Took the CCRN exam on May 15, 2009 for the second time and passed it again. I first took it in 1992, passed, but made a bad decision of not renewing it. I will never let this one lapse again. Both times, I took Laura Gasparis- Vonfrolio's review course, reviewed the pearls that came with the CD's and listened to the CD's until I can practically anticipate every word. I followed her tips to the "T". Whenever she says pay attention, pay attention because the questions will be on the exam, guaranteed. I had a good night sleep the night before. I wore something yellow on the day of the exam. I ate a package of beef jerky and drank a can of coke on the morning of the exam. It took me 90 minutes to finish the exam in May. The book of questions/answers is designed for you to manage your time when you decide to take the exam. Hope this helps and good luck. Stick with Laura's stuff and you will ace the exam.