Questions and Answers about Private Tutoring


What is private tutoring?

It is working 1:1 with a master teacher who helps you study effectively and who can make complex concepts easy to understand. 

It is working with an expert in testing who can help you become better at doing well when taking tests.

What happens during private tutoring?

First, I do an assessment to see what your strengths and “not so strengths” are. Together we develop a plan to reach your goal. I ask you to review specific content and may ask you to work with a study guide. I do ask you to make a “Judy List”. You will write down questions that arise during your study. If the answers/concepts become clear you cross off those items. We start with the remaining items at our next session. I will ask you questions about important concepts and explain them if they aren’t clear to you.  You will answer some exam style questions during the session.  

How long is tutoring?

We usually meet for 1-2 hours via Zoom or possibly in person.  The number of sessions is different for each student.  If you want help with a specific area one or two sessions may be all you need.  If you need generalized help covering many areas of nursing more sessions will be necessary.  

My friend and I both need help. Can we see you together?

Yes. We can arrange for more than one person to be on a zoom call.  All persons will be expected to do the preparation needed.  

Tutoring help is available for you.  Often it takes only a few sessions to get you understanding and thinking the way item writers want you to think. Tutoring is useful as you are going through nursing school. It is also very valuable as you prepare for NCLEX.


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Volunteering at a Mass Vaccination Site

I recently volunteered at a mass Covid-19 vaccination site at the New Hampshire Motor Speedway in Loudon, NH.  

Mass Vaccination at NHMS in March - Judy Miller, RN, MSN


The approval and availability of the Johnson & Johnson vaccine prompted the state to set up a mass vaccination site at the New Hampshire Motor Speedway with the goal of vaccinating 12,000 people.  The whole event was put together in one week. There were over 350 volunteers – nurses, doctors, pharmacists, EMTs, social workers, interpreters, and so many others registering and screening both volunteers and vaccine recipients. 

I am not sure that anyone looked at the weather forecast – cold and windy.  But then again, maybe they did. Hand Warmers (used by skiers) were given out freely to us. I still thought I would freeze to death in spite of layers and layers of winter clothing.  We were definitely not a fashion show.

Vaccinators administered prefilled syringes with the vaccine.  They had to be kept close to the chest – literally – to keep the vaccine from freezing. 

Cars with their screened occupants were sent through the nine vaccination lanes in a steady fashion.  Each lane had 4 vaccination sites.  Four cars would enter the lane and the eligible and screened occupants received their vaccines and the appropriate paperwork was done. Then all four cars were directed to the observation area to be observed for side effects and four more cars took their place and the same thing happened over and over again.  At one point when I checked our timings, we were doing a carful of people every 3-4 minutes. Some cars had one person to be vaccinated and some had two or three or even four.

It was well organized, in spite of the short plan time, and when a few glitches happened, adjustments were made and things smoothed out.  

I am not sure of the exact final total, but the three-day total (Saturday, Sunday and Monday) was about 12,000 people. Congratulations and a hearty thank you to all those health care workers and others who volunteered to work on their time off to keep others safe and healthy.

I know some of you have probably done this too. Thank you. And to those who may be given the opportunity to volunteer in such a role – go for it.  It is very fulfilling to do your small part in helping keep people safer and healthier. 



Welcome to 2021!

2020 certainly was a strange year and 2021 will continue to have its challenges. The good news is the administration of NCLEX exams has stabilized! Both NCLEX-RN and NCLEX-PN will be between 75 and 145 items long. That includes 15 pretest items which do not count on your score. The maximum time for both tests is 5 hours.

The optional Next Generation NCLEX questions are also being reintroduced.  These are
OPTIONAL items. You may choose to answer them or not.  They are not mandatory
and whether or not you answer them will have no bearing on whether or not you pass.
For detailed information on registering for NCLEX exams go to You can
get the candidate booklet there.

Another piece of good news is that there is a huge demand for nurses. I get requests
every day from places that are desperate for nurses. You have chosen a profession that
is needed by the country and the world. You can look at our products and services
available to help you complete your studies and pass your exams!



Changes to NCLEX Testing in October

News Flash!! Starting October 1, 2020 NCLEX is changing the number of questions administered.  Pretest items are being reintroduced. They were dropped in the change in format due to Covid-19.

The test plan and passing scores remain the same – no changes.

However, starting October 1, 2020 NCLEX will once again include pretest items for norming purposes. That means that the candidate will have 60 scored items and 15 pretest items for a total of 75 questions minimum. The maximum number of questions is 145 items – 130 scored items and 15 pretest items.  The maximum time has been increased to 5 hours.

The optional Next Generation NCLEX questions are also being reintroduced.  These are OPTIONAL items. You may choose to answer them or not.  They are not mandatory and whether or not you answer them will have no bearing on whether or not you pass.



COVID-19 Impact to NCLEX Candidates

After making a number of changes to enhance the safety of those taking the test, as well as the staff working in the centers NCLEX test delivery at U.S.-and-Canada based Pearson VUE test centers, resumed on March 25th at a limited number of test centers in major metropolitan areas across the United States and Canada. Please see below for important changes to the delivery of the NCLEX examinations:

To ensure social distancing measures are in effect, as well as increase the number of candidates that can test daily, the NCLEX-RN and NCLEX-PN, effective March 25, 2020 until July 4, 2020, will be administered as follows:

  • Computerized Adaptive Testing (CAT) will still be used
  • The minimum number of test items will be 60
  • The maximum number of test items will be 130
  • The maximum testing time will be 4 hours
  • The difficulty level and passing standard has not changed
  • The Next Generation NCLEX Special Research Section will NOT be included

(updated 04/27/2020)


The National Council of State Boards of Nursing and Pearson VUE Testing Centers have opened 60 testing centers near large cities so that newly graduated nurses can take NCLEX and get licensed in this great time of need.

Any of you who have your ATT please check to see if a testing center near you is open. CDC guidelines for distancing will be followed.

I was recently reviewing a class of RN students about to graduate and I know they wanted to be able to help with the nursing care needs of the public. Please check to see if there is a center near you that is open. Make your test date and get into the workforce STAT! We need you.
Do you need help in preparing for your exams? Judy Miller is available for 1:1 tutoring. Call 1-800 US -TUTOR  or email [email protected] to schedule an appointment via Skype or FaceTime or just plain phone.