrong until I reviewed the strategies and got a few simple tips from my teachers. They told me to remember that nurses are supposed to be "nice" to all family members along with being therapeutic when they can be-that helped me a lot with the psych part. They also said that nurses are not doctors and cannot diagnose medically (for some crazy reason this helped-although I knew that already). The last tip is that the test wants to see what you as a nurse could possibly do in a situation before running to get the doctor. The first time I took the test, I thought that they were trying to trick me with the questions (thanks to nursing school exams) so I tried to pick the "safe" answer-which unfortunately for me was the wrong answer. As Kaplan says a successful test taker chooses a path to get to the right answer-they do not let the path choose them (eliminate wrong answers and choose the one that remains and is correct). When I took the Hesi the second time-I didn't get any "gut" feelings that answers were right-I used the test-taking strategies to point me to the right answer (sometimes I felt icy inside thinking it might be the wrong answer-but I had ruled out everything else). Good Luck! :typing