Miriam Tivzenda's ANCC AANP Study Group

30/12/2025

The wait is officially over. The New NP Job Hunt Blueprint is out now! 📘
I spent months pouring everything I know about the transition from RN to NP into this guide. Why? Because you didn't work this hard for your degree to settle for a "starter job" that burns you out by month six.
Inside the Blueprint, we’re tackling:
✅ How to flip your RN resume into a high-level Provider CV.
✅ The secret to networking when you "don't know anyone."
✅ Negotiating your salary and benefits like a pro.
✅ Interview prep that turns "maybe" into "when can you start?"
🎁 SPECIAL LAUNCH OFFER: Because I want you to start 2026 with a win, I’m offering a launch discount! Use code NEWNP20 at checkout to save [20% off].
⚠️ Hurry—this discount expires at midnight on 12/31/2025. Don't go into 2026 guessing. Go into the New Year with a strategy. 🥂
Click the link https://npexamprep.com/b/mKkTd to grab your copy, and let’s get you hired!

The New NP Job Hunt Blueprint (eBook)You passed the boards.You earned the title.But no one taught you how to land your first NP job safely, confidently, and without regrets—or how to survive once you’re hired.For many new NPs, the job hunt is more c...

29/12/2025

🚨 NEW NPs: Passing NP boards was hard.
The job hunt might be more challenging.
You earned the title—but many new NPs feel blindsided by:
Vague on the job “training.”
unsafe patient loads,
confusing contracts, charting, billing, and RVU pressure
NP school taught you how to treat patients.
It didn’t teach you how to navigate the NP job hunt or protect yourself in your first role.
That’s why I created The New NP Job Hunt Blueprint.
Inside, you’ll learn how to:
✔ spot red flags before signing
✔ interview and negotiate safely as a new grad
✔ build confidence, professionalism, and boundaries
✔ chart efficiently and understand billing, coding, and RVUs
📘 Available now:
👉 https://npexamprep.com/b/mKkTd
— Miriam Tivzenda, MSN, APRN, FNP-BC, FNP-C
We help NP graduates pass their boards—and land their first NP job—one NP at a time.

The New NP Job Hunt Blueprint (eBook)You passed the boards.You earned the title.But no one taught you how to land your first NP job safely, confidently, and without regrets—or how to survive once you’re hired.For many new NPs, the job hunt is more c...

28/12/2025

⚠️ WHY MANY NEW NPs MISS RED FLAGS IN THEIR FIRST JOB
This keeps coming up, and it’s rarely because new NPs are careless.
More often, it’s anxiety and eagerness to land that first NP role after months of applications, finally. That pressure makes it easy to: Sign before asking enough questions. Accept vague “training” promises. Overlook restrictive non-competes. Realize too late that support is lacking.
By the time the concerns are obvious, the contract is already signed. This pattern is exactly why resources like The New NP Job Hunt Blueprint were created—to help new NPs slow down, recognize red flags early, and make informed decisions before committing.
— Miriam Tivzenda, MSN, APRN, FNP-BC, FNP-C
We help NP graduates pass their boards—and land their first NP job—one NP at a time.

Send a message to learn more

28/12/2025

The "NP Board-Prep" Hack
🛑 Stop studying your strengths. You’re wasting time.
It’s comforting to review the stuff you already know, such as
HTN, Diabetes etc. But comfort doesn’t pass boards.
Tip: Use a "Reverse Study Map." Open the AANP or ANCC blueprint. Highlight your weakest areas in red (Peds? Derm? Research?). Spend the first 60 minutes of your study block ONLY in the "Red Zone." Eat the frog first. Happy studying!
Miriam Tivzenda. MSN, APRN, Nurse Educator & Coach.

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28/12/2025

Attention, Aspiring Nurse Practitioners.

28/12/2025

Aspiring NPs: 5 Guideline Tips the NP Boards Actually Care About
(Save this. Screenshot this. Thank me later.)
1️. Know the BIG guideline owners. Boards love who said it, not your opinion.
If a question hints at screening, prevention, or counseling—think USPSTF.
If it’s BP, lipids, or cardiac risk—hello ACC/AHA. If you don’t recognize the guideline name, pause. That’s your clue.
2️. Guidelines beat “what you’ve seen in practice.”
Your preceptor may do things differently. The exam does not care.
Boards reward standard of care, not clinic habits. On test day: Guidelines > experience > vibes.
3️. Focus on WHEN to screen, not rare exceptions
Board test: Ages. Intervals. Risk-based screening. They are NOT testing zebras.
They want to know who gets screened, when, and how often—per guidelines.
4️. If two answers are correct… Pick the guideline one
Classic board trick. One option sounds reasonable.
The other literally follows a national guideline. Always choose the guideline-backed answer—even if both seem okay.
5️. Understand the NP exam update cycle
NP board exams are typically revised every 3–5 years.
What that means for you: Focus on established, widely accepted guidelines. Skip chasing brand-new changes that haven’t fully rolled out. If a guideline has been in place for a few years → fair game. The boards test consensus standards, not cutting-edge debates.
Miriam Tivzenda, MSN, APRN, FNP-BC. FNP-C, Nurse Educator & Coach.
We help NP graduates pass their boards—and land their first NP job—one NP at a time.

