Original post is correct. I studied, knew all the material (including all 2 med calculations on the test). I just squeaked by with a C because apparently I can't figure out what Excelsior thinks is "the best appropriate nursing response". I did not use the practice exam because most of the material in the study guide is familiar terminology and other duhhhh caliber review (for those with a little clinical experience). So, to reiterate, study communication especially, and everything else mentioned in the original post. There are very few questions that cover definitions, most of them are situation based, choose the best nursing intervention, best nursing response, most appropriate next step, etc... Good luck