I also passed the test recently with 265 questions. A lot of what is said in this post is true, but it is so hard to be relaxed, calm, and comfortable on exam day. I am one of those nervous test taker types. I work as a NA in a hospital, and my nurse friends all told me before the exam what to expect, how to be, and what their exam experience was like. So I did as they told me, I had some breakfast (half a bagel because I was so nervous and couldn't eat but knew I had too,) drank tea, dressed comfortably (entirely yoga ensemble,) and arrived early to my testing location. I took cleansing breaths before I started my questions and I felt okay for the most part. When I got to question 75, I was really nervous. Did I answer enough? Am I above the pass line? My stomach turned to knots. When I hit question 76, I felt dread. Everyone tells you that it is okay to go over 75 questions, but in many ways you feel that you have failed. By question 100, I started getting an unsettling feeling in my bowels (from the nerves) and I felt sick. All I could think of was "Come on, get above that pass line!!" When I finally finished my exam after 265 questions, I felt heartbroken and sad and knew in my heart that I failed. 265 questions is the nightmare scenario everyone talks about. I did the PVT and got the "good pop up" but I couldn't trust that it was true because tricks don't always work. It worked for me. Two days later, I got the quick result and found out that I passed and it was one of the best feelings in the world. My professors told me that even though I went to 265 questions, it means that I was "still in the game". As long as the test keeps giving you questions, you can still pass. It is hard to believe, but it is true!