Send a message to learn more

28/12/2025

Attention Aspiring Nurse Practitioners.

28/12/2025

Attn Aspiring Nps:The "Memory Retention" Trick
Stop rereading your notes. (Seriously, it’s not working).
Body: Re-reading is "passive learning." It feels like you’re working, but the info isn't "sticking."
Tip: Use "The Rubber Ducky Method" (Active Recall). Pick a complex topic—like the RAAS system or Murmurs. Now, explain it out loud to a rubber duck (or your cat, or your houseplants) as if they were a 10-year-old. If you stumble or can't explain a step, that’s exactly where your knowledge gap is. Find it, fix it, move on.
Miriam Tivzenda. MSN, APRN, Nurse Educator & Coach.

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27/12/2025

Infectious Disease (CDC)
🚩 NP Board Exam Mistake:
Treating viral illness with antibiotics.
📘 Guideline Rule (CDC):
Antibiotics are only used when bacterial criteria are met.
Board Example:
URI, clear lungs, afebrile →
✔️ Supportive care, not antibiotics.
👉 Comment CDC if you want antimicrobial pearls.
Miriam Tivzenda. MSN, APRN, FNP-BC. FNP-C, Nurse Educator & Coach.

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27/12/2025

🚩 Common NP Mistake:
Treating BP numbers without risk assessment.
Guideline Rule (ACC/AHA):
Stage 1 HTN treatment depends on ASCVD risk, not BP alone.
Board Example:
BP 138/86, ASCVD risk

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27/12/2025

New NPs: 3 quiet red flags to pay attention to in your first job
Most new NPs don’t leave jobs because they’re “weak” or “not cut out for it.”
They leave because no one taught them what to watch for. Here are three red flags I see over and over:
1. An extended contract with no realistic exit
If you’re locked in for 2–3 years before you truly understand the workflow, support, and expectations—pause. Length matters less than fair exit terms. Life changes. So does insight.
2. “You’ll learn as you go” with no real support
Some growth discomfort is normal.
Being thrown into full patient loads without mentorship, protected learning time, or backup is not “confidence-building”—it’s unsafe and stressful.
3. High pay paired with constant chaos
Money can be blinding early on—especially when loans and life are staring you down. But here’s the part no one says out loud: If you’re constantly overwhelmed, anxious, exhausted, and carrying work home every night… You won’t even enjoy the money.
Your health matters. Your mental clarity matters. Your ability to stay sane enough to practice matters. If a job is costing you your sleep, your peace, and your joy, it’s fair to ask:
Is the paycheck still worth it? Always look at the whole picture—patient load, admin time, support, PTO, and boundaries—not just the number on the offer.
I put all of this together in The New NP Job Hunt Blueprint, coming soon at npexamprep.com, because your first job matters.
Miriam Tivzenda, MSN, APRN
Nurse Educator & Coach
We help NP graduates pass their boards—and land their first NP job—one NP at a time.

Send a message to learn more

27/12/2025

🚨 STOP SCROLLING: 5 Nurse Practitioner Study Tips That Actually Move the Needle
1️⃣ Study the WHY, not just the WHAT
If you can explain why an answer is correct, you’re building clinical judgment—not just memorizing trivia. Boards love thinkers.
2️⃣ High-Yield > High-Volume (Every. Single. Time.)
If it’s typical, critical, and repeatedly tested, it’s high yield. If it feels obscure and dramatic… probably low yield. Don’t let it steal your peace.
3️⃣ Stop Changing Answers Unless You Have NEW Evidence
Your first instinct is often correct. Overthinking turns strong answers into wrong ones. Trust your NP brain—it’s smarter than you think.
4️⃣ Practice Questions Are NOT for Scoring—They’re for Learning
Missed questions = free lessons. Read rationales as if your license depends on it (because… it does).
5️⃣ Professional Role & Ethics = FREE POINTS
Scope of practice, collaboration, billing basics, ethics—many people skip these and regret it later. Easy wins live here. Remember: You’re not “just studying.”
You’re training your clinical instincts, sharpening judgment, and stepping into your provider role—one question at a time.
Miriam Tivzenda, MSN, APRN
Nurse Educator & Coach
We help NP graduates pass their boards—and land their first NP job—one NP at a time.

Send a message to learn more