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Emergency Nursing Exam Tips

Aug 22, 2025

Overview

This lecture provides practical tips and strategies for preparing for and taking emergency nursing certification exams, focusing on short-term preparation and test-day success.

Long-Term vs. Short-Term Studying

  • Early studying should focus on in-depth understanding of concepts, reasoning, and pathophysiology to build critical thinking.
  • In the final 7–14 days before the exam, shift to short-term recall strategies instead of deep learning.

Last-Minute Study Techniques

  • Do not read textbooks in-depth during the final week; instead, flip through pages quickly, scanning for bold terms, charts, and key concepts.
  • Focus on visual aids, mnemonics, lists, and quick facts rather than memorizing complex material.

Test-Day Preparation

  • Confirm the test location in advance using maps or street view to avoid last-minute confusion.
  • Prepare all materials (IDs, notes, etc.) the night before and have them packed and ready.
  • Arrive at least one hour early and find a comfortable place to relax and review briefly.
  • Ensure you eat beforehand and get a good night's sleep; avoid scheduling the test immediately after a long shift.

Write-Down Items and Memory Aids

  • Upon receiving your scratch paper at the exam, immediately write down key memory aids (EKG layouts, formulas, rules of nines, mnemonics).
  • Practice your write-down process at home before test day.

Using Practice Materials

  • In the final week, skim practice questions and answers instead of reading them in-depth or studying the rationales.
  • Skim TNCC and ACLS material, focusing on the basics and first-line interventions.

During the Exam

  • Write down your memory aids before starting the actual questions.
  • Take short breaks every 30–45 minutes to reset and reduce stress.
  • Always answer every question; never leave any blank.
  • If uncertain, choose your best answer, note the question number, and return if needed.
  • Use the available time fully—review answers and only change them if you have a clear reason.

Multiple Choice Strategies

  • If options are opposites (e.g., hyper- vs. hypokalemia), the correct answer is often among them.
  • Have a consistent "go-to" answer for total guesses (e.g., always pick B).
  • Narrow choices down when possible and be systematic with guesses.

Key Terms & Definitions

  • Critical Thinking — Applying reasoning and logic to understand and answer complex questions.
  • Rule of Nines — A method for estimating burn surface area.
  • Parkland Formula — Formula for calculating fluid replacement in burn patients.
  • Mnemonic — Memory aid, often using a phrase or acronym.
  • Write-Down Items — Key facts or diagrams written out at the start of the exam for reference.

Action Items / Next Steps

  • Practice your write-down sheets and memorization aids at home before the exam.
  • Skim, not read, key textbooks and practice materials in the final week.
  • Confirm all logistical details (location, time, materials) several days before the exam.
  • Prepare your test supplies and pack your bag the night before.
  • Set alarms and ensure adequate rest before exam day.