Something that my instructor told us to do during the skills exam was actually talk our way through the skill while we were doing it. For example, if one of the skills you were given was making an occupied bed (if your state uses that), you would actually tell the tester what you were doing (what supplies you were using, how you would roll the person, fold under the sheets, etc.), as you were doing it. I thought it sounded silly when she described it, but it was extremely helpful during the test! It was easier for me to remember the steps if I spoke them out loud rather than just trying to remember them in my head as I went. Practicing your skills on someone else outside of class helps too. My boyfriend was my test dummy for the entire course, and a small group from my class also got together just before the state test to practice in the lab so we got more comfortable with the setup/supplies and were able to help each other. Seriously though, I was terrified before I took my test, especially the skills portion (I was taking Pepto pills like they were candy), but afterwards all I could think was, "THAT is what I was worried about?" It was hard to believe back then, but looking back now it was not nearly as terrible and scary as I'd imagined. Good luck! - Anne