Weeks 1-2: Safe and effective care
Start with Management of Care plus Safety and Infection Prevention and Control. Prioritization, delegation, assignment, confidentiality, advocacy, adverse events, and infection control show up across many question styles, so build these before deep physiology review.
Weeks 3-4: Physiological integrity
Rotate Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation. Make medication safety, lab interpretation, complications, and urgent changes in condition part of every question review.
Week 5: Health promotion and psychosocial integrity
Cover growth and development, prevention, screening, education, coping, crisis intervention, abuse, mental health, and therapeutic communication. These categories are lower weight but can be score movers because they reward careful nursing judgment.
Week 6: Mixed practice and clinical judgment cases
Switch from topic blocks to mixed sets. Use the clinical judgment model as a review lens: recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, and evaluate outcomes.
Week 7: Weak-area repair
Sort every miss by client-needs category and reason. Did you miss the disease process, the priority, the safety issue, or the question wording? Repair the pattern, then retest it with fresh questions.
Week 8: Readiness and exam week
Do two timed mixed sets early in the week, then taper. Final review should emphasize lab values, isolation precautions, high-alert medications, delegation rules, and personal error patterns from your miss log.