Cramming isn’t ideal, but prioritize high-yield nursing specifics to maximize retention. Start by scanning your syllabus for core areas: pharmacology (focus on drug classes like antihypertensives ACE inhibitors cause dry cough, monitor for angioedema; beta-blockers contraindicated in bradycardia), pathophysiology (cardiac cycles: understand MI symptoms like ST elevation, troponin spikes, and MONA protocol Morphine, Oxygen, Nitroglycerin, Aspirin), and patient safety (infection control: MRSA isolation precautions, hand hygiene per CDC guidelines).
Organize into chunks: Use active recall with NCLEX-RN style questions from apps like UWorld or Quizlet aim for 150 targeted Qs on fluids/electrolytes (hyponatremia signs: confusion, seizures; correct with hypertonic saline cautiously to avoid osmotic demyelination). For procedures, visualize skills: Foley catheter insertion steps (sterile technique, balloon inflation 10mL), NG tube placement (measure NEX nose-ear-xiphoid, confirm pH <5.5).
Memorize via mnemonics: For ABGs (Arterial Blood Gases) ROME for interpretation (Respiratory Opposite, Metabolic Equal: acidosis/alkalosis compensation). Group labs: CBC anomalies in anemia (Hgb <12 women, monitor for transfusion reactions like TRALI). Ethics quick-hits: ANA Code advocate for DNR orders, report sentinel events per Joint Commission.
Break sessions: 50-min study, 10-min review. Teach aloud delegation rules (RN assesses, LPN monitors stables; UAP vital signs only). Hydrate, snack on nuts for steady glucose avoid energy drinks spiking cortisol.
For maternity/peds: APGAR scoring (Appearance, Pulse, Grimace, Activity, Respiration at 1/5 mins), postpartum hemorrhage (boggy uterus massage, oxytocin admin). Mental health: Suicide assessment SAD PERSONS scale, therapeutic communication (avoid “why” questions).
End with mock scenarios: Priority nursing for COPD exacerbation (oxygen titrate to SpO2 88-92%, not higher to prevent suppression). Sleep 3-4 hours for memory consolidation wake, quick review. Focus applies knowledge, not rote; you’ll retain 60% more via spaced repetition loops. Stay calm, breathe you’ve got this!