Hi, I took the exam yesterday and passed. ~I used Board Vitals, the ANCC Practice IQ (https://www.nursingworld.org/continuing-education/psychiatric-mental-health-nurse-practitioner-certi3/), and The Psychiatric-Mental Health Nurse Practitioner Certification Review Manual (https://www.amazon.com/Psychiatric-Mental-Health-Practitioner-Certification-Review/dp/0826179428/ref=sr_1_3?crid=P0TX4H6GFQWF&dchild=1&keywords=pmhnp+certification+review+book&qid=1595814201&sprefix=pmhnp%2Caps%2C335&sr=8-3). ~I also watched the Memorable Psychopharmacology series on Youtube and took notes. Excellent pharm review. ~Like many others have stated, the questions on Board Vitals are complex and comprehensive. If you feel you need to learn the material I think this is a good resource but otherwise, the other ones will suffice. ~I thought the review book was great and easy to read. I have not seen the ANCC version but, judging from reviews, it sounds similar but at twice the cost. The book I got comes with online access to tests, which I thought were very helpful. ~The ANCC test IQ is excellent and great practice for the exam itself. ~I used the scratch paper during the exam to write down basic test strategy tips (Maslow, identify question stems, ADPIE, least invasive/most cost-effective first!, etc.). You can highlight parts of the question during the exam to pinpoint what exactly needs to be answered (terms like "safest, best, most effective, do first"). I did this when taking practice tests and it really helped. (Speaking of practice tests, read the rationales for both correct and incorrect answers carefully and take notes!!) If I could do it differently, I would not have bothered with BVs and just focused on the other resources. My strategy for test-taking is to answer every question and then go back and double-check the answers. I did this and finished the exam in just under two hours. Do not spend tons of money on multiple resources that are offering the exact same material. Just find a study plan that works best for you, be consistent, and know the content well. There is nothing "tricky" about the questions and the information the ANCC gives us to prepare is spot on. Best of luck!