Speed is not guessing faster; it is deciding faster with structure. Start each question by identifying the task: assessment, intervention, priority, or education.

Use the elimination method aggressively. Remove clearly unsafe options first. Compare remaining options using patient safety and urgency.

Set mini time targets: for example, 25 questions in 30 minutes. Review where you exceed time and identify the trigger: over-reading stems, second-guessing, or weak topic recall.

Timed repetition is the only reliable way to build exam pace. Train under realistic conditions consistently.