I'm posting this because I was desperate for real advice a year ago and couldn't find much. I failed the RPNCE in October and again in March, both times by what felt like a handful of questions. My scores were hovering around 68-70% and you need 75% to pass. The pharmacology and community health sections were killing me every single time.
What finally changed for me: I stopped re-reading my notes and started doing timed RPNCE practice test blocks — like 50 questions in 60 minutes, then reviewing every wrong answer without excuses. I also found a study guide that broke down the RPNCE competency categories (health promotion, care delivery, professional responsibility) and drilled each one separately before mixing them. Total study time was probably 120 hours over 10 weeks.
Anyone else retaking this beast? I'd love to hear what exam tips actually moved the needle for you. Specifically curious if people found the real exam harder than their practice materials or about the same difficulty.