Hi, I think you are not the only one who has the feeling, but most people who feel this way got proved they are good nurses. I don't know which areas you need to further improve. According to your description, I think it is very possible that you were stuck on the answers. I am a 3rd semester nursing student. For example, last wk I went to clinic and I found there were 2 diseases I never heard before (Right coronary artery dissection & Mitochondrial cytopathy). When my clinical instructor asked me I admitted that I didn't know. And when I got home, I didn't even find the 2 conditions from my textbook of pathology. As a nursing student, it does make sense you don't know many things. That is why you are a student. And even after you graduate, there are so many things you are still confused. One of my friend who is in 4th semester told me that the charge nurse in her unit even doesn't understand what insulin 30/70 is used for and what the action of the drug is. I don't know you at all but I am sure you are not stupid. Just keep in mind whatever you do must have a rationale. And follow nursing process. I believe you will be great in the future. Don't give up!!! ^^