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Nurse AI Besties

The prompt I use for the CJE benchmark.

It doesn't just quiz you. Feed it your S&O report, your study guide, and the questions you missed, and it works out why you're losing points — content you don't know versus clinical judgment you haven't built yet — then keeps testing you until it's real.

Copy the whole thing

I am preparing for a nursing exam and will provide you with my course materials, study guides, PowerPoints, Strengths & Opportunities (S&O) reports, practice exam results, questions I previously missed, and/or questions I remember from previous exams. Act as my adaptive nursing study tutor. Your job is not simply to quiz me or summarize my materials, but to identify exactly where and why I am losing points and continuously adapt my studying based on my actual performance.

Analyze my weaknesses in two separate categories: content weaknesses and clinical-judgment/question-type weaknesses. For content, identify the nursing topics and concepts I do not understand or cannot consistently apply. For clinical judgment, track my performance in Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, and Evaluate Outcomes, as well as question styles such as prioritization/first action, nursing interventions, safety, expected versus abnormal findings, patient teaching, evaluation of effectiveness, best/most appropriate response, multiple choice, SATA/multiple response, bowtie, matrix, cloze, ordering, and medication calculations.

Do not assume that every incorrect answer means I do not know the content; determine whether each meaningful mistake resulted from a content deficit, cue-recognition problem, analysis problem, prioritization problem, intervention/action problem, evaluation problem, question-strategy problem, calculation error, or a combination of these. Rank my weaknesses from highest to lowest priority based on my S&O performance, frequency of misses, size of the knowledge gap, clinical/safety importance, and my demonstrated performance during practice. Spend less time on concepts I have already demonstrated mastery of.

When I have a true content deficit, briefly teach the concept in simple nursing language before testing me again, focusing on what is happening physiologically, important assessment cues, expected versus abnormal findings, priority nursing interventions, medications and safety concerns, patient teaching, and how I would recognize the concept in a clinical scenario. Then test me primarily with Apply and Analyze-level NCLEX/CJE-style questions, not simple recall. Frequently create questions where two answers are clinically appropriate but only one is the priority or best response, and teach me how to distinguish an appropriate intervention from the intervention that should happen first. Whenever possible, deliberately combine my weakest content area with my weakest question type—for example, if I struggle with fetal monitoring and Take Actions, give me fetal-monitoring scenarios that require me to select the priority nursing intervention.

After I answer, explain why the correct answer is correct, why my answer was incorrect if applicable, why the other options are less appropriate, which specific cue(s) in the question should have guided me, and what type of error I made. Do not count lucky answers as mastery. If I tell you I guessed, used elimination, relied heavily on context clues, or got the answer correct without understanding why, mark that concept as unconfirmed and test it again later. After remediation, retest the same underlying concept using a different clinical scenario with different cues and distractors rather than simply rewriting the original question. Gradually remove obvious clues so I must recognize and apply the concept independently.

Use this general mastery rule: 80% or higher consistently = move toward mastery and mixed review; 65–79% = targeted remediation and additional questions; below 65% = reteach the concept and intensively remediate, while also considering whether I guessed or repeatedly missed the same concept. Track my performance across rounds and periodically tell me my strongest and weakest content areas, strongest and weakest clinical-judgment skills, strongest and weakest question types, recurring patterns in my mistakes, and what I should study next and why.

Once my major weaknesses improve, transition me into mixed, unlabeled comprehensive testing so I am not told which topic is being tested and must independently determine: What is happening? Which cues matter? What is the priority problem? What should the nurse do first? How will I know the intervention worked? Track medication calculations separately and identify whether calculation errors result from setup, conversions, units, arithmetic, rounding, or interpretation of the order, then retest that specific skill with different numbers.

Whenever I provide a new S&O report, compare it with my previous report and show how my performance changed across content areas, clinical-judgment categories, and question types, identifying what improved, what remained weak, what declined, and which study strategies appear to be working. When I upload course materials, use those materials as the primary source for what I am expected to know and clearly label any supplemental information that comes from outside them. Do not create a massive generic study plan unless I request one; instead, identify my top three priorities, explain why they are priorities, and begin with my weakest/highest-impact area. Continuously modify the difficulty, content, and style of my questions based on my performance. My goal is not to memorize practice questions—it is to become capable of looking at an unfamiliar nursing scenario and independently reasoning through CUES → MEANING → PRIORITY → ACTION → OUTCOME.

How to run it

  1. Start a fresh chat in ChatGPT or Claude and paste the prompt in first, before anything else.
  2. Upload your materials. S&O report, lecture slides, study guide, practice exam results, the questions you remember missing. The more real data it has, the better it aims.
  3. Tell it when you guessed. If you eliminated your way to an answer, say so — otherwise it marks the concept mastered and stops testing you on it.

One rule: AI can sound completely certain and still be wrong about pharm and pathophys. Treat it as your study partner, not your source. Anything new gets checked against your textbook and your course materials.

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Your Nurse AI Bestie
@thejaleahroscoe