I recently got a job with Ardent health systems as a full time resource person. I have completed 2-4 of the competency test. They are tough. I have been a nurse for 23 years. I had to take the Med Surg test twice. My husband is a nurse also he was reviewing the questions with me and works on an Ortho/spine surgical unit and his response was what the ****. If you are going to take these test, do some review first. You only get to answer the question once and can not, go back and change an answer. They use NCLEX questions, but I didn't get any scenarios. Just symptoms or a diagnosis. Very indepth. I can say, If all nurse had had to do this test as there annual competency, we would have a much higher quality of staff. Doctors must repeat their MCAT's but nurse have only CEU's and honestly most of those are very basic. Maybe it's time we were all held to a higher standard. Just saying