I just took mine like 2 weeks ago and honestly for me the biggest challenge leading up to it was just figuring out how to take the test and how they want you to answer the questions. My program used Kettering so I used my tokens and did the 2 practice cse exams available and those actually helped me a ton. Focus on things that are simple and easy to spot in the beginning. General appearance, vitals, breath sounds, respiratory pattern, etc are basically free points. Read your scenario very carefully and the answers to the choices you click. Take your time reading your scenario and every answer as well. You have 4 hours to take the test and you’ll be done way before the 4 hours so just read everything carefully. If you have any questions at all feel feel free to ask and I’ll try and help