Thanks for your response. I totally agreed about the study questions in the yellow book, so easy that I think most people not in the medical field could pass the test. The problem I am having most with the AAACN study questions is the wording, when I review what I've missed will often see the simple answer and I am selecting the one that is the 'work to get to that point'. I have considered ordering the review that is on CD to see if that helps. Although I know the information, it is the way they are asking questions in this review that is confusing to me. So much like the NCLEX questions and it has been sooo long since that test. Not working in a traditional ambulatory setting probably adds to the my difficulty. I have been working in an outpatient research unit that also falls under the hospital rules and regulations. Prior to that in an emergency room.