I took my exam in july with 265 questions, i was litterally shaking in my seat. i couldnt sleep the night before, i couldnt even swallow my breakfast...its was a total nightmare! i lost all concentration while i was in the exam and i ended up failing. BUT...i did take my exam again for the second time and i went in there with the mindset of you know this stuff, you went through all those years at nursing school, you prepared yourself as best as you could just focus. i got myself a coffee and a breakfast sandwhich on the way, i got there a little nervous but not nearly as freaked out as last time. i sat down, said a little prayer and hit the next button and started.:typing 2 hours and 75 questions later i passed!!! you really can't let nerves get the best of you (easier said then done i know) but you have to go in there with confidence that you are ready for this. Just take deep breaths and have faith in yourself. i wish you all the luck!! you'll do great.:)