The shortcuts I used were that I didn't read the chapters or listen to the recorded lectures, I just blasted the end of chapter questions and elsevier EAQs, I also half-*** did my homework assignments.
This "worked" for med-surg, but was a dramatic failure for peds.
I tend to keep my identity somewhat private, but it is a community college program in the midwest. A well respected program in the area, but as I'm finding as a student, it's not without it's issues.
As for thinking like a medic vs RN, I think I've finally found the words to describe the difference. Medics learn about a small amount of disease processes, how they can kill you, and how to prevent them from killing you for the 30 minute transport. RNs learn about many more conditions, how they can kill you, but then how people live with them for days/weeks/the rest of their lives. What medications they might be taking, what medications those medications might interact with.. How one condition interacts with another.. How a condition changes XX about your body, and how to assess to catch early signs/symptoms of those conditions, and finally what education techniques you can give your patient to try to prevent conditions from becoming worse..
I know there are RN students who are capable of breezing through school and somehow making it without understanding that level of depth, but it's just not how my brain works. I can't answer a test question unless I understand the full depth and can put it together in my head.