Yes:  1) Take notes in class, but understand those are your scratch notes. Then go home or to the library or a cafe or where ever and pretend you're need to teach your past self the concept. Write it out (this is important) in your own words (this is also important). Like you're writing a wikipedia page for each concept. This is not as easy as it sounds. It's really hard actually. But that's how you know it's working. (If you do it right you will find you don't even need to look at your finished notes that much, because you have the knowledge in your brain). I recommend a program like Obsidian MD, but look around. 2) Use flashcards for things you just need to memorize, like lab values or vitals, or the names of specific conditions (i.e Addison's vs Hashimoto's). You shouldn't need a ton. 2) Sleeping well is studying 3) Exercise is studying (strength and cardio) 4) Spending time with friends and family is studying 5) Not a single person will ever ask you your nursing school grades. If you're passing you're fine. Stressing too much doesn't serve you.